文档介绍：LASIK围手术期干预治疗降低术后干眼症的临床观察
(作者:___________单位: ___________邮编: ___________)
【摘要】目的:观察LASIK围手术期干预治疗降低术后干眼症的临床效果。方法:行LASIK术近视及散光患者568例1124眼,采取术前筛选、围手术期干预治疗,分别观察术前及术后1wk;1,3mo干眼症状,并行泪液分泌试验、泪膜破裂时间、角膜荧光素染色检查。结果:术后1wk 158眼(%),1mo 136眼(%),3mo 58眼(%)符合干眼症诊断标准,且均为轻度。结论:重视术前对干眼症的筛查,合理的围手术期干预治疗是降低干眼症发生的重要措施。
【关键词】 LASIK;干眼症;干眼症的筛查;围手术期干预治疗
AbstractAIM: To observe the clinical effect of perioperative intervention treatment for dry eye in : Totally 568 patients 1124 eyes with myopia and astigmatism in LASIK surgery underwent preoperative screening and perioperative intervention. Dry eye symptoms were observed before and 1 week; 1 month,3 months after operation. Tear secretion test, tear film breakup time and corneal fluorescein staining were performed.RESULTS: Mild dry eye was found in 158 eyes(%) 1 week, 136 eyes(%) 1 month, 58 eyes(%) 3 months after : The screening before surgery and reasonable perioperative intervention play on important role in reducing the occurrence of dry eye.
KEYWORDS: LASIK; dry eye; dry eye screening; perioperative intervention
0引言
准分子激光原位角膜磨镶术(laser in situ koratomileusis, LASIK)是目前屈光矫治手术中开展最多、应用最为广泛的一种手术方式。但术后部分患者出现眼睛干涩感、异物感,引起手术医生和患者的重视。为了减少干眼症的发生,我们对568例1 124眼行LASIK手术的近视患者,采取术前筛选、围手术期干预治疗,术后改善了眼部症状,降低了干眼症的发生率,提高了视觉质量和手术满意度,现报告如下。
1对象和方法
09/200912在我院自愿接受激光矫治的近视及散光患者568例1124