Xiao Jian-He, Zhang Mao-Nian, Jiang Cai-Hui, Zhang Ying, Qiu Huai-Yu
Department of Ophthalmology, Chinese PLA General Hospital, Beijing 100853, China.
Chin J Traumatol. 2012;15(2):77-80.
To investigate the relationship between eye injury and laser in-situ keratomileusis (LASIK) surgery in military personnel.
This retrospective study collected the data from 27 evacuation hospitals of Chinese army. All medical records of eye injuries in military personnel admitted to the 27 hospitals between January 2006 and December 2010 were reviewed. Patients'detailed information was analyzed, including the injury time, place, type, cause, as well as examination, treatment and outcome.
There were 72 eye-injured patients who had been treated by LASIK before. The incidence was rising year by year. Among them, 69 patients were diagnosed with mechanical ocular injury and 3 with non-mechanical ocular injury; 29 patients had traumatic flap-related complications and 21 patients need surgery. There was statistical difference when compared with those having no refractive surgery history. Visual acuity recovered well at discharge.
There is a high risk of potential traumatic flap problems after LASIK and it is not recommended in army service.
探讨军事人员眼外伤与准分子原位角膜磨镶术（LASIK）手术之间的关系。
这项回顾性研究收集了来自中国军队27家后送医院的数据。对2006年1月至2010年12月期间入住这27家医院的军事人员眼外伤的所有病历进行了回顾。分析了患者的详细信息，包括受伤时间、地点、类型、原因以及检查、治疗和结果。
有72例曾接受过LASIK治疗的眼外伤患者。发病率逐年上升。其中，69例被诊断为机械性眼外伤，3例为非机械性眼外伤；29例发生与创伤性角膜瓣相关的并发症，21例需要手术。与无屈光手术史的患者相比，存在统计学差异。出院时视力恢复良好。
LASIK术后存在潜在创伤性角膜瓣问题的高风险，不建议在军队服役人员中开展。
