高度近视眼准分子激光原位角膜磨镶术后眼底出血

MACULAR HEMORRHAGE AFTER LASER IN SITU KERATOMILEUSIS (LASIK) FOR TREATMENT OF HIGH MYOPIA

对行LASIK术治疗高度近视眼患者的眼底情况进行回顾性总结分析。方法：所有高度近视眼行LASIK术后患者864眼，术后1周、1月、3月、6月定期行视力、最佳矫正视力、详细的眼底三面镜检查，必要时行眼底荧光血管造影检查。结果：高度近视眼LASIK术后眼底黄斑出血发病率为0．46％，最易发生在LASIK术后3个月以内，男女比较无明显差异，一般发生在－15．0—－25．0D左右。眼底出血的发生将严重影响术后视力。结论：虽然LASIK术治疗高度近视的结果令人鼓舞。但术后仍然可产生或伴随一定的眼底并发症，严重影响视力恢复。LASIK术本身是否作为一诱因导致眼底并发症的产生，尚待进一步研究。

Objective: To study the fundus complications after LASIK for treatment of high myopia. Methods: The visual acuity, best correction visual acuity, three mirror and some fundus fluorescein angiogrphy (FFA) examination of 864 high myopia eyes were taken in one week and one, three, six months postoperation. Results: The incidence of macular hemorrhage was 0. 46%, the timing of it was in 3 months(ranging from 10 ~90 days) after LASIK; the diopter was between - 15. 0 D and - 25. 0 D; there was no difference between male and female. Conclusion: fundus complication may happen after LASIK for high myopia, it can decrease visual acuity seriously; whether LASIK is a factor causing fundus complitation or not will be studied later.