国际眼科杂志2006，Vol.6Issue(5)：995-998,4.
LASIK术后视网膜脱离的临床观察
Clinical observation on retinal detachment after LASIK
秦波 1成洪波 1赵铁英 1胡建荣1
作者信息
- 1. 518001,中国广东省深圳市,暨南大学医学院深圳眼科中心,深圳市眼科医院
- 折叠
摘要
Abstract
AIM: To investigate the characteristics and surgical management of retinal detachment (RD) after laser-assisted in situ keratomileusis (LASIK) in myopia.METHODS: Documents of patients with RD observed in 18342 eyes (9 598 patients) who underwent LASIK were retrospectively reviewed. None of the patients had history of corneal or other diseases before LASIK and preoperative fundus examination was performed. Patients were followed for a mean of 20 months and the clinical features of the eyes which developed RD after LASIK were investigated.RESULTS: Six patients including 2 males and 4 females developed RD, and the incidence of RD after LASIK was 0.33‰. Mean pre-LASIK myopia in these 6 eyes was 9.33D.None of these eyes had prophylactic treatment history of any retinal lesions. Mean time interval between LASIK and RD development was 9.2 months. All RDs happened spontaneously and were managed with vitrectomy and other techniques.Retinal reattachment was achieved at the first retinal detachment surgery in all 6 eyes (100%) at mean follow-up of 9.3months.CONCLUSION: RD after LASIK is not common. The study suggests no cause-effect relationship between RD and LASIK procedure in myopic eyes. However, clinicians should still be aware of retinal pathology in patients undergoing LASIK.关键词
准分子激光原位角膜磨镶术/近视/视网膜脱离/并发症Key words
laser in situ keratomileusis/myopia/retinal detachment/complication分类
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秦波,成洪波,赵铁英,胡建荣..LASIK术后视网膜脱离的临床观察[J].国际眼科杂志,2006,6(5):995-998,4.
