LASIK手术常见临床禁忌证分析  

Analysis of clinical contraindications in LASIK surgery

作　　者：孙熠[1] 燕振国[1] 徐朝晖[1] 张丽[1] 

机构地区：[1]兰州军区兰州总医院眼科,中国甘肃省兰州市730050

出　　处：《国际眼科杂志》2008年第4期822-823,共2页International Eye Science

摘　　要：目的:探讨常见LASIK手术禁忌证的发生情况。方法:对拟行LASIK手术2693例(5304眼)进行详细术前检查,对未行手术的476例906眼进行原因分析。结果:476例906眼未能手术患者的原因包括角膜厚度不够(<450μm)、矫正视力<0.5、超高度近视、眼压高、圆锥角膜、视网膜变性或裂孔、瞳孔偏大、角膜瘢痕、慢性泪囊炎、瘢痕体质、思想顾虑大等。其中最常见的原因为角膜厚度不够298眼(32.89%)、矫正视力<0.5者155眼(17.11%)和思想顾虑大134眼(14.79%)。结论:LASIK术前必须进行严格的检查,除外手术的禁忌证,以保证手术的安全性。AIM：To determine the common contraindications of LASIK surgery.METHODS：The reasons of not taking LASIK were analyzed in 476 patients（906 eyes）.RESULTS：The LASIK surgery was not performed in 476 patients（906 eyes,17.08%）who planned to undergo the surgery.In these 906 eyes,298 eyes（32.89%）had insufficient corneal thickness,155 eyes（17.11%）had no ideal corrected visual acuity and 134 eyes（14.79%）had psychological fear.Other reasons included super high myopia,high intraocular pressure,keratoconus,ocular fundus diseases,corneal refractive power,corneal scar and chronic dacryocystitis.CONCLUSION：It is necessary to take complete and careful examinations on patients before LASIK surgery to ensure the safety of operation.

关 键 词：LASIK 近视 禁忌证 

分 类 号：R779.63[医药卫生—眼科] R473.6[医药卫生—临床医学]