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- 2017-05-03 发布于浙江
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Identified under the excimer laser epithelial keratomileusis for high myopia
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Identified under the excimer laser epithelial keratomileusis for high myopia
Authors: Li Branch, Jia, LI Chan, rice Health Jian, Fan switch Ning
[Keywords:] Laser
[Keywords:] laser; cornea; treatment; myopia
0 Introduction
We use the excimer laser subepithelial keratomileusis (laserassisted subepithelial keratomileusis, LASEK) for treatment of high myopia, and achieved good efficacy, the report is as follows.
An object and method
1.1 Object
77 patients with high myopia (male 22, female 55) cases, 146. Aged 18 to 34 years. Preoperative refraction -6.00 ~ -13.00 (average -9.00) DS. Astigmatism: -0.5 ~ -3.5 DC. Central corneal thickness 482 ~ 533 (average 500) μ m. preoperative eye examination included: uncorrected visual acuity, corrected visual acuity, retinoscopy, computer refraction, intraocular pressure, corneal topography, axial length, dilated. endoscopic examination in the fundus between the retinoscopy exclude keratoconus, glaucoma, anterior segment and fundus lesions. preoperative best corrected visual acuity more than 0.8. preoperative theoretical calculations without residual myopia.
1.2 Methods
Warefront produced using the German Eagle, as the excimer laser corneal epithelium and the Italian production of knives, shop towel routine disinfection, open eyelid, washing corneal surface and conjunctival sac; with circular saws corneal epithelium (diameter 8.0 mm) to the pupil center as the Park Heart-cut corneal epithelium (depth of about 60 μ m); the ring ethanol bowl (diameter 8.5 mm) along the corneal epithelium, immediately saw signs of corneal surface; to now with a good 200 mL / L ethanol, 0.2 mL ethanol into the bowl, the immersion 25 ~ 30 s; absorbent sponge with a net absorption of ethanol; in ethanol injected into the BSS Ang liquid absorbent sponge dry again; repeated washing with BSS cornea and conjunctival sac fluid. hoe along with the corneal epithelium on the pitche prescribe the peel on the cortex the base b
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