准分子激光治疗性切削术联合个性化光学角膜切削术治疗炎性角膜翳  

Outcomes of Inflammatory Corneal Nebula Treated by PTK Combined with Personalized PRK

作　　者：党真[1] 万金方[2] 

机构地区：[1]武汉理工大学医院眼科,湖北武汉430070 [2]武汉大学人民医院眼科,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2009年第6期814-816,共3页Medical Journal of Wuhan University

摘　　要：目的:探讨准分子激光治疗性切削术(PTK)联合个性化光学角膜切削术(PRK)治疗炎性角膜翳的适应证、检查方法、手术要点和临床效果。方法:6例角膜翳患者,术前行眼前节、角膜地形图、角膜厚度、眼压等详细检查;2例既往正视者行PTK+个性化PRK治疗,4例合并屈光不正者行PTK+个性化PRK+普通PRK治疗。结果:视力≥1.0者2例,0.9者1例,0.8者2例,0.7者1例。屈光状态:等值球镜±0.5D者3例;+0.75D者1例;-0.75D者2例。角膜透明度:4例完全透明,2例残留角膜云翳。并发症:1例术后2个月复查时眼压升高7.2mmHg,经对症处理恢复正常。全部病例术后未见其他并发症或不良反应。结论:PTK联合个性化PRK是治疗角膜翳安全实用、经济便捷、疗效肯定的治疗方式,只要对象合适,术式合理,操作得当,可达到事半功倍的临床效果,可供临床选用。Objective：To observe the outcome of inflammatory corneal nebula treated by PTK combined with personalized PRK. Methods：Two cases received the treatment of PTK ＋ personalized PRK. Four cases of refractive errors received the treatment of PTK＋ personalized PRK ＋ conventional PRK. Results：All cases had good outcomes in vision,refraction,and corneal transparency （vision：≥1.0,2 cases; 0.9,1 case; 0.8,2 cases and 0.7,1 case. Refractive status：the spherical equivalent ±0.5D,3 cases; ＋0.75D,1 case; and-0.75D,2 cases. Corneal transparency：complete transparency,4 cases; residual corneal nebula cloud,2 cases.）. The intraocular pressure increased by 7.2 mmHg in two months after the operation in one case,and it returned to normal after non-surgical treatment. Conclusion：PTK combined with personalized PRK is safe,economic,convenient,and effective for the treatment of inflammatory corneal nebula.

关 键 词：角膜翳 准分子激光治疗性角膜切削术 光学激光角膜切削术 

分 类 号：R772[医药卫生—眼科]