Department of Ophthalmology, PLA 150th Hospital, Luoyang, Henan, China Department of Ophthalmology, Jinan Military General Hospital, Jinan, Shandong, China.
Department of Ophthalmology, PLA General Hospital, Beijing, China.
Br J Ophthalmol. 2014 Sep;98(9):1282-6. doi: 10.1136/bjophthalmol-2013-304422. Epub 2014 Apr 15.
To report 45 cases of late traumatic flap complications after laser-assisted in situ keratomileusis (LASIK) and discuss the continually increasing number of cases in China.
A multicentre retrospective survey of eye injuries was carried in 31 military hospitals from January 2006 to December 2011. Detailed information from the medical records of all 92 cases with a history of prior LASIK treatment were collected and summarised, with respect to visual acuity (VA), flap condition, treatment and final outcome. All Chinese publications relevant to late traumatic flap complications in Chinese patients were retrieved and summarised.
92 inpatients (92 eyes) underwent LASIK surgery; 45 of these had traumatic LASIK flap complications. Flap dislocation was the commonest and most needed surgical repair. VA after treatment was good and no statistically significant difference was observed when compared with the 47 cases without flap complications. 109 articles related to late traumatic flap complications after LASIK were retrieved from four Chinese document databases. There were 550 cases of late traumatic flap complications. From 2004, case reports became more common; 10 or more cases were reported in some case series. VA of most cases was good and there was no remarkable vision loss after treatment.
Late traumatic flap complications after LASIK have become more frequent in China, although the prognosis of most cases is good.
报告 45 例激光辅助原位角膜磨镶术（LASIK）后迟发性瓣并发症，并探讨中国此类病例不断增加的情况。
2006 年 1 月至 2011 年 12 月，31 家军队医院进行了一项多中心回顾性眼外伤调查。收集并总结了 92 例既往 LASIK 治疗史患者的病历详细信息，包括视力（VA）、瓣状况、治疗和最终结果。检索并总结了所有与中国患者迟发性外伤性瓣并发症相关的中文文献。
92 例（92 眼）住院患者接受了 LASIK 手术，其中 45 例发生了外伤性 LASIK 瓣并发症。瓣脱位是最常见且最需要手术修复的并发症。治疗后的 VA 良好，与无瓣并发症的 47 例相比无统计学差异。从四个中文文献数据库中检索到与 LASIK 后迟发性外伤性瓣并发症相关的 109 篇文章，共 550 例迟发性外伤性瓣并发症。自 2004 年以来，病例报告越来越多，一些病例系列报告了 10 例或更多病例。大多数病例的 VA 良好，治疗后视力无明显下降。
尽管大多数病例的预后良好，但中国 LASIK 后迟发性瓣并发症的发生率有所增加。
