超薄角膜瓣准分子激光原位角膜磨镶术联合角膜绷带镜矫正中高度近视的临床观察

The Clinical Observation of Correction Moderate or High Myopia by Ultra-thin Corneal Flap Excimer Laser in Situ Keratectomy with Corneal Bandage Lens

目的:探讨超薄角膜瓣准分子激光原位角膜磨镶术联合角膜绷带镜矫正中高度近视的临床效果。方法:收集2012年2月-2014年8月在笔者所在医院进行超薄瓣LASIK联合角膜绷带镜矫正的中高度近视病例217例(431只眼)进行疗效分析,重点观察术后1 d、7 d、1个月、3个月、6个月裸眼视力、屈光状态、角膜皱褶、Haze、裂隙灯结合前段OCT观察角膜伤口愈合情况等指标。结果:超薄角膜瓣准分子激光原位角膜磨镶术联合角膜绷带镜矫正中高度近视角膜伤口愈合反应轻、恢复快、无角膜皱褶或Haze发生,术后裸眼视力好,无屈光回退。结论:超薄角膜瓣准分子激光原位角膜磨镶术联合角膜绷带镜矫正中高度近视具有良好的安全性与有效性,值得临床推广。

Objective：To discuss Clinical effect of Correction of moderate or high myopia by ultra-thin corneal flap excimer laser in situ keratectomy with corneal bandage lens.Method：From February,2012 to August,2014 in the author＇s hospital,217 cases（431 eyes） with moderate or high myopia corrected with ultro-thin corneal flaps and corneal bandage lens were collected.The uncorrected visual acuity,refractive diopters,corneal folds,Haze and corneal healing by the slit-lamp microscope and the OCT of 1 day,7 days,1 month, 3 months,6months after the operation.Result：The corneal healing after the LASIK with ultro-thin corneal flaps and corneal bandage lens for the treatment of high or moderate myopia was fast,without the corneal fold and Haze,and the Postoperative uncorrected visual acuity was good,no refractive back.Conclusion：LASIK with ultro-thin corneal flaps and corneal bandage lens for the treatment of high or moderate myopia is safe,effective and worth popularizing.