CAJ | 학술논문

目的评价准分子激光角膜上皮瓣下磨镶术(LASEK)治疗角膜浅层病变的效果.方法采用LASEK治疗角膜浅层病变12例13只眼,其中男5例5只眼,女7例8只眼;复发性角膜上皮糜烂3例3 只眼;大泡性角膜病变3例3只眼;复发性翼状胬肉致角膜斑翳2例3只眼;细菌性角膜炎致角膜斑翳1例1只眼;带状角膜变性2例2只眼;颗粒状角膜营养不良1例1只眼.术后随访观察12个月.结果术后1、3、6、9、12个月检查:矫正视力提高2行以上者分别为53.85%(7只眼)、61.54%(8只眼)、69.23%(9只眼)、61.54%(8只眼)、61.54%(8只眼).刺激症状均明显改善.未出现原病复发及其它并发症.结论 LASEK治疗角膜浅层病变具有操作简单,安全有效.部分患者可避免或推迟角膜移植手术时间.
목적 평개준분자격광각막상피판하마양술(LASEK)치료각막천층병변적효과.방법 채용LASEK치료각막천층병변12례13지안,기중남5례5지안,녀7례8지안;복발성각막상피미란3례3 지안;대포성각막병변3례3지안;복발성익상노육치각막반예2례3지안;세균성각막염치각막반예1례1지안;대상각막변성2례2지안;과립상각막영양불량1례1지안.술후수방관찰12개월.결과 술후1、3、6、9、12개월검사:교정시력제고2행이상자분별위53.85%(7지안)、61.54%(8지안)、69.23%(9지안)、61.54%(8지안)、61.54%(8지안).자격증상균명현개선.미출현원병복발급기타병발증.결론 LASEK치료각막천층병변구유조작간단,안전유효.부분환자가피면혹추지각막이식수술시간.
Objective To investigate the effect of laser sub-epithelial keratomileusis (LASEK) for superfcial comeal diseases. Methods Twelve cases (13 eyes) with superficial comeal diseases were treated with LASEK. Five cases (5 eyes) were male, 7 cases (8 eyes) were female. Recurring comeal epithelium erosion 3 cases (3 eye), comeal endothelium dysfunction 3 cases (3 eyes), comeal macula caused by recurring pterygium in 2 cases (3 eyes) and caused by bacterial keratitis in I case (1 eye);band comeal degeneration 2 cases (2 eyes), granular comeal degeneration l case (1 eye). The period of follow-up was 12 months. Results At 1, 3, 6, 9 and 12 months post-operatively, the percentage of eyes with an improvement of 2 lines or more for the corrected visual acuity was 53.85% (7 eyes),61.54% (8 eyes), 69.23% (9 eyes), 61.54% (8 eyes), and 61.54% (8 eyes) respectively. The irritating symptoms disappeared or improved. There were no some problems as recurrence of primary diseases and others complications. Conclusions LASEK is a new and safe technique for treating superficial comeal diseases. Some patients can avoid or delay the time of keratoplasty.