LASIK术后即刻对角膜瓣的观察

目的：LASIK术后即刻检测角膜瓣并发症。

方法：回顾性病例研究。收集2010-01/2012-10就诊于我院行LASIK手术的2 040例4 080眼患者， LASIK术后30min之内，在裂隙灯下对角膜瓣进行常规检查，记录患者术后角膜瓣对位不良、角膜瓣皱褶、角膜瓣层间异物残留情况，针对上述并发症采取有效的治疗和控制措施。

结果：最常见的并发症为角膜瓣对位不良102眼(2.5%)，角膜瓣皱褶95眼(2.33%)，角膜瓣层间异物残留105眼(2.57%)等。无失败病例，无严重影响术后视觉质量的角膜瓣相关并发症。

结论：仔细的术后即刻检查对这些并发症的处理是一种有效的方法，从而促进LASIK术后并发症的诊治。

Immediately observation on post-LASIK corneal flap

AIM:To immediately observe the complication of corneal flap after LASIK surgery.

METHODS:A retrospective case series were studies.Totally 2 040 cases(4 080 eyes)from January 2010 to October 2012 in our hospital were collected, the corneal flap was observed using lamp microscope after LASIK within 30min. Corneal flap dislocation, corneal flap strial and intraface debris were examined after operation, the effective treatment and controlled measure should be taken for these complications.

RESULTS: Postoperative complications were corneal flap dislocation 102 eyes(2.5%), corneal flapstriae 95 eyes(2.33%), interface debris 105 eyes(2.57%). No failure case was seen. There had no corneal flap-related complications, which seriously impact the visual quality after the surgery.

CONCLUSION: Carefully postoperative examination at the first-time is an effective way to manage some complications of post-LASIK. Thus promoting the diagnosis and treatment of post-LASIK complications.