Purpose. To evaluate the safety, efficacy, and predictability of implantable collamer lens (ICL) implantation combined with a LenSx femtosecond laser-assisted limbal relaxing incision (LRI) for the correction of corneal astigmatism. Methods. This prospective study enrolled 64 eyes (54 patients) with high myopia with low to moderate regular corneal astigmatism. They were divided into an ICL group with ICL implantation (18 patients, 20 eyes), a TICL group with toric ICL implantation (17 patients, 23 eyes), and a LenSx + ICL group with a LenSx femtosecond laser-assisted LRI and an ICL implantation (19 patients, 21 eyes). Visual acuity, astigmatism correction ability, and visual quality were measured before and 1, 3, and 6 months after surgery. Results. The postoperative visual acuity of the 3 groups was higher than the preoperative visual acuity ( P < 0.01 ), and the improvements in the LenSx + ICL group and the TICL group were greater than those in the ICL group ( P < 0.01 ). The LenSx + ICL and TICL groups had less residual astigmatism and a higher astigmatism correction index (CI) than the ICL group ( P < 0.01 ). There was no significant difference among the three groups in total high-order aberrations (HOAs) before and after surgery ( P > 0.05 ). Conclusion. LenSx femtosecond laser-assisted LRI can effectively correct low to moderate corneal astigmatism during ICL implantation surgery. It can achieve similar clinical effects in the short term compared with TICL implantation.

摘要 目的：观察采用个体化方案治疗周围性面瘫的疗效。方法：治疗组 121 例患者根 据其病情特点采用个体化方案进行针刺治疗，与 118 例常规针灸治疗者进行对照研究，比 较其疗程与疗效的差异。 结果：治疗组愈显率为 90.9%，对照组愈显率为 69.5%，差异 有显著性(P<0.01);两组各疗程愈显率比较，差异有显著性(P<0.01)。结论：采用个体化方 案治疗周围性面瘫效果明显优于常规针刺方法，且疗程短。 关键词 面神经麻痹；针刺疗法；缪刺；透针 Abstract Objective: To investigate the curative effect of individualized treatment on peripheral facial paralysis. Methods: A treatment group of 121 patients was treated with acupuncture under an individualized plan based on the condition of disease. For a control study, 118 patients were treated with conventional acupuncture. The courses of treatment and the curative effects were compared. Results: The cure and marked efficacy rate was 90.9% in the treatment group and 69.5% in the control group. There was a significant difference (P<0.01). There was also a significant difference in the cure and marked efficacy rate in each courses of treatment between the two groups (P<0.01). Conclusion: Individualized acupuncture treatment is better in the effect and shorter in the courses than conventional acupuncture treatment for peripheral facial paralysis.