加强角膜屈光手术围手术期管理，谨防术后角膜扩张

doi:10.13281/j.cnki.issn.1004-4469.2021.02.002

眼科 ›› 2021, Vol. 30 ›› Issue (2): 85-88.doi: 10.13281/j.cnki.issn.1004-4469.2021.02.002

加强角膜屈光手术围手术期管理，谨防术后角膜扩张

张丰菊孙明甡

首都医科大学附属北京同仁医院北京同仁眼科中心眼科学与视觉科学北京市重点实验室 100730

收稿日期:2020-12-29 出版日期:2021-03-25 发布日期:2021-03-18
通讯作者: 张丰菊，Email：zhangfj126@126.com
基金资助:
首都临床诊疗技术研究及转化应用（Z201100005520043）；北京市卫生系统高层次卫生技术人才基金（2013-2-023）；北京市经济技术开发区新创工程领军人才培养基金（2018-05-09）

Pay attention to the perioperative management of corneal refractive surgery and prevent postoperative corneal ectasia

Zhang Fengju, Sun Mingshen

Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing 100730, China

Received:2020-12-29 Online:2021-03-25 Published:2021-03-18
Contact: Zhang Fengju, Email: zhangfj126@126.com
Supported by:
Research and Transformation Application of Capital Clinical Diagnosis and Treatment Technology by Beijing Municipal Commission of Science and Technology (Z201100005520043); High-level Talent Fund of Beijing Health Government (2013-2-023); Leading Talent Training Fund of Beijing Economic and Technological Development Zone Innovative Project (2018-05-09)

摘要/Abstract

摘要： 为预防角膜屈光手术后严重并发症特别是角膜扩张的发生，应重视围手术期的管控要点，强化术前筛查、手术设计及术后合理护理等环节。结合角膜生物力学变化及角膜形态学检测，协助角膜屈光手术前圆锥角膜的筛查。角膜屈光手术适应证的合理选择、个性化设计及规范化处理，是有效防范角膜扩张并发症发生的关键。（眼科， 2021， 30： 85-88）

关键词: 圆锥角膜, 角膜扩张, 角膜屈光手术, 围手术期, 生物力学

Abstract: In order to prevent the serious complications after corneal refractive surgery, especially the occurrence of corneal ectasia, we should pay attention to the key points of perioperative management and control, and strengthen the links of preoperative screening, surgical design and reasonable postoperative nursing. Combined with corneal biomechanical changes and corneal morphology measurement can assist in screening keratoconus before corneal refractive surgery. The rational selection of corneal refractive surgery indications, personalized design and standardized treatment are keys to effectively prevent the occurrence of complications of corneal ectasia. (Ophthalmol CHN, 2021, 30: 85-88)

Key words: keratoconus, ectasia, corneal refractive surgery, perioperative period, biomechanics

张丰菊孙明甡. 加强角膜屈光手术围手术期管理，谨防术后角膜扩张[J]. 眼科, 2021, 30(2): 85-88.

Zhang Fengju, Sun Mingshen. Pay attention to the perioperative management of corneal refractive surgery and prevent postoperative corneal ectasia

[J]. Ophthalmology in China, 2021, 30(2): 85-88.

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加强角膜屈光手术围手术期管理，谨防术后角膜扩张

Pay attention to the perioperative management of corneal refractive surgery and prevent postoperative corneal ectasia

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