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激光上皮下角膜磨镶术后角膜上皮瓣临床观察
引用本文:谷保民,马元孝,任春慧,李庆国. 激光上皮下角膜磨镶术后角膜上皮瓣临床观察[J]. 眼外伤职业眼病杂志, 2003, 25(8): 531-532
作者姓名:谷保民  马元孝  任春慧  李庆国
作者单位:252000,山东省聊城市光明眼科医院
摘    要:目的 观察及探讨准分子激光上皮下角膜磨镶术(Laser subepithel ialkeratomileusis,LASEK)后,角膜上皮瓣的成活率及其影响因素。方法 对行LASEK治疗的42例(80眼)于术后1、2、3天,1、2、3、4周在裂隙灯显微镜下进行角膜上皮瓣的观察。结果 34例(68眼),角膜上皮瓣成活,成活占85%(68/80);未成活8例(12眼),未成活占15%(12/80)。结论 LASEK术后角膜上皮瓣成活率的高低,决定着LASEK的临床疗效,影响其成活的因素是多方面的。其中角膜上皮瓣边缘不整齐、破裂、对位不良、操作时间过长可能是其主要原因。

关 键 词:激光上皮下角膜磨镶术 术后 角膜上皮瓣 成活率 影响因素 临床观察

Clinical observation on corneal epithelial flap after laser subepithe-lial keratemilieusis ( LASEK )
GU Baomin,MA Yuanxiao,REN Chunhui,et al.. Clinical observation on corneal epithelial flap after laser subepithe-lial keratemilieusis ( LASEK )[J]. Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries, 2003, 25(8): 531-532
Authors:GU Baomin  MA Yuanxiao  REN Chunhui  et al.
Affiliation:GU Baomin,MA Yuanxiao,REN Chunhui,et al.Guangming Eye Hospital,Liaocheng 252000,China
Abstract:Objective To observe and investigate the living rate and affecting factors of corneal epithelial flap after LASEK.Methods To observe corneal epithelial flap on 80 eyes in 42 cases after surgery through Slit lamp biomicroscope in different times(1d 2d,3d,and 1w,2w,3w,4w).Results 34 cases(68 eyes)corneal epithelial flap are survived.The surviving rate is 85%(68/80).8 cases(12 eyes) didn't survive,and the no surviving rate is 15%(12/80).Conclusion It is the surviving rate of corneal epithelial flap after LASEK that determines the clinical effect,yet there are many factors that affect the surviving rate,among which the irregular margin of corneal epithelial flap,damaged flap,moveable flap,and long time of surgery,etc,may be the main reasons.
Keywords:LASEK  Corneal epithelial flap  Surviving rate  Affecting fatctors
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