摘要
目的探讨影响外伤致激光原位角膜镶术(LASIK)术后角膜瓣上皮缺损、错位、扭转的视力预后相关因素。方法回顾性分析2012年1月至2019年1月就诊于本院Lasik术后因外伤致角膜瓣损伤患者36例(37眼)的临床资料。分析Lasik术后角膜瓣损伤与年龄、性别、眼别、致伤原因、角膜瓣损伤类型、受伤至就诊时间、就诊时视力、治疗后视力等预后因素的相关性。结果致伤因素主要为手指戳伤,角膜瓣损伤类型最常见的有角膜瓣上皮缺损、角膜瓣错位、角膜瓣扭转。通过治疗所有角膜瓣错位、扭转者均复位良好,角膜上皮缺损者上皮生长良好,前房出血吸收。钝力伤组与锐器伤组视力预后比较差异有统计学意义(P<0.05),就诊时间与视力预后存在相关性(P<0.05)。结论 Lasik术后数年仍会有角膜瓣相关并发症发生,主要原因是外伤所致,伤后的就诊时间、致伤原因影响视力预后。
Objective To analyze the factors influencing visual prognosis of corneal flap epithelial defect, dislocation and torsion after laser in situ keratoplasty(LASIK). Methods The clinical data of 36 cases(37 eyes) with corneal flap injury after Lasik operation from January 2012 to January 2019 were retrospectively analyzed. The factors such as age, sex, eye type, cause of injury, type of corneal flap injury, time from injury to treatment, visual acuity at consultation and visual acuity after treatment were recorded and analyzed. Results The most common types of corneal flap injury are corneal flap epithelial defect, corneal flap dislocation and corneal flap torsion. All patients with corneal flap dislocation and torsion were well restored through treatment, and those with corneal epithelial defect had good epithelial growth and anterior chamber bleeding absorption. The difference was statistically significant(P<0.05), and there was a correlation between the treatment time and vision prognosis in vision prognosis between the blunt force injury group and the sharp instrument injury group(P<0.05). Conclusion The complications of corneal flaps still occur in several years after Lasik operation. The main reason is trauma. The time of seeing a doctor and the cause of injury affect the prognosis of vision.
作者
李珣旖
刘越
苏文华
毛羽佳
万春泓
Li Xunyi;Liu Yue;SuWenhua;Mao Yujia;Wan Chunhong(The First Affiliated Hospital of Jiangxi Medical College,Shangrao,Jiangxi,334000,China)
出处
《当代医学》
2020年第15期105-108,共4页
Contemporary Medicine
基金
江西省卫生健康委员会科技计划(20197551)。
