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Complications of laser in situ keratomileusis: etiology, prevention, and treatment.

机译:激光原位角膜磨镶术的并发症:病因,预防和治疗。

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PURPOSE: To review the etiology, prevention, and management of laser in situ keratomileusis (LASIK) complications. METHODS: Review of literature and the experience of the authors. RESULTS: Careful preoperative screening is critical to prevention of many potential complications of LASIK. Flap complications that occur during surgery are typically managed by replacement of the flap and repeating the surgery or applying special methods such as transepithelial photorefractive keratectomy weeks to months following the initial procedure. A common source of serious complications is the use of a microkeratome that functions after improper assembly. Timely treatment of postoperative complications such as diffuse lamellar keratitis, flap striae, and infection is critical to an optimal outcome. CONCLUSION: Most complications of LASIK can be treated effectively and have minimal effect on the final outcome after surgery, if appropriate methods are used for management.
机译:目的:回顾激光原位角膜磨镶术(LASIK)并发症的病因,预防和处理。方法:文献综述和作者的经验。结果:仔细的术前筛查对于预防LASIK的许多潜在并发症至关重要。手术期间发生的皮瓣并发症通常可通过更换皮瓣并重复手术或在首次手术后数周至数月内应用特殊方法(例如经上皮光折射性角膜切除术)来处理。严重并发症的常见原因是使用了微型角膜刀,该角膜刀会在组装不当后起作用。及时治疗术后并发症,如弥漫性片状角膜炎,皮瓣纹状体和感染,对于获得最佳疗效至关重要。结论:如果采用适当的治疗方法,大多数LASIK并发症可以得到有效治疗,并且对手术后的最终结果影响很小。

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