CAJ | 학술논문

目的:探讨准分子激光术后视网膜脱离手术的特点.方法:本研究选取准分子激光术后发生视网膜脱离患者10例(11眼),着重分析11眼的视网膜脱离特点,处理方法及手术并发症.结果:视网膜脱离以多发裂孔(73%)和巨大裂孔(27%)为显著特征.所有患者行巩膜扣带术,其中3例联合玻璃体切割及硅油填充术.术后1mo取出硅油.9例患者视网膜均在首次手术中复位.术后发生LASIK角膜瓣脱离1例和角膜上皮下混浊1例.结论:准分子激光术后患者在随访中应密切观察,必要时散瞳检查,准分子术后视网膜脱离的手术中,巩膜扣带术是必要的,术中要注意保护角膜组织.
목적:탐토준분자격광술후시망막탈리수술적특점.방법:본연구선취준분자격광술후발생시망막탈리환자10례(11안),착중분석11안적시망막탈리특점,처리방법급수술병발증.결과:시망막탈리이다발렬공(73%)화거대렬공(27%)위현저특정.소유환자행공막구대술,기중3례연합파리체절할급규유전충술.술후1mo취출규유.9례환자시망막균재수차수술중복위.술후발생LASIK각막판탈리1례화각막상피하혼탁1례.결론:준분자격광술후환자재수방중응밀절관찰,필요시산동검사,준분자술후시망막탈리적수술중,공막구대술시필요적,술중요주의보호각막조직.
AIM: To study the characteristics of retinal detachment surgery after laser 　in situ　 keratomileusis (LASIK).METHODS: Eleven eyes of ten patients that experienced rhegmatogenous retinal detachment after LASIK procedure participated in the study. The characteristics of retinal detachment, management and complications after surgery were analyzed . RESULTS: Retinal detachment was characterized by the large percentage of multiple peripheral holes (73%) and giant tears (27%). All eyes underwent sclera buckling, and three of them combined with pars plana vitrectomy (PPV) and silicone oil tamponade. Silicone oil was removed after 1 month. Retina was reattached successfully at the first retinal detachment surgery in all eyes except one that succeeded at the fourth time. One eye of LASIK flap dehiscence and one eye of corneal subepithelial opacity occurred after surgery.CONCLUSION: Patients after LASIK should be carefully examined under pupillary dilation during follow-up. Sclera buckling is necessary to most retinal detachment after LASIK, and corneal protection is important in the treatment.