[关键词]
[摘要]
目的:比较FS-LASIK与ICL植入术治疗近视的临床疗效。
方法:计算机检索2015-01/2020-01中国知网数据库、万方数据库、重庆维普中文科技期刊全文数据库、中国生物医学文献数据库(CBM)、Cochrane Library、PubMed、MEDLINE等数据库关于采用FS-LASIK与ICL植入术治疗近视的临床对照研究相关文献,使用Rev-man5.3统计软件进行Meta分析和统计处理。
结果:共纳入11项研究,患者673例1 301眼。Meta分析结果显示,FS-LASIK与ICL植入术后的安全性指数(术后最佳矫正视力/术前最佳矫正视力)、客观视觉质量、等效球镜度、柱镜度、球镜度、三叶草像差、彗差均无差异,但与ICL植入术相比,FS-LASIK术后有效性指数(术后裸眼视力/术前最佳矫正视力)较高,引入的总高阶像差和球差大,对比敏感度下降。
结论:FS-LASIK较ICL植入术后总高阶像差、球差引入较大,对比敏感度下降,ICL植入术较FS-LASIK的临床疗效更具优势。
[Key word]
[Abstract]
AIM: To compare the clinical effects of FS-LASIK and ICL implantation.
METHODS: From January 2015 to January 2020, used computer to search the clinical contrast test of FS-LASIK and ICL implantation published in CNKI database, Wanfang database, Chongqing VIP Chinese Sci tech journal full-text database, China Bioligy Medicine disc(CBMdisc), Cochrane Library, PubMed, MEDLINE and other databases,using rev-man5.3 statistical software for Meta-analysis and statistical processing.
RESULTS: Totally 11 studies were brought into the analysis, including 673 patients and 1 301 operative eyes. The results of Meta-analysis showed that there was no statistical significance in the safety, objective visual quality, spherical equivalent degree, cylinder, diopter of correction, trefoil aberration and coma aberration of FS-LASIK and ICL implantation after operation, but there was statistical significance in the effectiveness, total higher-order aberration, spherical aberration and contrast sensitivity of FS-LASIK and ICL implantation after operation.
CONCLUSION: Compared with ICL implantation, the total high-order aberrations and spherical aberrations of FS-LASIK are larger, and the contrast sensitivity is lower. The ICL implantation has more clinical-effect superioity than FS-LASIK, meanwhile it has reversibility and less complications.
[中图分类号]
[基金项目]
湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心(No.2018TP2008); 中医药防治眼耳鼻咽喉疾病湖南省重点实验室(No.2017TP1018)