加强角膜屈光手术围手术期管理,谨防术后角膜扩张  

Pay attention to the perioperative management of corneal refractive surgery and prevent postoperative corneal ectasia

作　　者：张丰菊 孙明甡 Zhang Fengju;Sun Mingshen(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Ophthalmology and Visual Sciences,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院,北京同仁眼科中心,眼科学与视觉科学北京市重点实验室,100730

出　　处：《眼科》2021年第2期85-88,共4页Ophthalmology in China

基　　金：首都临床诊疗技术研究及转化应用(Z201100005520043);北京市卫生系统高层次卫生技术人才基金(2013-2-023);北京市经济技术开发区新创工程领军人才培养基金(2018-05-09)。

摘　　要：为预防角膜屈光手术后严重并发症特别是角膜扩张的发生,应重视围手术期的管控要点,强化术前筛查、手术设计及术后合理护理等环节。结合角膜生物力学变化及角膜形态学检测,协助角膜屈光手术前圆锥角膜的筛查。角膜屈光手术适应证的合理选择、个性化设计及规范化处理,是有效防范角膜扩张并发症发生的关键。In order to prevent the serious complications after corneal refractive surgery,especially the occurrence of corneal ectasia,we should pay attention to the key points of perioperative management and control,and strengthen the links of preoperative screening,surgical design and reasonable postoperative nursing.Combined with corneal biomechanical changes and corneal morphology measurement can assist in screening keratoconus before corneal refractive surgery.The rational selection of corneal refractive surgery indications,personalized design and standardized treatment are keys to effectively prevent the occurrence of complications of corneal ectasia.

关 键 词：圆锥角膜 角膜扩张 角膜屈光手术 围手术期 生物力学 

分 类 号：R779.6[医药卫生—眼科]