经角膜上皮准分子激光表层切削术矫正近视术后并发症的观察  

Observation of the complications after the myopic surgery corrected by transepithelial photorefractive keratectomy

作　　者：路雁凤 黄旭东 LU Yanfeng;HUANG Xudong(Binzhou Medical University,Yantai 264003,Shandong,P.R.China;Ophthalmology Department,Dezhou Municipal Hospital,Dezhou 253012,Shandong,P.R.China;Weifang Eye Hospital,Weifang 261041,Shandong,P.R.China)

机构地区：[1]滨州医学院,山东烟台264003 [2]德州市立医院眼科,山东德州253012 [3]潍坊眼科医院,山东潍坊261041

出　　处：《滨州医学院学报》2020年第5期344-347,共4页Journal of Binzhou Medical University

摘　　要：目的探讨经角膜上皮准分子激光表层切削术(TransPRK)术后患者并发症的发生原因及预防与处理方法。方法回顾性病例分析研究。对58例116只眼受术者进行术后复查及随访,对出现并发症的患者进行相关检查并做相应治疗。随访3个月。结果TransPRK矫正近视术后不良反应和并发症有:术后3日内疼痛、角膜上皮下雾状混浊(haze)、角膜上皮愈合延迟(1.72%)、出现干眼症状或原有干眼症状加重(18.97%)、一过性或持续的眩光(5.17%)、激素性高眼压(5.17%)。所有患者并发症经适当处理后,裸眼视力均达到或超过术前矫正视力。结论术后并发症的原因与多种因素有关,规范的术前检查评估和手术程序可减少其发生率。Objective To explore the causes,prevention and treatment of complications in patients after transepithelial photorefractive keratectomy(transPRK).Methods The cases were retrospectively studied.One hundred and sixteen eyes of 58 patients were followed up and reexamined.The patients with complications were examined and treated.The patients were followed up for 3 months.Results The side effects and complications of transPRK were pain within 3 days,haze,delayed healing(1.72%),dry eye symptoms or original dry eye symptoms aggravation(18.97%),transient or persistent glare(5.17%),and hormone induced ocular hypertension(5.17%).After proper treatment of all the complications,the visual acuity of naked eyes reached or exceeded the corrected visual acuity before operation.Conclusion The causes of postoperative complications are related to many factors.Standardized preoperative evaluation and procedures can reduce the incidence of complications.

关 键 词：经角膜上皮准分子激光表层切削术 术后并发症 角膜上皮下雾状混浊 疼痛 

分 类 号：R779.6[医药卫生—眼科]