摘要
目的探讨 KM-5000DE 微型角膜上皮刀制作上皮瓣的正确方法,和瓣并发症的预防和处理方法用 KM-5000DE 制作上皮瓣80眼,按手术时间分为 A、B 两组,共40例,统计上皮瓣的并发症。结果并发症 A 组为15%,B 组为7.5%,A 组和 B 组对比差异有统计学意义。两组共有不完全瓣2眼(2.5%),碎瓣2眼(2.5%),游离瓣2眼(2.5%),卡刀2眼(2.5%),切基质1眼(1.25%),结论 KM-5000DE 的瓣并发症虽然高于准分子激光原位角膜磨镶术(laser in situ keratomileusis,LASIK),但不引起严重的后果。总结关于卡刀、不完全瓣、碎瓣、游离瓣和切基质的处理经验,微型角膜刀准分子激光角膜上皮瓣下磨镶术(epipolis laser in situkeratomileusis,EPI-LASIK)是个安全有效的手术方法。另外对设备的熟悉程度,与瓣并发症的发生呈相关性。
Purpose To explore the right methed of forming of epithelial flap with KM-5000 epikemtome, and prevention and treatment of the flap complications. Methods Epithelial flaps were formed in 80 eyes with KM-5000 epikeratome. All the eyes operated were divided into group A （40 eyes） and group B （40 eyes） chronologically and the rate of complications were examined. Results The rate of flap complications in group A was 15 % and 7.5% in group B. There was significant difference in the rate of complication between group A and group B. In the two groups the rate of incomplete epithelial flap was 2.5% （2 eyes）, broken epithelial flap 2.5% （2 eyes）, free epithelial flap, 2.5% （2 eyes）, stop epikeratome 2.5 % （2 eyes） and epithelial flap containing stroma tissue, 1.25 % （ 1 eye）. Conclusion Based on the practice in treating stop epikeratome, incomplete epithelial flap, broken epithelial flap, free epithelial flap and epithelial flap containing stroma tissue, it is concluded that EPI-LASIK is a safe and effective operation mean. Although the rate of complications of KM-5000 epikeratome are higher than that of LASIK, no serious outcome wouhl ever occur. The familiarity to the equipments plays a relatively important role in the prevention from flap complications. （Chin J Ophthalmol and Otorhinolaryngology, 2006,6 ： 308 - 309）
出处
《中国眼耳鼻喉科杂志》
2006年第5期308-309,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology
关键词
角膜上皮刀
角膜瓣
并发症
epikeratome
cornea flap
complications
