·临床研究·LASIK术前眼压、中央角膜厚度、屈光度和曲率相关性分析张燕1,郑艳珍2,董文丽2,邱岩1作者单位:1(100700)中国北京市,北京军区总医院眼科;2(030001)中国山西省太原市,山西医科大学作者简介:张燕,女,硕士,副主任医师,研究方向:眼部整形、眼表疾病、斜弱视及泪道方面疾病。通讯作者:张燕.iamyanzi_1972@yahoo.com.cn收稿日期:2012-04-20修回日期:2012-07-16Correlationanalysisofintraocularpressure,centralcornealthickness,refractiondioptresandcornealcurvaturebeforeLASIKYanZhang1,Yan-ZhenZheng2,Wen-LiDong2,YanQiu11DepartmentofOphthalmology,GeneralHospitalofBeijingMilitaryCommandofChinesePLA,Beijing100700,China;2ShanxiMedicalUniversity,Taiyuan030001,ShanxiProvince,ChinaCorrespondenceto:YanZhang.DepartmentofOphthalmology,GeneralHospitalofBeijingMilitaryCommandofChinesePLA,Beijing100700,China.iamyanzi_1972@yahoo.com.cnReceived:2012-04-20Accepted:2012-07-16AbstractAIM:Toexploretherelationshipofintraocularpressure(IOP),centralcornealthickness(CCT),refractiondioptresandcornealcurvaturebeforeLASIK.METHODS:Totally220cases(440eyes)withrefractiveerrorswereenrolledandthedataweremeasuredbynon-contacttonometer,ultrasoundpachymetryandcomputerrefractor.Variousmeasurementswerecomparedandanalyzedstatistically.RESULTS:TherewasapositivecorrelationbetweenIOPandCCTinpatientswithrefractiveerrors(r=0.568,0.534,0.413,0.412;P<0.001).TherewasnostatisticallysignificantcorrelationbetweenrefractiondioptresandCCT,IOP,cornealcurvatureinrefractiveerrors(r=-0.078,0.068,-0.077;P=0.052,0.073,0.058).Therewasnostatisticallysignificantcorrelationbetweencornealcurvature,IOPandCCTinrefractiveerror(r=0.004,-0.058;P=0.917,0.157).CONCLUSION:ThereisapositivecorrelationbetweenIOPandCCTinpatientswithrefractiveerrors.KEYWORDS:refractiveerrors;intraocularpressure;centralcornealthickness;curvatureCitation:ZhangY,ZhengYZ,DongWL,etal.Correlationanalysisofintraocularpressure,centralcornealthickness,refractiondioptresandcornealcurvaturebeforeLASIK.GuojiYankeZazhi(IntEyeSci)2012;12(8):1552-1554摘要目的:探讨LASIK术前屈光不正患者眼压(intraocularpressure,IOP)、中央角膜厚度(centralcornealthickness,CCT)、屈光度和角膜曲率之间的关系。方法:屈光不正患者220例440眼,用非接触式眼压计测量患者的眼压、超声角膜测厚仪测量患者中央角膜厚度、电脑验光仪测量等效球镜度数和曲率,两两比较各测量项目之间的相互关系,并进行统计学处理。结果:各组屈光不正患者眼压与中央角膜厚度之间呈正相关关系(r=0.568,0.534,0.413,0.412;P<0.001)。屈光不正患者屈光度与中央角膜厚度、曲率、眼压之间相关性无统计学意义(r=-0.078,0.068,-0.077;P=0.052,0.073,0.058)。屈光不正患者曲率与眼压、中央角膜厚度之间比较差异无统计学意义(r=0.004,-0.058;P=0.917,0.157)。结论:屈光不正患者眼压与中央角膜厚度之间呈正相关,随着角膜厚度的增加眼压升高。关键词:屈光不正;眼压;角膜厚度;曲率DOI:10.3969/j.issn.1672-5123.2012.08.38引用:张燕,郑艳珍,董文丽,等.LASIK术前眼压、中央角膜厚度、屈光度和曲率相关性分析.国际眼科杂志2012;12(8):1552-15540引言准分子激光原位角膜磨镶术(laserinsitukeato-mileusis,LASIK)治疗近视眼是近年来矫正近视较为理想的一种手术。为了提高LASIK手术的安全性、稳定性、可预测性,我们对术前中央角膜厚度(centralcornealthickness,CCT)、屈光度、眼压(intraocularpressure,IOP)及曲率的相关性进行分析,希望可以对临床工作有一定的指导意义。现将在我院行LASIK治疗近视的220例440眼患者有关资料进行总结...