超薄瓣准分子激光原位角膜磨镶术术中瓣破损的I期手术处理  

Simultaneous treatment of the broken corneal flap during ultra-thin flap LASIK

作　　者：向晖[1] 任艳妮[1] 马云龙[1] 

机构地区：[1]武警广东省总队医院眼科,广州510507

出　　处：《中华眼外伤职业眼病杂志》2012年第7期531-532,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察在超薄瓣准分子激光原位角膜磨镶术（LASm）手术中角膜瓣破损时I期手术处理的效果。方法对我院2006年2月至2009年10月行超薄瓣LASIK手术中发生角膜瓣破损的7例（7眼），术中先掀开破损角膜瓣，暴露基质床，然后将位于激光切削区内板层刀未切到的残留的角膜组织的上皮刮除，同时行激光治疗。结果7例均顺利完成手术，术后无瓣移位，上皮植入等并发症，术后1—3个月视力基本稳定，无1例矫正视力下降，术后3个月时有3例出现角膜上皮下雾状浑浊（haze），均为0．5级。结论超薄瓣LASIK手术出现角膜瓣破损时I期手术安全有效。Objective To observe the effect of primary operation of corneal flap breakage in ultra-thin flap LASIK. Methods 7 eyes of 7 patients who confronted corneal flap breakage during ultra-thin flap LASIK in our department during Feb. 2006-Oct. 2009 received primary treatment during the operation： erase the broken flap epithelium of the uncutted part within the laser treatment area ,while expose the corneal stroma bed of the eutted part and deliver the laser treatment. Results All the 7 patients accepted the operation smoothly ,There were no epithelium implant ,flap displacement or other complications. The vision kept stable 1-3 months after the opera- tion , no correct vision decrease. Haze happened in 3 eyes 3 months after the operation, all of them are 0.5 grade. Conclusion primary operation of corneal flap breakage in ultra-thin flap LASIK is safe and effective.

关 键 词：准分子激光原位角膜磨镶术 超薄角膜瓣 并发症 近视矫正 

分 类 号：R779.63[医药卫生—眼科]