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LASEK术中术后角膜上皮瓣异常及其预防方法

http://www.cnophol.com 2009-3-23 9:00:09 中华眼科在线

 

    Epithelial-flap abnormality of LASEK.QIAO Bao—di,77E Bi—ao,CHEN Peng.Department t t)p}lthalmolog3 the Second Peotdes Hospital D厂Zhengzhou,Zhengzhou,Henan 450000,ChinaAbstract:Objective To analyze types and factors of eltithe—lial—flap abnormality of laser subepithe1 ial keratomileusis(LASEK),and to study preventions aad treatments.Methods320 eyes of 161 cases of LASEK were involved in the study.Afect—ing tactors related to epithclial—flap abnortnality occurring duringand after the operation were investigated.Visual acuity,irritatingsymptoms and corneal haze were observed postoperatively. ResultsAbnormal epithelial—flaps ineluding flaP defect,fragments andfree flap were observed in 2 1 eyes during surgexy.Postoperative epi—thelial—flap abnormality included flap fold,deferred epithelial heal—ing,and loss of contact lens or epithelial—flap. Conclusion

    LASEK is a safe and ef1)ctive operation,but perfect epithelial,flapis the base of superlority of LASEK.To ensure Success of LASEK,it is nece.ssary to have operationfine epithelial—flaps,prevent andf]ap 『)roperly.skills at one,s finger ends,keephandle abnormality of epithelial—Key words: laser subepithelial keratomileusis (LASEK);epithe]ial flap;a}mormality

    参考文献:

    [1] Camellin M.LASEK lnay offer the advantages of both Lasik and PRK[J] Ocu Surg N lnt,1999,10(3):14一I5.

    [2] Ru(hf A,Jaroslav R Laser~assisted subepithelial keratectomy formyopia: Fwo—year Mlow upl J].J Cataract Refract Surg,2003,29(4):661—668.

    [3] Felt R,_raneri S,Azar DT.Lasek results[J].Ophthamol Clin NorthAm,2003,l6(1):l27—135

    [4] 1wasaki Fa~ara A,Miyake N Early clinical results of laser epithe.1ial keratnmileusis l J].Jpn Ophthalmol Soe,2003,107(5):249—256.

    [5] Seerrati E.Laser in situ keratomileusis vs Laser epithelial keratom—ileusis(LASIK vs LASEK)[J] J Cataract Refract Surg,200 i,17(2 supp1):219-221

    [6] Kim JK,Kim SS,Lee HK.Laser in situ keratomileusis versus laserepithelial keratectom)fm tim corection of high myopia[J].J CataractRefract Smg,2004,30(7):1405—1411.

    [7] Lee JB,Seong GJ,Lee JH.Comparison of laser epithelial keratomile—nsis and photorefractive keratectomy for low to moderate myopia[J].JCataract Refraet Surg,2001,27(4):565—570.

    [8] Litwak S,Zadok Garcia—de QV,et a1.Laser—assisted subepithelialkmatectnmy velSIIS photorefl’aetive kerateetomy for the correction ofmyopia[J].J Cataract Refract Surg,2002,28(8):1330-1333

    [9] Wang MX,Grany TB,Clan PW.Reduction in corneal haze and apoptosisby amniotie membrane matrix in exeimer laser photoablation inrabbits J 1.J Cataract Refract Surg,2001,27(2):310-319.

    [10]Zhao J,Negasaki T,Maurice DM.Role oftears in keratoeyte loss afarepithelial removal in mouse eornea[J].Invest Opthalmol Vis Sci,2001,42(8):l743—1749.

    [11]Mirza MA,Qazi MA,Pepose JS.Treatment of dense subepithelialcorneal haze afler Laser—assisted subepithelial kelateetomy[J].J Cat—alact Refract Surg,2004,30(3):709-714.

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