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准分子激光角膜表层切削术后的止痛措施
引用本文:曾原,黄一飞,高建华. 准分子激光角膜表层切削术后的止痛措施[J]. 国际眼科杂志, 2014, 14(8): 1421-1425
作者姓名:曾原  黄一飞  高建华
作者单位:中国北京市,解放军总医院眼科;中国北京市,解放军总医院眼科;中国云南省昆明市,成都军区昆明总医院眼科
摘    要:

准分子激光角膜表层切削术因降低角膜膨隆的风险和避免准分子激光原位角膜磨镶术(LASIK)角膜瓣相关的并发症而受到青睐。但术后严重疼痛不适为表层切削的主要缺陷,因此表层切削术后疼痛不适的控制显得尤其重要。我们总结了表层切削术后疼痛的机制以及降低术后疼痛的措施的进展。

关 键 词:角膜表层切削   止痛   准分子激光上皮瓣下磨镶术   机械法准分子激光上皮瓣下磨镶术
收稿时间:2014-04-18
修稿时间:2014-07-03

Pain control after excimer laser corneal surface ablation
Yuan Zeng,Yi-Fei Huang and Jian-Hua Gao. Pain control after excimer laser corneal surface ablation[J]. International Eye Science, 2014, 14(8): 1421-1425
Authors:Yuan Zeng  Yi-Fei Huang  Jian-Hua Gao
Affiliation:Department of Ophthalmology, Chinese PLA General Hospital, Beijing 100853, China;Department of Ophthalmology, Chinese PLA General Hospital, Beijing 100853, China;Department of Ophthalmology, Kunming General Hospital of Chengdu Military Command, Kunming 650032, Yunnan Province, China
Abstract:By reshaping the cornea without the creation of a stromal flap, excimer laser corneal surface ablation eliminates flap-related complications and avoids the risk of ectasia that may occur after laser assisted in situ keratomileusis(LASIK). Post-operative pain is one of the most significant disadvantages of surface ablation and thus the management of pain and discomfort following surface ablation is of great importance. We summarize mechanism of corneal pain and current approaches to pain management after surface ablation.
Keywords:corneal surface ablation   pain control   laser epithelical keratomileusis   epipolis laser in situ keratomileusis
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