LASEK手术并发症的预防及处理  

The prevention and management of complication of laser subepithelial Keratomileusis

作　　者：陈兵[1] 王正英[1] 杨晓卫[1] 廉井财[2] 

机构地区：[1]江苏省常州市广化医院眼科心常州市眼科诊疗中心,213001 [2]上海第二医科大学附属瑞金医院眼科

出　　处：《中国实用眼科杂志》2003年第11期861-863,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :探讨准分子激光上皮下角膜磨镶术 (LASEK)手术并发症的预防及处理方法。方法 :应用LASEK治疗近视 13 1例 2 5 8眼。结果 :LASEK术中主要并发症有 :酒精环错位 ,上皮瓣剥离困难 ,瓣撕裂或破碎 ,瓣游离、皱褶、瓣偏离中心、瓣蒂位置变更、LASEK转PRK等 ;术后并发症主要有迟发性 48～ 72h上皮瓣局限性缺损、瓣下异物、角膜上皮下雾状混浊 (haze)、上皮瓣丢失、最佳矫正视力下降、上皮瓣溶解、角膜感染等。结论 :对LASEK技术的熟练掌握 ,把握手术环节 ,正确处理上皮瓣的各种并发症是LASEK手术成功的关键 ;LASEK是安全有效的。Objective:To explore the complication of lawer subepithelial keratomileusis(LASEK). Methods:LASEK was performed on myopias 131 cases(258 eyes). Results:The complication during the operation mairly Included:Ethand ring movement,detach difficult of epithelial-flap,fragments,flod,free,decentral,change of epithelial-flap pedicle position,LASEK changevover PRK;The main postoperative complications were epithelial-flap dcfect 48～72 hour,sub-epihelial foreign body,corneal haze,lost of epithelial-flap,best corrected visual acuity lost,epithelial-flap dissolutien,corneal infection. Conclusions:The key to success of LASEK is failer than that of LASIK.LASEK is an effectiv and safe precedure.

关 键 词：LASEK手术 手术并发症 预防 准分子激光上皮下角膜磨镶术 术后视力 

分 类 号：R779.63[医药卫生—眼科]