激光角膜屈光手术后应征入伍者眼部情况调查及体检标准探讨  

Investigation and discussion on visual standard of recruit after laser assisted corneal refractive surgery

作　　者：肖建和[1,2] 蒋华[1] 李世洋 邢星 黄燹 马开放 

机构地区：[1]济南军区总医院眼科,250031 [2]解放军第150中心医院眼科,洛阳471031 [3]解放军第71282部队医院五官科,洛阳471023

出　　处：《中华眼视光学与视觉科学杂志》2015年第7期407-410,共4页Chinese Journal Of Optometry Ophthalmology And Visual Science

基　　金：第56批博士后科研基金（2014m562660）

摘　　要：目的 调查军人激光角膜屈光手术后恢复情况以及对生活、训练的影响,并对屈光手术后应征者入伍眼部体检标准进行探讨.方法 横断面调查研究.2013年5-12月对解放军医院医疗体系部队中部分因近视行激光角膜屈光手术的军人情况进行调查,包括一般情况、手术前近视时间、近视度数、手术到入伍时间间隔、手术医院级别、手术方式、术后恢复情况、目前眼部不适和对生活、军事训练及作业的影响等.结果 共收集因近视行激光角膜屈光手术的军人837例,手术年龄最小仅16岁,以中度近视为主,手术后到入伍时间间隔最短不足1周,手术主要在眼科专科医院或者三级医院眼科进行,以基质切削为主[93.1％,主要为传统准分子激光原位角膜磨镶术（LASIK）],大部分术后恢复良好,10.4％的屈光手术后军人有明显不良主诉,其中0.8％对日常生活和军事训练有严重影响.大部分屈光手术后军人眼部情况和目前制定的有关应征者入伍体检标准相关内容相差较大.结论 军人激光角膜屈光手术后大部分恢复良好,少部分有不良主诉.现行激光角膜屈光手术后入伍应征者眼部体检标准和现实情况差距较大,需要进行适当调整.Objective To investigate postoperative state of military personnel underwent laser assisted corneal refractive surgery and the ill effects on life and train,and to discuss visual standard of recruit after laser assisted corneal refractive surgery.Methods Cross-sectional study.From May to December 2013,we investigated some service members underwent laser assisted corneal refractive surgery,including general information,history of refractive error,degree of myopia,time between operation and enlistment,rank of hospital carried surgery,type of surgery,postoperative recovery,present discomfort of eyes and ill effects on daily life,military training and military working.Results There were 837 cases of military members underwent laser assisted corneal refractive surgery.The youngest one was only 16 years.Moderate degree of myopia was the commonest.The shortest time between operation and enlistment was no more than 1 week.Most surgery was carried in specialized ophthalmic hospital and department of ophthalmology of third-level hospital.Stroma ablation （93.1%,mainly LASIK） was the most popular type of surgery.Most of them gained good recovery and only a small part （10.4%） had some obvious complications.Some had serious impacts on daily life and military training （0.8%）.The condition of eyes of most soldiers underwent refractive surgery did not conform to present standard of recruit after refractive surgery.Conclusion Most of recuits recovered well after laser assisted corneal refractive surgery,and a few of them had complaints.Visual acuity standard of recruit after laser assisted corneal refractive surgery had large differences from present situation and should be adjusted.

关 键 词：屈光外科手术 征兵 体检标准 手术后并发症 

分 类 号：R779.63[医药卫生—眼科]