摘要
目的:探讨近视眼检查后未行LASIK术的原因。方法:近视1026例(2039眼)进行术前检查后未行LASIK的165例(296眼),对未行LASIK手术的原因进行分析。结果:165例(296眼)中思想顾虑大者45例(89眼,30.1%);中央角膜厚度不足者36例(66眼,22.3%);眼底病变22例(36眼,12.1%);角膜病变14例(16眼,5.4%);可疑青光眼12例(20眼,6.8%);中重度干眼11例(22眼,7.4%);矫正视力不良6例(10眼,3.4%);全身疾病7例(14眼,4.7%);其他原因12例(23眼,7.8%)。结论:LASIK手术是一种选择性手术,医患之间应加强沟通,严格进行术前检查,严格掌握手术的适应证和禁忌证。
AIM： To analyze the reasons that patients do not undergo LASIK after preoperative examination. METHODS： A totally of 1 026 cases （2 039 eyes） were examinated before surgery. The reasons of 165 cases （296 eyes） did not undergo LASlK were analyzed. RESULTS： In 165 patients （296 eyes）, 45 patients （89 eyes, 30. 1%） worried greatly about the surgery, the central corneal thickness of 36 cases （66 eyes, 22.3%） was nor suitable for LASlK, 22 cases （36 eyes, 12.1%） suffered from ocular fundus diseases, 14 cases （16 eyes, 5.4%） suffered from corneal diseases,12 cases （20 eyes, 6.8%） suspected glaucoma, 11 cases （22 eyes, 7.4%） had moderate and severe dry eyes, the corrected visual acuity of 6 cases （10 eyes, 3. 4%） was not ideal, 7 patients （14 eyes, 4.7%） had systemic diseases and 12 patients （23 eyes, 7.8% ） had other reasons. CONCLUSION： LASIK is quite optional. Communication should be strengthened between oculist and patient. The strict preoperative examination must be performed and its indication and contraindication should be grasped.
出处
《国际眼科杂志》
CAS
2009年第1期179-180,共2页
International Eye Science
