LASIK前眼底三面镜检查及其意义  

The examination of fundus by three-mirror contact lens before laser in situ keratomilensis and evaluation of its significance

作　　者：陈兵[1] 廉井财[2] 薛劲松[1] 王正英[1] 杨晓卫[1] 周建强[1] 

机构地区：[1]江苏省常州市广化医院眼科中心,江苏常州213001 [2]上海第二医科大学附属瑞金医院眼科,上海200025

出　　处：《眼视光学杂志》2001年第1期10-12,共3页Chinese Journal of Optometry & Ophthalmology

摘　　要：目的 :探讨散瞳眼底三面镜检查在LASIK术前的重要意义。方法 :对 385例 (72 1眼 )LASIK术前患者行散瞳眼底三面镜检查并作详细眼底记录。结果 :发现各种视网膜变性 136眼 (18.86 % ) ,视网膜干性裂孔(干孔 ) 16眼 (2 .2 2 % ) ,亚临床视网膜脱离 (RD) 5眼 (0 .6 9% )。其中 37眼严重视网膜变性、16眼干孔和 4眼亚临床RD行氩激光光凝治疗 ,仅 1例亚临床RD需行视网膜脱离手术。结论 :将散瞳眼底三面镜检查作为LASIK术前常规检查是必要的 ,同时提出眼底病变光凝的指征。Objective:To explore the significance of the examination in mydriasis fundus by three mirror contact lens before laser in situ keratomilensis(LASIK).Methods:385 cases(721 eyes) of mydrcasis fundus were examined by three mirror contact lens and recorded.Results:Retinal degeneration in 136 eyes(18.86%),retinal break in 16 eyes(2.22%) and retinal detachment(RD)in 5 eyes(0.69%) were discovered. All were treated by photocoagnlation except that 1 RD eye was performed with RD surgery.Conclusion:The three mirror contact lens exam should be used as one of the routine examinations. The indications for photocoagulation are also suggested.

关 键 词：LASIK 眼底三面镜 光凝术 近视 手术指征 

分 类 号：R779.63[医药卫生—眼科] R770.41[医药卫生—临床医学]