作者: Stephen C. Kaufman , Dmitri Y. Maitchouk , Auguste G.Y. Chiou , Roger W. Beuerman
DOI: 10.1016/S0886-3350(98)80347-7
关键词: Microscopy 、 Cornea 、 Diffuse lamellar keratitis 、 Keratomileusis 、 Materials science 、 Confocal 、 Debris 、 Microkeratome 、 Ophthalmology 、 LASIK 、 Surgery 、 Sensory Systems
摘要: Abstract Purpose: To determine the source of interface debris that causes inflammation known as “sands Sahara” after laser in situ keratomileusis (LASIK). Setting: Department Ophthalmology, LSU Eye Center, Louisiana State University Medical Center School Medicine, New Orleans, USA. Methods: A microkeratome (Automated Corneal Shaper) was used to make a LASIK flap 8 eyes 4 rabbits. In eyes, blade directly from sterile pack; contralateral cleaned prior use. vivo confocal microscopy corneas performed 1 day surgery. An unused, and an uncleaned blade, well blades rabbit were examined by scanning electron microscopy. Confocal revealed numerous fragments surrounded inflammatory cells interfaces created taken package. Interfaces showed only rare, scattered bits debris. Scanning unused on removed Conclusion: Post-LASIK may be caused although other sources are possible. The can reduced or eliminated cleaning before