近视1000多度能够做近视手术吗？武汉普瑞眼科医院给你答案
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">针对</span>近视的人<span style="color: black;">来讲</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 戴了<span style="color: black;">数年</span>的厚重眼镜</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 眼镜早已<span style="color: black;">作为</span>自己身体的一部分</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 尤其是度数比较高的人</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <strong style="color: blue;">摘下眼镜，世界一片模糊</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 在眼科中，近视超过600度就被<span style="color: black;">叫作</span>为高度近视，而1000度以上，则被<span style="color: black;">叫作</span>为<strong style="color: blue;">超高度近视</strong>。<span style="color: black;">日前</span>近视呈高发、低龄化趋势，高度数的近视<span style="color: black;">病人</span><span style="color: black;">显著</span><span style="color: black;">增加</span>，达到1000度<span style="color: black;">乃至</span>以上的<span style="color: black;">病人</span><span style="color: black;">亦</span>并不少见，<span style="color: black;">那样</span>1000度及以上的近视，还能<span style="color: black;">经过</span>手术<span style="color: black;">纠正</span>吗？更更更<span style="color: black;">要紧</span>的是，术后能恢复到多少视力呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">1、</span>1000度及以上的近视，还<span style="color: black;">能够</span>做近视手术吗？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">能够</span>！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">①近视度数不是<span style="color: black;">独一</span>指标 ，</strong>但确实是近视手术中<span style="color: black;">必须</span><span style="color: black;">思虑</span>的一项<span style="color: black;">要紧</span>指标。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近视手术分为加法类ICL晶体手术和减法类角膜激光手术，以<span style="color: black;">咱们</span>常说的角膜激光手术为例，它<span style="color: black;">能够</span>简单理解为在眼角膜上制作一副眼镜，达到<span style="color: black;">纠正</span>视力的效果。<span style="color: black;">倘若</span>近视度数越高，制作这副眼镜所需的材料就越多，<span style="color: black;">亦</span><span style="color: black;">便是</span>要消耗<span style="color: black;">更加多</span>的角膜厚度。<strong style="color: blue;"><span style="color: black;">因此</span>理论上，的确是度数越高，可<span style="color: black;">选取</span>的余地就越少。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">不外</span>，近视度数1200以内的，<span style="color: black;">亦</span>有相应的角膜激光手术<span style="color: black;">能够</span><span style="color: black;">选取</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>近视度数高、角膜<span style="color: black;">状况</span>比较特殊，对术后视觉<span style="color: black;">需求</span>高等，<span style="color: black;">意见</span>ICL晶体<span style="color: black;">移植</span>手术。这是把带有度数的“晶体眼镜”<span style="color: black;">移植</span>眼内，不改变眼睛的其他结构，可<span style="color: black;">纠正</span>1800度以内的近视。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">②除了<span style="color: black;">思虑</span>度数，<span style="color: black;">想要</span>做近视手术，还<span style="color: black;">必须</span>综合<span style="color: black;">思虑</span>角膜厚度、角膜曲率等<span style="color: black;">要求</span>，<span style="color: black;">必须</span>在术前进行全面的眼部<span style="color: black;">检测</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240524/981c9973003d4307b77f4e1dba3f341b.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span>，近视超过600度的高度近视<span style="color: black;">病人</span>，<strong style="color: blue;"><span style="color: black;">思虑</span>近视手术前，还<span style="color: black;">意见</span>先<span style="color: black;">瞧瞧</span>眼底的健康<span style="color: black;">状况</span>。</strong><span style="color: black;">由于</span>高度近视、超高度近视的<span style="color: black;">伴侣</span><span style="color: black;">因为</span>眼轴更长，<span style="color: black;">因此</span>视网膜比<span style="color: black;">无</span>近视或近视度数低的人更加薄、更脆弱，<span style="color: black;">出现</span>眼底病变的可能性更高。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>，<span style="color: black;">针对</span>高度近视<span style="color: black;">病人</span><span style="color: black;">来讲</span>，<span style="color: black;">没</span>论<span style="color: black;">是不是</span><span style="color: black;">思虑</span>近视手术，都<span style="color: black;">意见</span>每半年<span style="color: black;">或</span>每年<span style="color: black;">定时</span>进行眼底<span style="color: black;">检测</span>，及早<span style="color: black;">发掘</span>问题及早<span style="color: black;">干涉</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当然，并不是近视度数高，就<span style="color: black;">必定</span>会<span style="color: black;">出现</span>眼底病变。<span style="color: black;">经过</span><span style="color: black;">检测</span>，眼部各项指标符合标准，就<span style="color: black;">能够</span><span style="color: black;">思虑</span><span style="color: black;">经过</span>手术矫正<span style="color: black;">加强</span>视力。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2、</span>1000度及以上的近视<span style="color: black;">病人</span>，近视术后能达到多少视力？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近视手术的<span style="color: black;">重点</span>目的是<span style="color: black;">经过</span>手术<span style="color: black;">得到</span>清晰视力，术后视力能达到多少，<strong style="color: blue;"><span style="color: black;">无</span>一个“标准答案”，这要看个人眼睛的“实力”。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">每一个</span>人的眼睛<span style="color: black;">要求</span><span style="color: black;">区别</span>，术后达到的视力<span style="color: black;">亦</span>会有差异。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">正常<span style="color: black;">状况</span>下，术后视力<span style="color: black;">能够</span>恢复到近视手术前戴眼镜时的最佳视力，<span style="color: black;">倘若</span>戴眼镜时可以达到1.0的视力，术后<span style="color: black;">通常</span><span style="color: black;">亦</span><span style="color: black;">能够</span>达到相同裸眼视力。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">如今，近视<span style="color: black;">纠正</span>，并<span style="color: black;">不仅</span>是为了看清楚，还要有更好的视觉效果。<span style="color: black;">例如</span>，视物要舒服，即看东西远近兼顾，<span style="color: black;">白日</span>、<span style="color: black;">夜晚</span>视物都很清楚、双眼<span style="color: black;">影像</span><span style="color: black;">平衡</span>等，<span style="color: black;">这般</span><span style="color: black;">才可</span>达到<span style="color: black;">纠正</span>的目的。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此呢</span>，<span style="color: black;">大众</span>进行近视手术时要综合多方面进行<span style="color: black;">思虑</span>，而不是一味地追求高视力。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">三想摘镜，还<span style="color: black;">必须</span>注意什么：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/images01/20240524/661b10b735dc4ff899fae6a1e30e1298.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 武汉普瑞眼科医院屈光手术科的刘颖<span style="color: black;">大夫</span><span style="color: black;">暗示</span>：在门诊中，经常遇到<span style="color: black;">有些</span><span style="color: black;">伴侣</span>从<span style="color: black;">外区</span>赶来，却<span style="color: black;">由于</span><span style="color: black;">无</span>做好术前准备，<span style="color: black;">引起</span><span style="color: black;">没</span>法<span style="color: black;">根据</span>计划手术、行程耽误。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">因此</span>提醒<span style="color: black;">大众</span>，<span style="color: black;">倘若</span>想做近视手术，还是<span style="color: black;">必须</span>做好<span style="color: black;">有些</span>准备：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">有些</span>有配戴隐形眼镜习惯的<span style="color: black;">伴侣</span>，在来院<span style="color: black;">检测</span>前，需<span style="color: black;">按照</span>配戴的镜片类型停戴相应时间<strong style="color: blue;">。普通软性隐形眼镜需停戴1周，硬性角膜接触镜（RGP）停戴三周，角膜塑形镜（OK镜）需停戴3个月。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span>，<span style="color: black;">一般</span><span style="color: black;">状况</span>下，术后当天视力就有<span style="color: black;">显著</span><span style="color: black;">提高</span>，隔天复查时的视力就能达到<span style="color: black;">纠正</span>视力，满足用眼需求。<span style="color: black;">不外</span><span style="color: black;">由于</span>手术方式和<span style="color: black;">每一个</span>人的眼部<span style="color: black;">要求</span>存在差异，术后视力稳定所需的时间各有<span style="color: black;">区别</span>，<span style="color: black;">通常</span>3-6个月，视力会比较稳定。这<span style="color: black;">时期</span>并不会影响工作学习和日常生活。<span style="color: black;">因此</span>，<span style="color: black;">倘若</span>短期内有体检、高强度用眼需求的<span style="color: black;">伴侣</span>，<span style="color: black;">意见</span>提前<span style="color: black;">检测</span>手术，为术后视力恢复稳定预留<span style="color: black;">更加多</span>的时间。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">参考文献：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1."Indications and Contraindications for Refractive Surgery" (2019) by S. K. Gupta， et al.</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2."The Impact of Refractive Surgery on Quality of Life in Patients with Myopia" (2017) by L. Wang， et al.<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛：http://www.fok120.com/</span>，查看<span style="color: black;">更加多</span></span></a></p>
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