摘要
目的 探讨WaveLightFS200飞秒激光制瓣的LASIK术中及术后早期并发症的发生情况。方法回顾性研究。收集2011年3月至2012年12月的连续病例400例（786只眼）行WaveLightFS200飞秒激光制瓣的LASIK，描述并统计分析各种手术并发症。结果术中并发症：400例（786只眼）中发生负压丢失2只眼（0．25％），角膜瓣边缘切割不全1只眼（0．13％），严重的层间不透明气泡5只眼（0．63％），前房气泡8只眼（1．02％），跳跃线12只眼（1．53％），上皮剥脱8只眼（1．02％）。术后早期并发症：400例（786只眼）中发生隧道出血8只眼（1．02％），弥漫性层间角膜炎23只眼（2．93％），角膜上皮下雾状混浊6只眼（0．76％），角膜瓣移位1只眼（0．13％）。结论WaveLightFS200飞秒激光制瓣的LASIK手术术中及术后早期并发症较轻，通过适当的处理可以获得良好的临床结果。
Objective To explore the incidence of intraoperative and early postoperative complications associated with the WaveLight FS200 femtosecond laser-assisted flap creation in LASIK surgery. Methods A consecutive series of 400 patients （786 eyes） who underwent LASIK using the WaveLight FS200 femtosecond laser from March 2011 to December 2012 were included in this retrospective study. Intraoperative and early postoperative complications were described and analyzed. Results The intraoperative complications included suction loss （two eyes, 0.25% ）, incomplete flap creation （one eye, 0.13%）, severe opaque bubble layers （three eyes, 0.38%）, anterior chamber gas bubbles （eight eyes, 1.02%）, skip lines （12 eyes, 1.53% ）, and corneal epithelial defects （eight eyes, 1.02% ）. The early postoperative complications included canal bleeding （eight eyes, 1.02%）, diffuse lamellar keratitis （23 eyes, 2.93%）, haze （six eyes, 0.76% ）, and flap dislocation （one eye, 0.13% ）. Conclusions Intraoperative and early postoperative complications of LASIK using the WaveLight FS200 were relatively mild. All patients could obtain satisfactory clinical results with proper treatment.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2016年第1期41-46,共6页
Chinese Journal of Ophthalmology
关键词
激光
飞秒
角膜磨镶术
激光原位
手术中并发症
手术后并发症
Laser, femtosecond
Keratomileusis, laser In situ
Intraoperative complications
Postoperative complications
