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
2012年
4期
284-286
,共3页
眼外伤%准分子激光原位角膜磨镶术%角膜瓣%移位%皱褶
眼外傷%準分子激光原位角膜磨鑲術%角膜瓣%移位%皺褶
안외상%준분자격광원위각막마양술%각막판%이위%추습
Trauma,ocular%LASIK%Corneal flap%Fold%Dislocation
目的 探讨眼外伤致准分子激光原位角膜磨镶术(LASIK)术后角膜瓣移位、皱褶、丢失的治疗方法.方法 对15例(15眼)在我院行LASIK术后因外伤引起角膜瓣移位、皱褶、丢失的治疗情况进行分析.结果 15例均急诊行角膜瓣复位术,术后1 d所有角膜瓣对位良好,皱褶明显消失或减轻,大部分患眼上皮修复,9眼视力达到0.6 ～1.0(60.0％),视力恢复时间最快为术后2d,最长14 d,平均(7.5±0.4)d.角膜瓣丢失者术后3d上皮修复完整.术后1个月,所有病例角膜透明无细微皱褶,视力0.6 ～1.0,平均(1.02 ±0.45).与损伤前平均视力进行配对t检验,P＞0.05,无统计学差异.结论 LASIK术后外伤性角膜瓣移位、皱褶如果得到及时有效的处理,可以恢复良好视力.
目的 探討眼外傷緻準分子激光原位角膜磨鑲術(LASIK)術後角膜瓣移位、皺褶、丟失的治療方法.方法 對15例(15眼)在我院行LASIK術後因外傷引起角膜瓣移位、皺褶、丟失的治療情況進行分析.結果 15例均急診行角膜瓣複位術,術後1 d所有角膜瓣對位良好,皺褶明顯消失或減輕,大部分患眼上皮脩複,9眼視力達到0.6 ～1.0(60.0％),視力恢複時間最快為術後2d,最長14 d,平均(7.5±0.4)d.角膜瓣丟失者術後3d上皮脩複完整.術後1箇月,所有病例角膜透明無細微皺褶,視力0.6 ～1.0,平均(1.02 ±0.45).與損傷前平均視力進行配對t檢驗,P＞0.05,無統計學差異.結論 LASIK術後外傷性角膜瓣移位、皺褶如果得到及時有效的處理,可以恢複良好視力.
목적 탐토안외상치준분자격광원위각막마양술(LASIK)술후각막판이위、추습、주실적치료방법.방법 대15례(15안)재아원행LASIK술후인외상인기각막판이위、추습、주실적치료정황진행분석.결과 15례균급진행각막판복위술,술후1 d소유각막판대위량호,추습명현소실혹감경,대부분환안상피수복,9안시력체도0.6 ～1.0(60.0％),시력회복시간최쾌위술후2d,최장14 d,평균(7.5±0.4)d.각막판주실자술후3d상피수복완정.술후1개월,소유병례각막투명무세미추습,시력0.6 ～1.0,평균(1.02 ±0.45).여손상전평균시력진행배대t검험,P＞0.05,무통계학차이.결론 LASIK술후외상성각막판이위、추습여과득도급시유효적처리,가이회복량호시력.
Objective To observe the effect of treating corneal flap dislocation,fold and lost due to trauma after laser in situ keratomileusis(LASIK).Methods The effect of the treatment of 15 eases in our hospital after LASIK surgery for traumatic cause corneal flap dislocation,fold and lost was analyzed.Resulls 15 cases were emergency operated.All corneal flaps were successfully repositioned,ruffles disappeard.epithelial had repaired in majority of patients.The lost corneal flap case epithelial had repaired completely after 3 days,vision acuity reached 0.6 - 1.0 (60.0％) in 9 cases.The vision recovering time after surgery was 2 -14 days,average(7.5 ±0.4) days.Postoperative 1mo checked,all cases corneal transparent and without subtle ruffle,the vision reach 0.6 - 1.0,average ( 1.02 ± 0.45 ).Results Comparing with before the damage had no significant difference(P ＞0.05 ).Conclusion Mter LASIK surgery traumatic corneal flap fold,dislocation and lost can restore good vision by prompt and effective treatment.
