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Government Intervention Excimer Laser Corneal Refractive Surgery Perioperative Theory From Liver And Lung

Posted on:2014-04-18Degree:DoctorType:Dissertation
Country:ChinaCandidate:C Y ZhouFull Text:PDF
GTID:1264330425486291Subject:TCM Ophthalmology
Abstract/Summary:PDF Full Text Request
Objective To examine the effect of treatment by regulating Liver and Lung on perioperative intervention treatment for excimer laser corneal refractive surgery, for evaluating the possibility of Chinese Medicine on the prevention of common complication of excimer laser corneal refractive surgery.Methods Randomized, controlled and prospective study was used.1. Totally185patients370eyes who underwent LASEK were divided into group A and group B. Group B was treated with Conventional medicine, group A was treated with conventional medicine and ZHENQINGMINGMU Tablet from preoperative3d to postoperative1mo. Postoperative pain score, duration of postoperative pain, time to epithelial healing, postoperative UCVA, high order aberration of cornea, postoperative CS, haze were contrasted between group A and group B.2. Totally132patients264eyes who underwent LAS1K were divided into group C and group D. Group D was treated with Conventional medicine, group C was treated with conventional medicine and atomization of QIJUXUNYAN Formula from postoperative1w to postoperative1mo. Postoperative dry eye score, BUT, Schirmer score, cornea staining, postoperative UCVA, high order aberration of cornea, postoperative CS were contrasted between group C and group D.Results1. Postoperative pain score of group A was lower than group B in postoperative Od and1d (P<0.05); Duration of postoperative pain of group A was shorter than group B in postoperative Od and1d too (P<0.05); Time to epithelial healing of group A was shorter than group B(P<0.05); Postoperative UCVA of group A was higher than group B in postoperative1w (P<0.05); Contrasting with high order aberration of cornea, C3±1and C3±3of group A was lower than group B in postoperative1w (P<0.05); Postoperative CS in6c/deg and12c/deg of group A was higher than group B in postoperative1w (P<0.05); Incidence of haze in group A was lower than group B in postoperative1mo (P<0.05)2. Postoperative dry eye score of group C was lower than group D in postoperative1mo (P<0.05); Postoperative UCVA of group C and group D was similar in postoperative Imo (P>0.05); BUT of group C was longer than group D in postoperative1mo (P<0.05); Schirmer score of group C was longer than group D in postoperative1mo (P<0.05); Cornea staining score of group C was lower than group D in postoperative1mo (P<0.05); Contrasting with high order aberration of cornea, C3±1of group C was lower than group D in postoperative1mo(P<0.05); Postoperative CS in12c/deg and18c/deg of group C was higher than group D in postoperative Imo (P<0.05)Conclusion1. ZHENQINGMINGMU Tablet can improve postoperative pain, epithelial healing, postoperative UCVA, high order aberration of cornea, postoperative CS, cornea haze of patients who underwent LASEK in early postoperative;2. Atomization of QIJUXUNYAN Formula can improve postoperative dry eye, BUT, secretion of tears, cornea staining, high order aberration of cornea, postoperative CS of patients who underwent LASIK.3. There is significant effect of treatment by regulating Liver and Lung on prevention of common complication of excimer laser corneal refractive surgery.
Keywords/Search Tags:treatment by regulating Liver and Lung, laser in sity keratomileusis, laser-assitstedsubepithelial keratomileusis, haze, contrast sensitivity, high order aberration, complication, postoperative pain, dry eye disease, time to epithelial healing
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