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目的探讨未行准分子激光原位角膜磨镶术的原因。方法对978例近视患者中105例经检查未行Lasik手术的原因进行了分析。结果105例中因主观因素未行手术者23例占21.90%,因客观因素者82例占78.10%,其中矫正视力<0.5者17例,占客观因素的18.68%;中央角膜厚度较薄者36例,占39.56%;角膜屈光力较大者11例,占12.08%,其中怀疑圆锥角膜者5例;眼底有视网膜病变者13例,占14.28%;高眼压症者6例,占6.59%;其他原因8例,占8.79%。结论Lasik手术有高度的选择性,手术适应症中应综合评估主观心理因素和客观因素。
Objective To investigate the causes of excimer laser in situ keratomileusis. Methods The causes of Lasik operation in 105 cases of 978 myopic patients were analyzed. Results Among the 105 cases, 23 cases (21.90%) did not undergo surgery because of subjective factors, 82 (78.10%) accounted for 78.10% of the objective factors, of which 17 cases had corrected visual acuity <0.5, accounting for 18.68% of the objective factors; Cases, accounting for 39.56%; corneal refractive power in 11 cases, accounting for 12.08%, of which 5 cases suspected keratoconus; retinal lesions in 13 cases, accounting for 14.28%; ocular hypertension in 6 cases, accounting for 6.59%; Other reasons 8 cases, accounting for 8.79%. Conclusion Lasik surgery has a high degree of selectivity, surgical indications should be a comprehensive assessment of subjective and objective factors.