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目的:探讨准分子激光原位磨镶术(LASIK)治疗近视散光等屈光不正术中,术后并发症处理方法,总结经验,提高手术质量,获得更佳视觉效果。方法:对2159例4318眼行LASIK常规手术。采用德国视明公司生产的Esiris爱丽丝第八代小光斑高速飞点扫描准分子激光视力矫正系统联合法国MORIA旋转式自动角膜板层切削刀进行LASIK手术。术后常规应用泰利必妥眼液,氟美瞳眼液、泪然眼液2-4周。结果:2159例手术,其中角膜血管翳出血有56例,1例发生游离瓣,2例不完全瓣,2例角膜上皮内生,2例严重偏中央岛中心切削。术后并发症分早期及晚期,早期并发症多有过矫及欠矫,超过2D者362例,术后干眼症1月内182例,1月后103例,晚期并发症最常见为屈光回退,大于2D者80例,2例DLK。结论:LASIK术因其手术安全、疗效好、并发症少、稳定、无痛等优点,仍然是角膜屈光手术主流。术前严格筛选病例、术中操作技术精湛,设备精良,术后严密观察,可将LASIK术并发症发生率显著降低。
Objective: To investigate the treatment of myopia astigmatism and other ametropia intraoperative and postoperative complications by excimer laser in situ (LASIK), summarize the experience, improve the quality of surgery and obtain better visual effects. Methods: 2159 cases of 4318 routine LASIK surgery. The LASIK operation was performed with the Esiris Alice 8th generation small spot high-speed flying excimer laser vision correction system manufactured by German Vision Company in conjunction with the French MORIA rotary automatic corneal laminography cutter. Conventional application of telbivudine eye drops, fluoride US pupil eye drops, tears liquid 2-4 weeks. Results: In 2159 cases, there were 56 cases of corneal hemorrhage, 1 case of free flap, 2 cases of incomplete flap, 2 cases of corneal epithelial endothelium, and 2 cases of severe central island center incision. Postoperative complications in early and late, early complications were overcorrection and undercorrection, more than 2D in 362 cases, 182 cases of dry eye after January, 103 cases after January, the most common late complications Light regression, more than 2D in 80 cases, 2 cases of DLK. Conclusion: LASIK is still the mainstream of corneal refractive surgery due to its advantages of safe operation, good curative effect, less complications, stable and painless. Strict screening of preoperative cases, intraoperative operation skills, well-equipped, close observation after surgery, the incidence of complications can be significantly reduced LASIK.