准分子激光原位角膜磨镶术术后感染性角膜炎研究现状  

Advance in infectious keratitis after laser in situ keratomileusis

作　　者：蓝方方[1,2] 刘先洲[1] 刘伟民[2] 

机构地区：[1]武汉大学基础医学院,430060 [2]广西壮族自治区人民医院 [3]广西壮族自治区人民医院视光科

出　　处：《中国临床新医学》2009年第5期449-451,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西区卫生厅科研课题(Z2006164)

摘　　要：目前认为准分子激光原位角膜磨镶术术后感染性角膜炎的病原菌主要来源于结膜囊；引起LASIK术后角膜感染的主要病原微生物包括细菌、病毒及真菌；术前、术中、术后注意感染的预防可以最大限度地控制感染的发生。最有效的治疗为针对各种病原菌使用相应的敏感抗菌药物，必要时需进行角膜瓣冲洗或行角膜手术（角膜瓣切除术或板层角膜移植术）。At present, it is considered that the bacterial flora in laser in situ keratomileusis（LASIK） mainly root in conjunctival sac. The major pathogens which are including of bacteria, virus and fungus can result in infectious keratitis after LASIK. During all of course of operating, providing against infection can effectively control emergence of infectious keratitis. Now, the most effective treatment on infectious keratitis is appling relevant antibiotics according to their sensitivities. If under control of antibiotics, it is necessary to use subflap irrigating and corneal surgical treatment（including resection of corneal flap, transposition of lamellar corneal ）.

关 键 词：感染性角膜炎 准分子激光原位角膜磨镶术 

分 类 号：R772.21[医药卫生—眼科]