准分子激光原位角膜磨镶术后外伤性上皮植入的处理  

Management of traumatic epithelial ingrowth after LASIK

作　　者：林青鸿 王丽霞 

机构地区：[1]厦门大学附属厦门眼科中心,福建361001

出　　处：《中华眼外伤职业眼病杂志》2017年第9期649-652,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的 分析准分子激光原位角膜磨镶术（LASIK）后外伤性角膜瓣下角膜上皮植入患者的处理方法及效果.方法 回顾性分析2012年6月至2016年5月间LASIK术后外伤后角膜瓣下角膜上皮植入15例（15只眼）的病例资料.其中12只眼采用掀开角膜瓣冲洗及激光治疗性角膜切削术（PTK）,3只眼角膜瓣已碎者去除了角膜瓣.处理后随访6个月观察其效果.结果 处理前裸眼视力（Log MAR）为0.59±0.20,处理后1周视力为0.19±0.18较之前有明显提高;处理后1个月为0.09±0.13;处理后6个月为0.00±0.13（t=3.910,14.700,15.500;P=0.005,0.002,0.001）.结论 LASIK术后外伤性上皮植入发生后及时正确的处理是取得良好疗效的关键.Objective To analyse the management and efficacy of traumatic epithelial ingrowth under corneal flap after laser in situ keratomileusis（LASIK）.Methods The data of 15 eyes of 15 cases with traumatic epithelial ingrowth after LASIK from Jun.2012 to May.2016 were retrospectively analyzed.Twelve eyes received corneal flap lifting and sweeping and phototherapeutic keratectomy（PTK）.The corneal flap were removed in 3 eyes with chip corneal flap.The efficacy was observed,the follow-up time was 6 months.Results The visual acuity was improved significantly after treatment.The visual acuity（Log MAR）were 0.59±0.20,0.19±0.18,0.09±0.13 and 0.00±0.13 before and 1 week,1,6 months after treatment respectively.The difference were statistically significant between before treatment and every time point after treatment（t=3.910,14.700,15.500;P=0.005,0.002,0.001）.Conclusion Timely and accurate treatment is the key of obtaining satisfactory efficacy for traumatic epithelial ingrowth after LASIK.

关 键 词：准分子激光原位角膜磨镶术(LASIK) 上皮植入 角膜瓣下 外伤性 准分子治疗性 角膜切削术(PTK) 

分 类 号：R779.63[医药卫生—眼科]