准分子激光术后视网膜脱离的病例分析(英文)

Treatment of retinal detachment after laser in situ kera-tomileusis

目的:探讨准分子激光术后视网膜脱离手术的特点。方法:本研究选取准分子激光术后发生视网膜脱离患者10例(11眼),着重分析11眼的视网膜脱离特点,处理方法及手术并发症。结果:视网膜脱离以多发裂孔(73%)和巨大裂孔(27%)为显著特征。所有患者行巩膜扣带术,其中3例联合玻璃体切割及硅油填充术。术后1mo取出硅油。9例患者视网膜均在首次手术中复位。术后发生LASIK角膜瓣脱离1例和角膜上皮下混浊1例。结论:准分子激光术后患者在随访中应密切观察,必要时散瞳检查,准分子术后视网膜脱离的手术中,巩膜扣带术是必要的,术中要注意保护角膜组织。

AIM：To study the characteristics of retinal detachment surgery after laser in situ keratomileusis （LASIK）.METHODS： Eleven eyes of ten patients that experienced rhegmatogenous retinal detachment after LASIK procedure participated in the study. The characteristics of retinal detachment, management and complications after surgery were analyzed . RESULTS： Retinal detachment was characterized by the large percentage of multiple peripheral holes （73%） and giant tears （27%）. All eyes underwent sclera buckling, and three of them combined with pars plana vitrectomy （PPV） and silicone oil tamponade. Silicone oil was removed after 1 month. Retina was reattached successfully at the first retinal detachment surgery in all eyes except one that succeeded at the fourth time. One eye of LASIK flap dehiscence and one eye of corneal subepithelial opacity occurred after surgery.CONCLUSION： Patients after LASIK should be carefully examined under pupillary dilation during follow-up. Sclera buckling is necessary to most retinal detachment after LASIK, and corneal protection is important in the treatment