冲洗伸展清创法处理延迟复位的LASIK术后外伤性瓣移位伴皱缩的良好临床结果（英文）

发布时间：2018-05-24 19:22

本文选题：延迟复位 + 准分子激光原位角膜磨镶术(LASIK)　；参考：《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》2017年06期

【摘要】：目的:报道一例手术处理延迟复位的准分子激光原位角膜磨镶术(LASIK)后瓣移位伴皱缩并取得良好结果的案例。创新点:首次详细描述对延迟复位的LASIK术后瓣移位的手术方法。首次报道了长期延迟复位的LASIK术后瓣移位伴大皱缩经过无缝线的手术治疗也可取得良好的临床结果。方法:一例30岁男性在双眼LASIK术5年后受到右眼钝挫伤,并延误治疗5周。手术方法包括平衡盐溶液软化角膜瓣,仔细并轻柔地用26G针头刮除上皮和平衡盐溶液冲洗以伸展瓣皱褶。所有位于瓣内侧面和基质床的内生上皮都被仔细地刮除和冲洗去除。在复位角膜瓣后放置绷带式软性接触镜。结论:对于延迟处理的外伤性LASIK瓣移位,通过平衡盐溶液充分软化角膜瓣、伸展瓣皱褶以及彻底清创内生上皮可将瓣复位并得到良好的临床结果。
[Abstract]:Aim: to report a case of posterior flap displacement with shrinkage of LASIK-based excimer laser in situ keratomileusis treated with delayed reduction. Innovation: for the first time, the surgical method of valve displacement after delayed reduction of LASIK is described in detail for the first time. It is reported for the first time that the long-term delayed reduction of the LASIK flap with large shrinkage through seamless surgical treatment can also achieve good clinical results. Methods: a 30-year-old male suffered blunt right eye contusion 5 years after binocular LASIK and delayed treatment for 5 weeks. Surgical procedures include balancing salt solution to soften the corneal flap, carefully and gently scraping the epithelium with 26 gigabytes of needle and flushing the balanced salt solution to stretch the flap fold. All endophytic epithelium located on the medial flank and stromal bed are carefully scraped and flushed. Place bandage soft contact lens after reduction of corneal flap. Conclusion: for delayed transposition of traumatic LASIK flap, corneal flap can be fully softened, extended flap fold and endogenetic epithelium can be completely debrided by balanced salt solution, and good clinical results can be obtained.
【作者单位】： Department
【基金】：supported by the Zhejiang Provincial Department of Education(No.Y201533941),China
【分类号】：R779.6

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