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
7期
493-495
,共3页
LASIK%眼外伤%角膜瓣%皱褶%处理
LASIK%眼外傷%角膜瓣%皺褶%處理
LASIK%안외상%각막판%추습%처리
LASIK%eye injuries%corneal flap%fold%treatment
目的 探讨外伤致准分子激光原位角膜磨镶术(LASIK)后角膜瓣皱褶的处理方法.方法 表麻下掀开已发生皱褶的角膜瓣,冲洗角膜床和角膜瓣床面,清除增生的上皮组织,展平角膜瓣的皱褶,使之覆贴于角膜床,边缘对齐.10例(10眼)手术处理后观察6个月.结果 (1)视力术后1 d10眼中9眼裸眼视力≥0.6;术后6个月,裸眼视力0.6～1.2(0.8±0.16);另1例合并黄斑出血,视力0.2.(2)裂隙灯检查:术后1 d,2例角膜瓣破损挫伤处,角膜瓣基质水肿,对位良好.3例边缘部有上皮植入,上皮轻度水肿,再次手术处理上皮植入后,角膜瓣对位良好.术后6个月,所有患眼角膜瓣皱褶均展平.结论 LASIK术后外伤致角膜瓣的损伤和皱褶,通过及时妥善的处理,可以展平角膜瓣皱褶,不会对视力造成严重影响.
目的 探討外傷緻準分子激光原位角膜磨鑲術(LASIK)後角膜瓣皺褶的處理方法.方法 錶痳下掀開已髮生皺褶的角膜瓣,遲洗角膜床和角膜瓣床麵,清除增生的上皮組織,展平角膜瓣的皺褶,使之覆貼于角膜床,邊緣對齊.10例(10眼)手術處理後觀察6箇月.結果 (1)視力術後1 d10眼中9眼裸眼視力≥0.6;術後6箇月,裸眼視力0.6～1.2(0.8±0.16);另1例閤併黃斑齣血,視力0.2.(2)裂隙燈檢查:術後1 d,2例角膜瓣破損挫傷處,角膜瓣基質水腫,對位良好.3例邊緣部有上皮植入,上皮輕度水腫,再次手術處理上皮植入後,角膜瓣對位良好.術後6箇月,所有患眼角膜瓣皺褶均展平.結論 LASIK術後外傷緻角膜瓣的損傷和皺褶,通過及時妥善的處理,可以展平角膜瓣皺褶,不會對視力造成嚴重影響.
목적 탐토외상치준분자격광원위각막마양술(LASIK)후각막판추습적처리방법.방법 표마하흔개이발생추습적각막판,충세각막상화각막판상면,청제증생적상피조직,전평각막판적추습,사지복첩우각막상,변연대제.10례(10안)수술처리후관찰6개월.결과 (1)시력술후1 d10안중9안라안시력≥0.6;술후6개월,라안시력0.6～1.2(0.8±0.16);령1례합병황반출혈,시력0.2.(2)렬극등검사:술후1 d,2례각막판파손좌상처,각막판기질수종,대위량호.3례변연부유상피식입,상피경도수종,재차수술처리상피식입후,각막판대위량호.술후6개월,소유환안각막판추습균전평.결론 LASIK술후외상치각막판적손상화추습,통과급시타선적처리,가이전평각막판추습,불회대시력조성엄중영향.
Objective To investigate the treatment of traumatic corneal flap fold after laser in situ keratomileusis(LASIK). Methods We opened the corneal flap which had folds by topical anesthesia. Corneal bed and corneal flap bed were rinsed and proliferative epithelial tissue was remored. We expanded and paved the corneal flap folds to make it stick to the corneal bed with dear margins. Ten patients (10 eyes)with traumatic corneal flap fold were analyzed with following-up for 6 months after surgery. Results 1. UNVA In the second day after surgery ,9 patients' uncorrected visual acuites(UNVA) were not less than 0. 6 ;In the 6 months after surgery, 9 patients' UNVA were 0. 6 ～ 1.2(0. 8 ±0. 16) ,1 patient' uncorrected visual acuity was 0. 2 with macular hemorrhage. 2. Slit lamp biomicroscopic examination. There was stromal edema around the corneal flap contusion with good contraposition in 2 cases at 1 day postoperatively. 3 cases had epithelial ingrowth around the margin with slightly swollen epithelia. The corneal flaps could restore right position after the surgical treatment for epithelial ingrowth. The corneal flap folds in all cases become flattened at 6 months postoperatively. Conclusion Traumatic corneal flap fold after LASIK can be eliminated by the timely and proper treatment. There is no serious impact on vision.
