目的 探讨军人准分子原位角膜磨镶术(laser in situ keratomileusis, LASIK)术后外伤致角膜瓣移位的原因、处理方法 及准分子激光的术式选择。方法 对外伤造成的7例军人LASIK术后角膜瓣移位进行手术修复。结果 7例中6例外伤与军事训练有关, 且就诊时间均较长, 最长为伤后2年。手术中, 3例角膜瓣皱褶重, 经2次重复水肿, 2例平复, 1例行角膜瓣对位缝合。术后1个月裸眼视力均有恢复, 1.0者2例, 0.8者2例, 0.6者1例, 0.5者2例。结论 针对即将成为军人这个特殊职业的人群, 机械角膜瓣的LASIK手术需慎重。
Abstract
Objective To study the traumatic reason and treament of the corneal flap dislocation after LASIK, and to choose the mode of the reflective surgery in military personnel. Methods Seven reposition surgeries of corneal flap dislocated by trauma were performed in military personnel. Results Six of seven trauma were related to military trainning. Their visiting hospital time was long, and the longest was 2 years. Corneal flap wrinkle was found severe during operation in 3 of 7 cases. 2 cases were unfolded artifically, and 1 case was sutured with cornea. Their visual acuity was all improved. The visual acuities were 1.0 in 2 cases, 0.8 in 2 cases, 0.6 in 1 case, 0.5 in 2 cases respectively one month after surgery. Conclusions It should be cautious to perform a LASIK reflective surgery for military personnel.
关键词
准分子原位角膜磨镶术 /
外伤 /
角膜瓣移位 /
角膜瓣复位术 /
军人
Key words
LASIK /
trauma /
cornealflap dislocation /
reposition surgery of corneal flap /
military personnel
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参考文献
[1] Khoueir Z, Haddad N M, Saad A, et al. Traumatic flap dislocation 10 years after LASIK. Case report and literature review[J]. J Fr Ophtalmol, 2013, 36(1):82-86.
[2] Kim H J, Silverman C M. Traumatic dislocation of LASIK flaps 4 and 9 years after surgery[J]. J Refract Surg, 2010, 26(6):447-452.
[3] 刘 莉, 张汉斌, 唐 媚. LASIK术后外伤性角膜瓣移位的治疗观察[J].国际眼科杂志, 2010, 10(2):366-368.
[4] 于 静, 高明宏, 陈颖华. 战士近视眼LASIK术后外伤性角膜瓣移位的临床观察[J].临床军医杂志, 2011, 39(5):1017-1018.
[5] Farjo A A, Sugar A, Schallhorn S C, et al. Femtosecond Lasers for LASIK Flap Creation: A Report by the American Academy of Ophthalmology[J]. Ophthalmology, 2013, 120(3):5-20.
[6] 陈跃国.飞秒激光制瓣技术的优势与相关并发症[J].中华眼视光学与视觉科学杂志, 2013, 15(7):365-368.
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