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目的 探讨 L asik矫治近视及近视性散光术中病人可能出现的问题 ,进一步改进术中护理配合的方法。方法 我科应用美国 CHIRON公司生产的自动微型角膜板层切开刀及 KERACOR117准分子激光机对 10 92例近视患者 (共 2 0 71只眼 )进行了准分子激光原位角膜磨镶术近视矫治。结果 术后 12个月裸眼视力≥ 0 .5的占93.1% ,视力≥ 1.0的占 79.3%。未出现角膜瓣游离、不全 ,角膜感染 ,切穿角膜以及视网膜脱离等严重并发症。结论 保持术中患者正确的头位及眼位及其重要 ,可防止术中并发症的发生。
Objective To investigate the possible problems of L asik in the treatment of myopia and myopic astigmatism and to further improve the method of intraoperative nursing cooperation. Methods The myelography of 1092 patients with myopia (2 071 eyes in total) underwent laser in situ keratomileusis myopia by using the automatic miniature corneal laminotomy knife and KERACOR117 excimer laser produced by CHIRON Corporation in our country. . Results In the 12 months after operation, visual acuity ≥0.5 accounted for 93.1%, visual acuity ≥ 1.0 accounted for 79.3%. Corneal flap did not appear free, incomplete, corneal infection, cut through the cornea and retinal detachment and other serious complications. Conclusions It is important to keep the correct head and eye position and prevent the occurrence of intraoperative complications.