不透明气泡层对FS-LASIK术中眼球旋转追踪补偿的影响  

Effect of opaque bubble layer on the ocular cylotorsion compensation during FS-LASIK procedures

作　　者：王萌萌 王晶晶 李明然 贾鑫 李丽艳 尹会苏 韩龙辉 Meng-Meng Wang;Jing-Jing Wang;Ming-Ran Li;Xin Jia;Li-Yan Li;Hui-Su Yin;Long-Hui Han(Hebei Provincial Key Laboratory of Ophthalmology, Hebei Provincial Eye Hospital, Xingtai 054001, Hebei Province, China)

机构地区：[1]河北省眼科医院河北省眼科学重点实验室,中国河北省邢台市054001

出　　处：《国际眼科杂志》2021年第2期344-347,共4页International Eye Science

基　　金：国家自然科学基金项目(No.81700873);河北省重点研发计划项目(No.18277754D);河北省医学科学研究课题计划项目(No.20200842);河北省中医药管理局科研计划项目(No.2020553);邢台市科技支撑计划项目(No.2016ZC262)。

摘　　要：目的:评估FS-LASIK手术在制作角膜瓣过程中不透明气泡层(OBL)的发生对准分子激光机眼球旋转追踪补偿的影响。方法:前瞻性临床研究。随机抽取2019-07/09在我院行FS-LASIK手术200例400眼。统计FS-LASIK术中OBL的总体发生率、角膜瓣外OBL发生率、角膜瓣内OBL发生率、动态自旋跟踪矫正(DCC)和静态自旋追踪矫正(SCC)的运行成功率,并分析OBL对DCC和SCC运行的影响。结果:本研究共发生OBL 183眼,总体OBL发生率为45.8%,DCC成功运行397眼,总体DCC运行成功率为99.2%;SCC成功运行的手术共计为293眼,总体SCC运行成功率为73.2%;总体OBL、角膜瓣外OBL、角膜瓣内OBL对DCC的运行成败均无影响(P>0.05),但对SCC的运行成败均有影响(P<0.05),OBL发生会导致SCC运行失败。结论:在制作角膜瓣过程中OBL的发生可能会导致FS-LASIK准分子激光机SCC运行的失败。AIM:To evaluate the effect of opaque bubble layer(OBL)on the ocular cylotorsion compensation during FS-LASIK procedures.METHODS:Prospectively clinical study.From July 2019 to September 2019,two-hundred FS-LASIK patients(400 eyes)were randomly included into this study.The total OBL incidence,flap-out OBL incidence,flap-in OBL incidence,incidence of dynamic cyclotorsion component(DCC)and incidence of static cyclotorsion component(SCC)were statistically analyzed.RESULTS:OBL developed in 183 eyes of 400 FS-LASIK eyes,with a total OBL incidence of 45.8%.DCC was successfully performed on 397 eyes,with a total DCC incidence of 99.2%.SCC was successfully performed on 293 eyes,with a total SCC incidence of 73.2%.Neither flap-out OBL nor flap-in OBL could disturb the successful implementation of DCC during the operation(P>0.05).Both flap-out OBL and flap-in OBL could impact the SCC implementation and make it fail(P<0.05).CONCLUSION:OBL can result in failure of SCC implementation during the FS-LASIK procedures.

关 键 词：飞秒 不透明气泡层 并发症 近视 

分 类 号：R779.63[医药卫生—眼科]