准分子激光眼屈光手术中的一种过渡区模型

张运海; 廖文和; 沈建新

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准分子激光眼屈光手术中的一种过渡区模型

现代光学仪器与精密机械 | 更新时间：2020-08-12

- 准分子激光眼屈光手术中的一种过渡区模型
- Blend zone model for excimer laser refractive surgery
- 光学精密工程 2004年12卷第4期页码：406-410
- 作者机构：
  
  南京航空航天大学, 机电学院,江苏南京,210016
- 作者简介：
- 基金信息：
  
  江苏省"十五"高技术研究计划项目(No.BG2002012)();"十五"国家计委产业化项目(计产业[2002] 1329号)资助()
- DOI：
  中图分类号： R778.1;R779.63
- 收稿日期：2004-02-18，
  
  修回日期：2004-06-08，
  
  网络出版日期：2004-08-15，
  
  纸质出版日期：2004-08-15
- 稿件说明：
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张运海, 廖文和, 沈建新. 准分子激光眼屈光手术中的一种过渡区模型[J]. 光学精密工程, 2004,(4): 406-410

ZHANG Yun-hai, LIAO Wen-he, SHEN Jian-xin. Blend zone model for excimer laser refractive surgery[J]. Editorial Office of Optics and Precision Engineering, 2004,(4): 406-410
张运海, 廖文和, 沈建新. 准分子激光眼屈光手术中的一种过渡区模型[J]. 光学精密工程, 2004,(4): 406-410 DOI：

ZHANG Yun-hai, LIAO Wen-he, SHEN Jian-xin. Blend zone model for excimer laser refractive surgery[J]. Editorial Office of Optics and Precision Engineering, 2004,(4): 406-410 DOI：

摘要

提出了一种在准分子激光眼屈光手术中过渡区模型的构造方法.首先设计一种修边函数

然后提取光学区边界的切削深度

并将其扩展到整个过渡区

最后通过修边函数和过渡区上扩展切削深度的乘积得到过渡区模型.再将该模型进行计算机仿真研究和临床研究.临床上统计了8名患者16只眼睛接受该模型指导的激光手术情况:术前平均裸眼视力为0.09±0.04

术后第1天平均裸眼视力为1.06±0.24

之后视力逐渐升高

在术后一个月时平均裸眼视力为1.42±0.36

裸眼视力最小值为1.0.仿真结果

特别是临床结果表明:过渡区模型实现了光学区与非切削区之间光滑平坦地过渡.采用参数化控制的模型

特别适用于光学区直径和过渡区宽度经常调整的情况

对各种眼屈光不正情况均适用;在光学区直径确定后

过渡区宽度的改变不影响光学区的切削深度;模型有较强的通用性

适用于传统仅矫正屈光不正(近视、远视、散光)的光学区模型

也适用于波前像差引导的激光眼屈光手术.利用过渡区模型可提高手术后患眼的视觉质量.

Abstract

A blend zone model for excimer laser refractive surgery is presented. Firstly

a blend function is designed. Then

an expand ablation depth in the blend zone is constructed using the ablation depth on the edge of the optical zone. Finally

the model is developed by multiplying the blend function and the expand ablation depth. The simulation of the model on computer and results of clinical practice have been studied. Sixteen eyes with myopic astigmatism underwent LASIK using the blend zone model. One day postoperatively

mean uncorrected visual acuity was 1.06?0.24 compared to 0.09?0.04 preoperatively. One month after surgery

mean uncorrected visual acuity was 1.42?0.36. All eyes reached uncorrected visual acuity of 1.0 or better. The computer simulation and especially LASIK results show that the model gradually smoothes out the connection of the optical zone and untreated zone. The model has two parameters that make it very useful in adjusting the diameter of the optical zone and changing the width of the blend zone. The ablation depth in the optical zone does not increase when the width of the blend zone is changed. The model not only can be applied to the correction of refractive errors such as myopia and astigmatism

but also can be used in wavefront guided laser refractive surgery. Visual acuity after excimer laser refractive surgery has been remarkably improved using this model.

关键词

Keywords

references

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