中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2011年
2期
129-132
,共4页
朱深智%李爱华%李瑞东%付晓娜
硃深智%李愛華%李瑞東%付曉娜
주심지%리애화%리서동%부효나
准分子激光上皮下角膜磨镶术%异常近视眼%角膜%并发症
準分子激光上皮下角膜磨鑲術%異常近視眼%角膜%併髮癥
준분자격광상피하각막마양술%이상근시안%각막%병발증
laser subepithelial keratomileusis%unusual myopic eyes%cornea%complication
目的 分析准分子激光上皮下角膜磨镶术(LASEK)治疗异常近视眼产生的并发症,并探讨其发生原因及预防措施.方法 异常眼(眼球小,睑裂小、眼窝深、角膜薄)312例(611眼),均为中高度近视(-5.00D～-13.00D),行LASEK后随访1年,观察其上皮愈合、haze、视力变化等并发症.结果 术中角膜上皮瓣不完整72眼占11.7%;术后角膜上皮愈合延迟21眼占3.4%;角膜感染1眼占0.15%;术后6月haze0.5级56眼(9.1%),级14 眼(2.3%);2级2眼(0.3%);术后皮质类固醇性高眼压7眼占1.1%.术后1年屈光回退>1.00D者51眼,占8.3%;散光度增加>1.00D者19眼,占3.1%;矫正视力较术前下降1行者9眼,占1.4%.结论 LASEK治疗异常近视眼是安全有效的,但易出现一定的并发症,手术技巧的提高、手术器械的改良、术后病人的配合以及合理的用药都有助于减少手术并发症的发生.
目的 分析準分子激光上皮下角膜磨鑲術(LASEK)治療異常近視眼產生的併髮癥,併探討其髮生原因及預防措施.方法 異常眼(眼毬小,瞼裂小、眼窩深、角膜薄)312例(611眼),均為中高度近視(-5.00D～-13.00D),行LASEK後隨訪1年,觀察其上皮愈閤、haze、視力變化等併髮癥.結果 術中角膜上皮瓣不完整72眼佔11.7%;術後角膜上皮愈閤延遲21眼佔3.4%;角膜感染1眼佔0.15%;術後6月haze0.5級56眼(9.1%),級14 眼(2.3%);2級2眼(0.3%);術後皮質類固醇性高眼壓7眼佔1.1%.術後1年屈光迴退>1.00D者51眼,佔8.3%;散光度增加>1.00D者19眼,佔3.1%;矯正視力較術前下降1行者9眼,佔1.4%.結論 LASEK治療異常近視眼是安全有效的,但易齣現一定的併髮癥,手術技巧的提高、手術器械的改良、術後病人的配閤以及閤理的用藥都有助于減少手術併髮癥的髮生.
목적 분석준분자격광상피하각막마양술(LASEK)치료이상근시안산생적병발증,병탐토기발생원인급예방조시.방법 이상안(안구소,검렬소、안와심、각막박)312례(611안),균위중고도근시(-5.00D～-13.00D),행LASEK후수방1년,관찰기상피유합、haze、시력변화등병발증.결과 술중각막상피판불완정72안점11.7%;술후각막상피유합연지21안점3.4%;각막감염1안점0.15%;술후6월haze0.5급56안(9.1%),급14 안(2.3%);2급2안(0.3%);술후피질류고순성고안압7안점1.1%.술후1년굴광회퇴>1.00D자51안,점8.3%;산광도증가>1.00D자19안,점3.1%;교정시력교술전하강1행자9안,점1.4%.결론 LASEK치료이상근시안시안전유효적,단역출현일정적병발증,수술기교적제고、수술기계적개량、술후병인적배합이급합리적용약도유조우감소수술병발증적발생.
Objecive To analyze the complications of laser subepithelial keratomileusis(LASEK) for unusual myopic eyes,and to investigate the causes and discuss the prevention of these complications.Methods The unusual myopic eye was characterized as small globe,blepharophimesis,deep socket of eyeball or thin cornea.LASEK was done to correct high and medium myopia(-5.00 D～-13.00D) on 611 eyes in 312 cases.They were followed up for a period of 12 months.The epithelium,haze,visual acuity and complications were observed. Results Intraoperative incompletely corneal epithelial flap occurred in 72 eyes(11.7%),delayed postoperative corneal epithelial healing in 21 eye(3.4%),corneal infecion in 1 eye(0.15%).Six months after operation,corneal haze was 0.5 degree in 56 eyes(9.1%),degree 1 in 14 eyes(2.3%)and over 2 degree in 2 eyes(0.3%).Postoperative steroid high intraocular pressure occurred in 7 eyes(1.1%).Twelve months after operation,there was refractive regression>1.00D in 51 eyes (8.3%),the increase in astigmatism>1.00D in 19 eyes(3.1%),the best corrected visual acuity decreased 1 line in 9 eyes(1.4%).Conclusion LASEK is a safe and effective method for correcting unusual myopic eyes.Yet attention should be paid on the complications during and after operation.With the improvement in operative technique and reasonable drug and with the cooperation of the patients after operation,those complications can be decreased.
