LASEK术后角膜上皮下雾状混浊防治的临床观察

发布时间：2018-02-03 01:44

本文关键词： 准分子激光上皮瓣下角膜磨镶术角膜上皮下雾状混浊紫外线　出处：《中华全科医学》2016年08期 　论文类型：期刊论文

【摘要】：目的分析准分子激光上皮下角膜磨镶术(laser-assisted subepithelial keratomileusis,LASEK)后的角膜上皮下雾状混浊(Haze)的病例,探讨其发生原因及预防、治疗措施。方法回顾性研究2013年6月1日—12月31日期间50例92眼行LASEK术后,随诊12个月的病例,分析术后是否发生Haze,发生Haze的严重程度及治疗措施。结果术后发生Haze 36眼(39.1%),平均(0.81±0.48)级,其中20眼为屈光度大于-5.0 D。经过局部应用非甾体抗炎药联合皮质类固醇药物,同时叮嘱患者术后眼部防晒等措施,术后6个月后患者角Haze 3眼(3.3%),平均0.5级。发生Haze的36眼中有15例24眼为夏季手术。结论 LASEK是一种治疗近视,提高视力安全而有效的手术,虽然不可避免地存在一些并发症,尤其要重视可能产生的严重Haze。Haze的发生与高度近视、过敏症、自身免疫疾病、经常暴露于紫外线中等因素密切相关,术前认真地做好筛查工作,严格掌握手术适应证;完善随访制度,督促患者术后定期复查,以便及时发现Haze的产生及其发展,并根据其严重程度结合眼压状况调整用药;除了合理用药,有效的护理措施亦对减少术后Haze的发生以及提高手术的预测性和准确性有帮助。
[Abstract]:Objective to analyze laser-assisted subepithelial keratomileusis in laser subepithelial keratomileusis. To explore the cause and prevention of Haze in corneal subepithelial haze after LASEK. Methods from June 1st 2013 to December 31st, 50 cases (92 eyes) with LASEK were followed up for 12 months to analyze the occurrence of Haze. Results Haze occurred in 36 eyes (39.1%), with an average of 0.81 卤0.48 grade. Among them, 20 eyes were diopter > -5.0 D. after local application of non-steroidal anti-inflammatory drugs combined with corticosteroids, the patients were told to take measures such as eye sunscreen after operation. Six months after operation, 3 eyes with angle Haze had 3 eyes with an average of 0.5 grade. 15 eyes (24 eyes) of 36 eyes with Haze were operated on in summer. Conclusion LASEK is a kind of treatment for myopia. To improve vision safety and effectiveness of surgery, although there are inevitably some complications, especially attention should be paid to the occurrence of serious Haze.Haze and high myopia, allergies, autoimmune diseases. Often exposed to ultraviolet light and other factors are closely related to the preoperative careful screening work, strictly grasp the indications of surgery; To improve the follow-up system and urge the patients to review regularly after operation in order to find out the emergence and development of Haze in time and adjust the medication according to the severity of IOP. In addition to rational use of drugs, effective nursing measures also help to reduce the incidence of postoperative Haze and improve the predictability and accuracy of surgery.
【作者单位】：皖南医学院第二附属医院眼科;
【分类号】：R779.6
【正文快照】： 准分子激光上皮下角膜磨镶术(laser-assisted sub-epithelial keratomileusis,LASEK)简称EK。LASEK手术是意大利Rovigo医院眼科中心Massino lamellion MD于1997年在屈光手术临床过程中发明的一种针对高度数,角膜相对较薄眼的一种新的准分子激光手术,它克服了准分子激光角膜切

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