LASIK术后视网膜脱离的治疗  

Treatment of retinal detachment after laser in situ keratomileusis

作　　者：张静琳[1] 黄新华[1] 吕林[1] 李石毅[1] 

机构地区：[1]中山大学眼科中心,眼科学国家重点实验室,广州510060

出　　处：《中国实用眼科杂志》2007年第9期1029-1032,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的 探讨Lasik术后视网膜脱离及其治疗的特点。方法 分析了10例11只眼Lasik术后视网膜脱离的患者的特点、手术方式、术后并发症等。结果 11只眼中,周边多发性视网膜裂孔8只眼（72.73%）,巨大裂孔3只眼（27.27%）。所有患者均行环扎术,其中3例行玻璃体切割术和硅油填充术。1例术后出现角膜瓣翻转,1例术后出现了角膜瓣下混浊。结论 Lasik术后的视网膜脱离,以周边多发性视网膜裂孔多见,巨大裂孔发生率高;手术方式首选巩膜扣带术。在诊治中要注意保护角膜,避免出现角膜的并发症。Lasik术后复查应常规散瞳检查眼底。高度近视患者要慎行Lasik术。Purpose To study the characteristics of retinal detachment surgery after laser in situ keratomileusis （Lasik）. Participants：Eleven eyes of ten patients that experienced rhegmato- genous retinal detachment after Lasik procedure participated in the study. Methods Ten cases （11 eyes） were analyzed about their characteristics of retinal detachment, management, and complications after surgery. Results Retinal detachment was characterized by the large percentage of multiple peripheral holes （72.73%） and giant tears （27. 27%） All cases 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 case that succeeded at the forth time. One case of Lasik flap dehiscence and one case of corneal subepithelial opacity occurred after surgery. Conclusions Patients after Lasik should be carefully examined under pupillary dilation during follow-ups. Sclera buckling is necessary to most retinal detachment after Lasik, and corneal protection is important in the treatment.

关 键 词：准分子激光原位角膜磨镶术 视网膜脱离 治疗 

分 类 号：R774.12[医药卫生—眼科]