近视患者角膜屈光术后集合功能与立体视变化
Changes in Convergence Function and Stereopsis Following Corneal Refractive Surgery in Myopia
DOI: 10.12677/acm.2026.1662190, PDF,   
作者: 姜辰鸿, 王 青*：青岛大学附属医院眼科，山东 青岛
关键词: 近视；角膜屈光手术；集合功能；Myopia； Corneal Refractive Surgery； Convergence Function
摘要: 目的：探讨近视患者角膜屈光手术后早期集合功能与立体视变化。方法：纳入2025年3月至2025年10月因近视在青岛大学附属医院眼科就诊，根据检查结果自愿选择接受SMILE、FS-LASIK手术治疗的患者73例(146眼)，分别于术前、术后1周、术后1月、术后3~6个月检查集合功能及立体视。使用SPSS 26.0软件进行统计分析。结果：远/近正融像性范围破裂点及恢复点(FPFV/NPFV(break/recovery))在术后逐渐减小，差异具有统计学意义(P < 0.05)。远/近负融像性范围的破裂点及恢复点(FNFV/NNFV(break/recovery))在术后表现逐渐下降，变化无统计学意义(P > 0.05)。结论：角膜屈光术后早期集合功能及立体视明显改善，视觉系统建立新的平衡。
Abstract: Objective: To investigate early changes in convergence function and stereopsis after corneal refractive surgery in myopia. Methods: 73 myopic patients (146 eyes) who underwent SMILE or FS-LASIK at the Affiliated Hospital of Qingdao University from March to October 2025 were enrolled. Convergence function and stereopsis were examined preoperatively, at 1 week, 1 month, and 3~6 months postoperatively. SPSS 26.0 was used for analysis. Results: Break/recovery points of far/near positive fusional vergence (FPFV/NPFV(break/recovery)) decreased after surgery (P < 0.05). Those of far/near negative fusional vergence (FNFV/NNFV(break/recovery)) also decreased, but without statistical significance (P > 0.05). Conclusion: Convergence function and stereopsis improve significantly in the early period after corneal refractive surgery, indicating establishment of a new visual balance.
文章引用：姜辰鸿, 王青. 近视患者角膜屈光术后集合功能与立体视变化[J]. 临床医学进展, 2026, 16(6): 22-28. https://doi.org/10.12677/acm.2026.1662190

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