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[准分子激光原位角膜磨镶术后上皮内生——个人经验]

[Epithelial ingrowth after LASIK--personal experience].

作者信息

Wygledowska-Promieńska Dorota, Rokita-Wala Iwona

机构信息

I Katedry i Kliniki Okulistyki Slaskiej Akademii Medycznej w Katowicach.

出版信息

Klin Oczna. 2003;105(3-4):157-61.

PMID:14552175
Abstract

The current incidence of epithelial ingrowth after LASIK varies from 1% to 12%. After second procedure, it increases up to 32%. Known risk factors for this complication include epithelial defects at the time of surgery, or a history of recurrent corneal erosions, corneal basement membrane epithelial dystrophy, history of ingrowth in the other eye, hyperopic LASIK correction, flap instability, repeated LASIK surgeries. We performed 200 LASIK procedures. In 12 patients we found epithelial ingrowth. The follow up period was 2 years. We applied treatment: lifting and manual removal in 7 cases, phototherapeutic keratectomy in 3 cases. The rest of cases were under observation. Epithelial ingrowth is a relatively rare complication, following LASIK.

摘要

准分子激光原位角膜磨镶术(LASIK)后上皮内生的当前发生率在1%至12%之间。二次手术后,该发生率会增至32%。已知的该并发症风险因素包括手术时的上皮缺损、复发性角膜糜烂病史、角膜基底膜上皮营养不良、对侧眼内生病史、远视性LASIK矫正、瓣不稳定、重复LASIK手术。我们实施了200例LASIK手术。在12例患者中发现了上皮内生。随访期为2年。我们采取了治疗措施:7例采用掀开并手动切除,3例采用光治疗性角膜切削术。其余病例进行观察。上皮内生是LASIK术后一种相对罕见的并发症。

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