242例未行准分子激光原位角膜磨镶术患者角膜因素分析  

Analysis of 242 cases which unable to carry out LASIK

作　　者：王林[1] 张庆生[1] 王忠海[2] 

机构地区：[1]河北省唐山市眼科医院,063000 [2]北京协和医院眼科,100730

出　　处：《临床眼科杂志》2014年第3期245-247,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨因角膜因素未行准分子激光原位角膜磨镶术(LASIK)的原因。方法回顾分析242例因角膜因素未行LASIK的原因。结果在242例因角膜因素未行LASIK中,角膜厚度不足112例(46.3%),可疑圆锥角膜87例(36.0%),圆锥角膜5例(2.1%),佩戴角膜塑形镜25例(10.3%),角膜炎8例(3.3%),其它角膜因素5例(2.0%)。结论角膜因素是未行LASIK的主要原因,严格的手术前角膜筛查,掌握手术的适应证与禁忌证,可以提高LASIK手术的安全性。Objective Analyze the cornea factors which result in unable to carry out the LASIK operation .Method Do retrospective analysis research and summarize 242 patients’ medical records who did not undergo LASIK because of factors in the cornea.Results In total 242 cases, 112 patient’s corneal thickness less than normal that account for the to-tal 46.3%, 87 cases of suspected keratoconus that make up 36.0%of the total, 5 cases （2.1%） of keratoconus , 25 ca-ses （10.3%） are wearing orthokeratology lens , 8 cases （3.3%） are fell ill with keratitis, 5 cases （2.0%） are due to some other corneal problems .Conclusion Corneal factors are the main reasons for unable to carry out the LASIK opera-tions , carry out strict check work on patients ’ cornea to know the relevant indications and contraindications before the oper -ation is very critical to improve the safety of the LASIK operations .

关 键 词：屈光不正 角膜因素 安全 

分 类 号：R779.63[医药卫生—眼科]