摘要
目的探讨准分子激光治疗近视引起角膜的严重并发症--角膜上皮植入的原因并提出相应的预防和治疗措施.方法本院1997～2001年间采用相同的微型角膜刀(Hansotone)共行1万多只眼手术,随诊的6000例中12例(14眼)发生角膜上皮植入,其中资料完整的10例(11眼).观察年龄、术前及术后屈光状态、术中及术后并发症.结果年龄19～59岁,7例8眼为高度近视,3例3眼为中度近视;2眼术中发现角膜瓣薄;11眼术后均有不同程度的层间弥漫性角膜炎(diffuselamellar keratitis,DLK);6眼上皮植入明显,伴有较大的不规则散光;2眼上皮植入局限但伴角膜瓣局部溶解.结论角膜上皮植入可能与角膜上皮是否完整、手术器械的质量和医生的操作技巧、术后伤口反应轻重、及病人的全身情况有关.
Objective To discuss the cause, prevention and treatment of epithelial ingrowth after LASIK. Methods Of all the 6000 eyes, 12 cases （14 eyes） got epithelial ingrowth. 10 （11 eyes） of them were followed up. age, refractve diopter pre - and post operation, complication inter and after operation. Results Age 19-59, 7 （8 eyes） high, 3 （3 eyes） mediate; 2 with thinner flap; all the 11 eyes were found DLK; 3 eyes had magnificent ingrowth complicated with high irregular astigmatism, 2 eyes with local flap dissolution. Conclusions Eepithelial ingrowth related to the integration fo cornea, the quality of the instument and the doctors＇ skill, the reaction of the patient after operation and his general circumstance.
出处
《中国实用眼科杂志》
CSCD
北大核心
2005年第9期982-984,共3页
Chinese Journal of Practical Ophthalmology
