激光原位角膜磨削术在青光眼患者中的应用  

Application of Laser-assisted in Situ Keratomileusis in Glaucoma Patients

作　　者：林羡钗[1] 余敏斌[1] 

机构地区：[1]眼科学教育部重点实验室中山大学中山眼科中心,广州510060

出　　处：《眼科学报》2006年第2期80-84,共5页Eye Science

基　　金：广东省科技计划项目(2002C30901)

摘　　要：激光原位角膜磨削术是否可以应用到青光眼患者是一个重要临床问题,屈光手术所造成角膜厚度和角膜曲度的改变可影响眼压的测量从而影响青光眼的诊断和治疗;在手术过程中一过性但极高的眼压可能引起视网膜神经纤维损害或视网膜中央动脉阻塞,青光眼患者或皮质类固醇敏感者屈光手术后常规应用激素类眼药水可能出现激素诱导性眼压升高。虽然如此,激光原位角膜磨削术并非青光眼手术的绝对禁忌证。本文就激光原位角膜磨削术在青光眼患者中应用的安全性以及影响作出综述。Should glaucoma patients receive laser-assisted in situ keratomileusis （LASIK）or not present a challenge to physicians. Corneal thickness and corneal curvature, which are modified during corneal refractive surgery, plays an important role in diagnosis and therapy in glaucoma patients because of its effect on the measured intraocular pressure. On the same time, patients undergo a transient but significant rise in intraocular pressure during the laser-assisted in situ keratomileusis procedure with risk of further optic nerve damage or retinal vein occlusion; steroids typically used after refractive surgery , can increase intraocular pressure in steroid responders, which is more prevalent among glaucoma patients. Glaucoma may not be a contraindication to LASIK, but it is a relative contraindication until its safety is studied more extensively.

关 键 词：激光原位角膜磨削术 青光眼 

分 类 号：R779.63[医药卫生—眼科]