准分子激光原位角膜磨镶术眼压的变化和术后青光眼的诊断  

The change of intraocular pressure in LASIK and postoperative diagnosis of glaucoma

作　　者：王卫群[1] 杨源芳 

机构地区：[1]郑州大学第一附属医院眼科,450052

出　　处：《中华眼外伤职业眼病杂志》2014年第7期481-484,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：准分子激光原位角膜磨镶术（laser in situ keratomileusis,LASIK）是矫正近视最常用的手术方式,术中和术后引起的眼压的变化和术后青光眼的诊断应当引起注意.术中形成的眼压升高,对视盘和视网膜造成潜在的危害.术后中央角膜变薄,导致眼压测量值偏低,易发生青光眼的漏诊.术后长期应用糖皮质激素药物可能引起角膜瓣下层间积液和继发性青光眼.视盘和视网膜神经纤维层检查可能对早期青光眼诊断提供一些参考.Laser in situ keratomileusis （LASIK） is a most common operation method for the correction of myopia.The changes of intraoperative or postoperative intraocular pressure and postoperative diagnosis of glaucoma should be noticed.Elevated intraocular pressure is a potential damage to optic disk and retinal nerve fiber during LASIK.After operation the central area of cornea gets thinner and leads to low intraocular pressure measurements,this makes misdiagnosis of glaucoma easily.Long-term use of glucocorticoid drugs may cause diffuse fluid which develop in the lamellar interface between the flap and the stromal bed and developed glaucoma.The examinations of optic disk and retinal nerve fiber layer may provide some references for early diagnosis of glaucoma.

关 键 词：角膜磨镶术 激光原位 眼压 青光眼 

分 类 号：R779.63[医药卫生—眼科]