目的:探讨LASIK术后角膜瓣下上皮植入的发生及处理。方法:回顾分析2633例5134眼LASIK术后角膜瓣下上皮植入的19例32眼的处理及预后情况,对上皮植入范围超过2mm,角膜瓣边缘荧光素染色阳性的9例15眼,在手术显微镜下去除角膜瓣边缘1mm范围的上皮,清除瓣下植入上皮,BSS液瓣下冲洗,展平角膜瓣,覆盖透氧角膜接触镜。结果:手术处理的15眼角膜瓣复位良好,患者视力较LASIK术后无下降。结论:及时正确地治疗,可以避免严重的并发症并获得良好的视觉结果。

AIM:To explore the management methods and outcomes for epithelial ingrowth after laser in situ keratomileusis (LASIK ).METHODS: Thirty-two eyes(19 cases) of epithelial ingrowth after LASIK in 5 134 eyes(2 633 cases) were collected.15 eyes(9 cases) with epithelial ingrowth over 2mm which defined by fluorescein staining had management by surgical removal.The 1mm epithelium of the margin in the LASIK flap was removed,and the ingrowthed epithelium was scraped under the corneal flap, irrigated by BSS under the flap,the flap was relocated and fitted with soft contact lens. RESULTS: The LASIK flap of 15 eyes were successfully repositioned with naked visual acuity recovered.CONCLUSION: Prompt and appropriate management can lead to an excellent visual outcome and avoid severe complications.

R779.63