以YAG激光穿刺治疗复发性角膜上皮糜烂综合征  

Recurrent corneal erosion syndrome treated with epithelium puncture by YAG laser

作　　者：刘涛[1] 胡爱华[2] 胡庆军 尚荣辉[1] 王立[1] 

机构地区：[1]民航总医院眼科,北京100123 [2]中国中医科学院望京医院眼科,北京100102

出　　处：《中华眼外伤职业眼病杂志》2016年第11期863-865,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的：评价以YAG激光穿刺治疗复发性角膜上皮糜烂综合征的效果。方法回顾性分析YAG激光治疗15例（15眼）眼外伤后复发性角膜上皮糜烂综合征的临床资料。15例均在糜烂脱落的角膜上皮创面愈合后,使用低能量的YAG激光在完整的角膜上皮上行穿刺治疗。结果治疗后随访3-13个月,平均（6.1＆#177;2.7）个月,13例未见复发,2例治疗后复发1次,但持续时间较以往明显缩短,其中1例再次行激光治疗而痊愈。此2例随访9个月治愈未再复发。结论使用低能量YAG激光在完整的已经愈合的角膜上皮上穿刺是治疗复发性角膜上皮糜烂综合征的有效方法。Objective To evaluate the clinical efficacy of puncture by YAG laser in the intact healed epithelium for the treatment of the recurrent corneal erosion syndrome. Methods The data of 15 eyes of 15 patients with recurrent corneal erosion syndrome were retrospectively reviewed. The shapes of corneal erosions were accurately drawn. After the erosions healed, the patients received epithelium puncture by low-energy YAG laser on the areas which were consistent with the previous erosion shapes. The recurrent state of corneal erosions was investigated. Results All patients had been followed up for 3 -13 months. Among them, 13 patients had full recovery, and two patients suffered from this once again within the next 2 months. Epithelium puncture was done on a patient again and they were proved not susceptible to corneal erosion in the following 9 months. Conclusion Puncture by low-energy YAG laser in the intact healed epithelium is an efficacious method for recurrent corneal erosion syndrome.

关 键 词：角膜上皮糜烂综合征 复发性 穿刺治疗 YAG激光 

分 类 号：R779.63[医药卫生—眼科]