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编号:11007204
准分子激光原位角膜磨镶术后外伤性角膜瓣移位复位术
http://www.100md.com 《中国民康医学》 2006年第2期
角膜瓣,,LASIK;角膜瓣;复位,1材料与方法,2结果,3讨论,参考文献
     【摘要】 目的 :评价准分子激光原位角膜磨镶术(LASIK)术后角膜瓣复位术的临床疗效,探讨预防并发症的措施。 方法: 对14例外伤所致角膜瓣移位实施复位术,机械刮除或20%酒精破坏上皮,彻底冲洗角膜基质床,充分瓣下冲洗,准确对位角膜瓣。 结果 :术后随访10例恢复外伤前视力,4例较伤前低,2例有角膜不规则散光,2例发生弥漫性角膜基质炎,无上皮植入、内生等并发症发生。 结论: 角膜瓣及时重新复位可以良好恢复视功能,但应注意并发症的发生。

    【关键词】 LASIK;角膜瓣;复位

    Re-position of traumatic displaced flaps after laser in situ keratomileusis

    【Abstract】 Purpose:To evaluate the clinical effect of corneal flap re-position after LASIK and to investigate the methods for complications.Methods:14displaced corneal flaps caused by ocular trauma were re-positioned.Corneal epitheliumwas removed either by scraping or with20%alcohol.Irrigationwas ap-plied on stromal bed and sub-flaps.Results:10eyes regained pre-trauma vision with4eyes a little worse.2cases were found with irregular astigmatism and2with diffuse lamellar keratitis.No epithelial implantation or in-growth occurred.Conclusion:Proper and prompt re-position of corneal flaps can restore nearly normal vision.Attention should be paid to the complications. ......

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