军人准分子原位角膜磨镶术后外伤性角膜瓣移位特点及复位手术治疗  

Characteristics and treatment of traumatic corneal flap dislocation after LASIK in military personnel

作　　者：徐青[1] 冯慧萍[1] 钟白丽[1] 韩毳[1] 

机构地区：[1]武警总医院眼科,北京100039

出　　处：《武警医学》2015年第2期180-182,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨军人准分子原位角膜磨镶术(laser in situ keratomileusis,LASIK)术后外伤致角膜瓣移位的原因、处理方法及准分子激光的术式选择。方法对外伤造成的7例军人LASIK术后角膜瓣移位进行手术修复。结果 7例中6例外伤与军事训练有关,且就诊时间均较长,最长为伤后2年。手术中,3例角膜瓣皱褶重,经2次重复水肿,2例平复,1例行角膜瓣对位缝合。术后1个月裸眼视力均有恢复,1.0者2例,0.8者2例,0.6者1例,0.5者2例。结论针对即将成为军人这个特殊职业的人群,机械角膜瓣的LASIK手术需慎重。Objective To study the traumatic reason and treament of the corneal flap dislocation after LASIK,and to choose the mode of the reflective surgery in military personnel. Methods Seven reposition surgeries of corneal flap dislocated by trauma were performed in military personnel. Results Six of seven trauma were related to military trainning. Their visiting hospital time was long,and the longest was 2 years. Corneal flap wrinkle was found severe during operation in 3 of 7 cases. 2 cases were unfolded artifically,and 1 case was sutured with cornea. Their visual acuity was all improved. The visual acuities were 1. 0 in 2 cases,0. 8 in 2 cases,0. 6in 1 case,0. 5 in 2 cases respectively one month after surgery. Conclusions It should be cautious to perform a LASIK reflective surgery for military personnel.

关 键 词：准分子原位角膜磨镶术 外伤 角膜瓣移位 角膜瓣复位术 军人 

分 类 号：R779.63[医药卫生—眼科]