CAJ | 학술논문

目的探讨飞行员角膜屈光手术治疗的飞行适应性及航空医学的鉴定原则.方法分析1例歼轰-7飞行员双眼近视的临床诊断、治疗过程及医学鉴定情况,复习相关文献.结果本例飞行员诊断为近视性屈光不正2年,保守治疗无效.本人要求手术治疗.眼科检查未见手术禁忌证,经过准分子激光上皮下角膜磨削术治疗,术后常规局部抗炎、促进角膜伤口愈合等药物治疗约1个半月,3个月后复查视功能(包括视力、立体视觉、对比敏感度)恢复正常;双眼角膜伤口愈合良好,电脑验光屈光度稳定;角膜地形图示切削区居中.经低压舱模拟航空低压缺氧环境检查,视功能稳定,给予特许飞行合格.术后正常参加双座机飞行40 h. 结论军事飞行员近视角膜屈光手术治疗后,角膜伤口愈合良好,视功能恢复正常者可以考虑放飞.飞行适应性评价除常规定期视功能、屈光度、角膜等检查外,应进行对比敏感度、眩光等与飞行环境相关的特殊视功能检测.准分子激光角膜屈光手术是解决军事飞行员近视的有效方法.
목적 탐토비행원각막굴광수술치료적비행괄응성급항공의학적감정원칙.방법 분석1례섬굉-7비행원쌍안근시적림상진단、치료과정급의학감정정황,복습상관문헌.결과 본례비행원진단위근시성굴광불정2년,보수치료무효.본인요구수술치료.안과검사미견수술금기증,경과준분자격광상피하각막마삭술치료,술후상규국부항염、촉진각막상구유합등약물치료약1개반월,3개월후복사시공능(포괄시력、입체시각、대비민감도)회복정상;쌍안각막상구유합량호,전뇌험광굴광도은정;각막지형도시절삭구거중.경저압창모의항공저압결양배경검사,시공능은정,급여특허비행합격.술후정상삼가쌍좌궤비행40 h. 결론 군사비행원근시각막굴광수술치료후,각막상구유합량호,시공능회복정상자가이고필방비.비행괄응성평개제상규정기시공능、굴광도、각막등검사외,응진행대비민감도、현광등여비행배경상관적특수시공능검측.준분자격광각막굴광수술시해결군사비행원근시적유효방법.
Objective To discuss the effects of laser refractive surgery adopted to flight and the principle of related aeromedical evaluation.Methods A case of JH-7 pilot with myopia was analyzed on clinical diagnosis,treatment,recovery,aeromedical evaluation and re-flight status,and the related literatures were reviewed.Results Myopic refractive error eyes of the pilot had been diagnosed for 2 years and the conservative treatment was inefficacy.Upon his request and no surgical contraindications were found the laser assisted subcpithelial keratomileusis (LASEK) was conducted to the pilot.He then received conventional local anti-inflammation treatment and enhanced recovery medication for one and balf month.According to 3 months follow-up,his visual functions (visual acuity,stereopsis,contrast sensitivity function) returned to normal.The corneal wound healed well.The diopter of eyes was stable.Corneal topography showed the ablation zone was located at center.His visual functions were normal in altitude chamber test.The pilot was waivered for the flight with other pilot and had safely flown for 40 h.Conclusion The military pilots may get waiver permission to fly as they are ensured the safety and efficacy of laser refractive surgery.The evaluation of flight adaptability should conventionally include not only the visual acuities,refraction,corneal examinations,but also such examinations as contrast sensitivity and glare adaptability for special flight environment.Laser refractive surgery is an efficacious option for refractive correction in military pilots.