Excimer laser in situ keratomileusis Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 13 Excimer laser in situ keratomileusis Perioperative Nursing [Keywords:] excimer laser in situ keratomileusis; Perioperative: Nursing Excimer laser in situ keratomileusis for treatment of refractive errors is a relatively safe and effective method, the advantage of a short surgical procedure, rapid visual recovery after surgery, no pain and lasting effect, so it is more and more people accepted. and perioperative care of the recovery of visual acuity played an important role, now the preoperative, intraoperative and postoperative nursing of the report is as follows. 1 Clinical data This group of cases 1062 cases (2100), 508 cases were male (1016), female 554 cases (1084), aged 18 to 47 years, mean 28 years, myopia range of 1.00 ~ 17.50D. Excimer laser system with Ph.D. London ZYOPTIX-Z100, wavelength 193 nm, 0.95 mm small-spot high-speed flying spot scanning, the United States HANSTON automatic microkeratome lamellar corneal knife. 2 Care 2.1 Preoperative Care 2.1.1 The case history without first asking the development of myopia in patients with a history of the past two years, if temporarily surgery [1], followed by the availability of contact lenses because contact lenses affect the shape of the cornea will generally need to stop wearing 2 weeks check before the surgery. detail about allergies, family history and presence of eye trauma and eye surgery, to determine whether the surgery and possible complications. understand the patient’s general condition, excluding systemic diseases the immune system such as hyperthyroidism, rheumatism, rheumatoid, etc., eye diseases, such as dry eye, retinal detachment, glaucoma and severe diabetes, immune deficiency diseases should not be operative, the special period, such as pregnancy, breastfeeding or are taking hormones should postpone surgery. 2.1.2 preoperative patients with preoperative visual acuity should be checked, corrected visual acuity, degree of refractive errors