110例未行准分子激光角膜屈光手术的原因分析  

Causes of ineligibility to receive excimer laser corneal refractive surgery in 110 patients

作　　者：吕平 张大传[1] 汤诗圣 程红[1] 

机构地区：[1]合肥市第三人民医院眼科,230041

出　　处：《临床眼科杂志》2017年第3期271-272,共2页Journal of Clinical Ophthalmology

摘　　要：目的研究近视患者未能行准分子激光原位角膜磨镶术(LASIK)的原因。方法分析655例近视患者中110例行常规准分子术前检查后停手术的原因。结果未行手术110例(216只眼),其中:(1)角膜中央厚度不足92只眼(42.59%)。(2)角膜曲率过高22只眼(10.18%)。(3)眼底病变者24只眼(11.11%)。本组24只眼中,格子样变性16只眼,囊样变性8只眼。(4)高眼压12只眼(6.12%),眼压在21~35 mm Hg。确定青光眼2只眼。(5)心理及社会因素影响者46只眼(21.29%)。(6)眼表疾病:20只眼(9.25%),角膜点状着色14只眼,重度结膜炎4只眼,严重干眼2只眼。结论为了保证LASIK手术的安全及有效性,术前仔细的常规检查尤为必要。Objective To explore the causes that prevent patients from receiving excimer laser corneal refractive surgery. Methods 655 patients with myopia were examined before surgery. Causes for 110 patients who did not undergo LASIK were analyzed. Results Among 216 eyes from those 110 patients, 92 （42.59%） had inadequate central corneal thickness. 22 eyes （10. 18% ） had too high corneal refractive power. 24 eyes （11.11%） suffered from fundus diseases. Among them, 16 were lattice retinal degeneration and 8 were retinal cystoid degeneration. 12 eyes （6.12%） had high in- traocular pressure （ ranged from 21 to 35 mmHg）. 2 patients were diagnosed as glaucoma. 23 patients {46 eyes, 21.29%） chose to reject the surgery because of psychological and social factors. 20 eyes （9.25%） had ocular surface problems, in- cluding keratochrematosis （14 eyes）, severe conjunctivitis （4 eyes）, and severe dry eye （2 eyes）. Conclusions To ensure the safety of surgery, careful preoperative screening is very important.

关 键 词：准分子激光原位角膜磨镶术 术前检查 禁忌证 

分 类 号：R779.63[医药卫生—眼科]