摘要
目的:回顾性分析LASIK术后迟发性弥漫性板层角膜炎的病因。方法:2005-01/2007-10到我院行LASIK手术治疗并连续进行观察的近视患者,分为甲、乙两组。LASIK术中所用板层角膜刀、刀头甲组用诗乐氏消毒,乙组采用高压消毒。结果:LASIK术后各时期,甲、乙组的裸眼视力、眼压差异无统计学意义(P>0.05)。甲组患者术后1mo4眼(0.25%)发生弥漫性板层角膜炎(diffuse lamellar keratitis,DLK),全部为Ⅰ期;术后3mo56眼(3.54%)发生DLK,其中Ⅰ期41眼(73.21%),Ⅱ期15眼(26.79%);术后6mo10眼(0.63%)发生DLK,全部为Ⅰ期;术后1a3眼(0.19%)发生DLK,全部为Ⅰ期。乙组患者各时期均未见DLK发生。结论:诗乐氏可能导致LASIK术后迟发性弥漫性板层角膜炎。
AIM： To study the cause of late onset diffuse lamellar keratitis（DLK） after LASIK. METHODS： Myopic patients after LASlK from January 2005 to October 2007 were divided into A group and B group according to the different sterile technique. The apparatus in operation was sterilized by Shileshi in A group, but by high pressure in B group. RESULTS： There were no significant differences of uncorrectal visual acuity （ UCVA ） and intraocular presscure （ IOP ） between A group and B group postoperatively（ P 〉 0. 05）. One month after operation, the incindence of DLK was 0.25% （4 eyes） in A group, all of them were grade Ⅰ. Three months after operation, the incindence of DLK was 3. 54% （56 eyes） in A group. Among them, grade Ⅰ accounted for 73.21% （41 eyes） , and grade Ⅱ was 26. 79% （15 eyes）. Six months after operation, the incindence of DLK was 0.63% （10 eyes） in A group, and all of them were grade Ⅰ. One year after operation, the incindence of DLK was 0.19% （3 eyes） in A group,and all of them were grade Ⅰ. The incindence of DLK was 0.00% in B group in every period. CONCLUSION： Shileshi maybe involved in late onset diffuse lamellar keratitis after LASIK.
出处
《国际眼科杂志》
CAS
2009年第8期1589-1591,共3页
International Eye Science
