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作者报道了自动板层角膜成形术（ＡＬＫ）治疗近视的最初结果并对ＡＬＫ的短期效果、安全性及可预测性进行了评估。对接受ＡＬＫ治疗的８１例（１２８眼）患者随诊平均１３．６个月，包括近视１２０眼和放射状角膜切开术（ＲＫ）后残留近视８眼。术前平均屈光度为－７．４８±２．０５Ｄ。结果显示，裸眼视力达２０／４０或以上者占８６．４％；７６．２％的术眼屈光度在±１．００Ｄ以内，９３．６％在±２．００Ｄ以内。其中７７％的术眼在ＡＬＫ术后又接受了ＲＫ或散光性角膜切开术（ＡＫ）。并发症包括：散光较术前增加１．００Ｄ以上（４％）；持续不规则散光（４％）；过矫达＋１．００Ｄ以上（４％）；角膜上皮长入手术界面（２％）；角膜板层片丢失（１／１２８）；最佳矫正视力下降２行或以上者（６．３％）。本研究表明，ＡＬＫ手术对于矫正高度近视或ＲＫ术后残留近视是一种安全、有效、可预测的方法，若再附加ＲＫ或ＡＫ手术，则能得到更满意的视力和屈光结果
The authors reported on the initial results of autoskeletal keratoplasty (ALK) for the treatment of myopia and evaluated the short-term effects, safety and predictability of ALK. Eighty-one patients (128 eyes) receiving ALK were followed up for an average of 13.6 months, including 120 eyes of myopia and 8 eyes of residual myopia after radial keratotomy (RK). The average preoperative refractive power was -7.48 ± 2.05D. The results showed that the naked eye visual acuity of 20/40 or more accounted for 86.4%; 76.2% of the eye refractive power within ± 1.00D, 93.6% within ± 2.00D. Of these, 77% received RK or astigmatism (AK) after ALK surgery. Complications included astigmatism increased 1.00D or more (4%) compared with preoperative; persistent irregular astigmatism (4%); overcorrection + 1.00D or more (4%); corneal epithelial growth into the surgical interface (2%); Corneal lamellar loss (1/128); best corrected visual acuity decreased by 2 lines or more (6.3%). This study shows that ALK surgery is a safe, effective and predictable method for the correction of residual myopia after high myopia or RK surgery. If additional RK or AK surgery is performed, more satisfactory visual acuity and refractive results can be obtained