准分子激光基质内角膜磨镶术近期并发症及处理

目的:对准分子激光基质内角膜磨镶术(LASIK)手术安全性进行评价。方法:对699只眼LASIK术后并发症进行统计分析。结果:发现有:角膜瓣下混浊、眩光、瓣下上皮长入、瓣下异物、瓣皱褶、感染、偏中心、不规则散光、切削不平整、瓣破损、对比敏感度下降、过矫或欠矫、视觉心理障碍、皮质类固醇性青光眼、视力波动、最佳矫正视力丧失等并发症。结论:LASIK手术有准确、矫正范围广,恢复快的优点,但也有不少并发症,有些很难处理,应积极慎重开展。眼科学报 1999;15:117—120。

The Postoperative Complications and Management of Excimer Laser in Situ Keratomilleusis

Objective:To evaluate the safety of excimer laser in situ keratomilleusis (LASLK) Methods-The postoperative complications in 699 eyes of LASIK were observed and statistically analyzed.Results:The haze, halo, growth of corneal epithelium under valve, the foreign body under valve, the fold of corneal valve, infection, decentralization, irregular astigmatism, valvular damage, low contrast sensibility, undercorrection and over correction, the psychological dysopia, glaucoma, fluctuating visual acuity and the loss of the best corrected visual acuity were found.Conclusion:LASIK has it's advantages of accurate manipulation, extensive range of correction and rapid recovery, but some of the complications resulting from this operation are so difficult to treat that careful consideration should be given before using this technique. Eye Science 1999; 15:117 -120.