Excimer laser in situ keratomileusis in patients with perioperative psychological care.docVIP

 PAGE \* MERGEFORMAT 10 Excimer laser in situ keratomileusis in patients with perioperative psychological care [Keywords:] Keratomileusis, perioperative care, refractive errors Excimer laser in situ keratomileusis (LASIK) is a new type of corneal refractive surgery, how to improve the accuracy of surgery to prevent complications, become of great concern [1]. As a traumatic of treatment, patients can produce a series of psychological barriers, psychological barriers which can lead to a series of psychological, physiological changes which affect the outcome. I Section 180 cases through the entire process of tracking surgical patients observed, and perioperative impose appropriate psychological care, access to a more satisfactory results. 1 Clinical data December 2007 ~ March 2008 LASIK surgery in our hospital 180 patients, male 96 cases, female 84 cases, the oldest 45 years old, minimum of 18 years, mean age 31.5 years. Diopter of myopia -2.00 D ~ -18.00 D , astigmatism -0.25 D ~ +6.00 D, hyperopia +0.75 D ~ +5.50 D. surgical outcomes: preoperative best corrected visual acuity reached 176 cases, 4 cases of uncorrected visual acuity of more thangt; = 0.6, infection and corneal flap and other concurrent disease. 2 routine care and examination 2.1 eye examination Line naked eye before and after surgery and vision correction, non-contact tonometry, refraction, slit lamp microscopy, indirect ophthalmoscopy after dilation, central corneal thickness, corneal topography, and ophthalmic A / B ultrasound measurements and other tests, excluding keratitis, corneal ulcers , keratoconus, retinal tears, ocular hypertension and other surgical contraindications. Surgery excluded patients with contraindications 2.2 3 d before surgery with antibiotic eye drops drops of levofloxacin eye drops, 4 times / d, those who wear contact lenses 2 weeks before surgery to disable. 2.3 General Care Need to be replaced before operation clean shoes, hat, surgical