再谈角膜手术。谢谢eddie现身说法。


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送交者: 梅子 于 2012-02-28, 19:15:20:

我犹豫了两年的手术仍然不能决定。
请问Eddie做了十几年后,现在眼睛也开始老花了对么?有什么感觉?还能再校正么?你从未后悔做手术对么?
tom_cat 也对做手术的结果十分满意。

蓝隼,我的眼睛本来也是1.2-1.5的,戴眼镜完全是因为老花加一点散光。
BIGBEN,问题就是risk不那么高。

从网上看,Acufocus Corneal Inlay这个专门针对老花的手术
近期多了一点数据。
http://www.revophth.com/content/d/refractive_surgery/c/32300/
2/9/2012
From Paracelsus Medical University, in Salzburg, Austria, comes a report of the three-year postoperative safety and efficacy outcomes of the Acufocus corneal inlay (Acufocus, Inc.). The results support the safety and efficacy of the corneal inlay to correct presbyopia in naturally emmetropic presbyopic patients. However, despite a significant gain in uncorrected near and intermediate vision, 28.3 percent of patients lost one line of corrected distance vision.


The prospective, nonrandomized, noncomparative cohort study included 32 patients. The corneal inlay was implanted in the nondominant eye of naturally emmetropic presbyopic patients. The researchers reported refraction; uncorrected near, intermediate and distance visual acuities; corrected distance VA; contrast sensitivity; visual fields; subjective patient satisfaction and symptoms; and operative and postoperative adverse events and complications.


The mean uncorrected near VA improved from J6 preoperatively to J1 at three years and the mean uncorrected intermediate VA, from 20/40 to 20/25. At three years, 97 percent of eyes had a UNVA of J3 or better and 91 percent had a UIVA of 20/32 or better. The mean uncorrected distance VA was 20/20, with all eyes achieving 20/32 or better. Nine eyes (28.3 percent) lost one line of corrected distance VA, one eye (3.1 percent) lost more than two lines (3.8 lines), and three eyes (9.3 percent) gained one line. No inlay was explanted, and no inflammatory reactions were observed. At three years, 15.6 percent of patients reported severe night-vision problems and 6.3 percent (versus 87.5 percent preoperatively) reported being dependent on reading glasses.

这个数据怎样,不算好事吗?为期三年的多国研究在这个月结束,我想很快会有更多新的数据。

在两年前的帖子里 “
有人给了我一个欧洲70例手术的数据:
B4 Op 1W 1M 3M 4M 9M 1Y
远视力 20/16 20/25 20/20 20/20 20/20 20/20 20/20
近视力 J7/8 J3 J2 J2 J2 J1 J1”

好像还不错。

懂行的可以多给意见,做过的欢迎谈谈感受。




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