目的:调查LASIK术后眼外伤的原因、LASIK术后时间、伤后来诊时间、伤情及伤后视力,分析视力恢复预后与LASIK术后时间、伤后来诊时间、致伤原因及致伤物的关系。方法:收集2000年1月-2006年12月门诊战士人数7179例,其中LASIK术后眼外伤患者22例(22眼),男19例(19眼),女3例(3眼),均为单眼受伤。详细记录LASIK术后发生眼部外伤后的致伤原因、致伤物、来诊时间、伤情、视力受损情况,以及视力预后与LASIK术后时间、来诊时间、致伤物及致伤原因的关系。结果:(1)致伤因素:体育运动中受伤:3眼,占13.6%;训练受伤5眼,占22.7%;劳动致伤9眼,占40.9%;其它:5眼,占22.7%,以训练受伤和劳动致伤最常见占63.6%,其中锐器致伤明显重于钝器伤。(2)伤后来诊时间:受伤后3天内来诊占77.3%。(3)LASIK术后时间:6个月以下16眼,占72.7%,7-12个月4眼,占18.2%,12个月以上2眼,占9.1%。6个月以内最常见,LASIK术后6个月以内出现角膜瓣移位或错位最常见,伤情明显重于6个月以上的病人。(4)受伤原因与伤情:角膜瓣移位或错位16眼,占72.7%,仅角膜上皮剥脱4眼,占18.2%.同时伴有角膜瓣下异物、瞳孔散大、前房积血、暂时性的眼压升高,留下不可逆性的外伤性瞳孔散大等12眼,占54.5%。劳动或训练中受伤的视力明显低于其它原因致伤的视力,伤情也明显重于其它原因致伤者。(5)伤情与预后:训练受伤和劳动致伤最常见,伤情最重,预后最差。结论:军人LASIK术后眼外伤的主要原因为训练和劳动中受伤,LASIK术后6个月内最常见。眼部症状中角膜瓣相关并发症最多见,眼部受伤程度与预后密切相关。提示:LASIK术后病情稳定后再参军,LASIK术后要特别注意眼睛防护。 Objective: To investigate the causes of eye injury after LASIK, the time after LASIK, the time of visiting, the injury and visual acuity after LASIK, the prognosis of visual acuity recovery and the time after LASIK, the time of visiting, the cause of injury and the injury Relationship. Methods: A total of 7179 outpatients were recruited from January 2000 to December 2006, including 22 eyes (22 eyes), 19 men (19 males) and 3 females (3 eyes) after LASIK surgery Monocular injury. Detailed records of eye injury after LASIK cause of injury, injury, visit time, injury, visual impairment, and visual acuity and prognosis of LASIK after surgery time, injury and injury The reason of the relationship. Results: (1) Injury factors: sports injuries: 3 eyes, accounting for 13.6%; training injuries in 5 eyes, accounting for 22.7%; labor injury in 9 eyes, accounting for 40.9%; others: 5 eyes, accounting for 22.7% The most common injuries and injuries accounted for 63.6% of training injuries, of which sharp injuries were significantly heavier than blunt trauma. (2) The time to visit after injury: 77.3% of the patients visited within 3 days after injury. (3) The time after LASIK was 16 eyes of 6 months or less, accounting for 72.7%, 4 eyes of 7-12 months, accounting for 18.2% and 2 eyes of 12 months or more, accounting for 9.1%. Within 6 months of the most common, LASIK within 6 months after the corneal flap displacement or dislocation of the most common injuries significantly heavier than 6 months of patients. (4) Cause of injury and injury: corneal flap displacement or dislocation of 16 eyes, accounting for 72.7%, only 4 corneal epithelial exfoliation, accounting for 18.2% .At the same time accompanied by corneal flap foreign body, mydriasis, hyphema, Temporary elevated intraocular pressure, leaving irreversible traumatic mydriasis 12 eyes, accounting for 54.5%. Injured eyesight in work or training was significantly lower than that of other causes of injury, injuries were significantly heavier than other causes of injury. (5) injury and prognosis: the most common training injuries and injuries, the most serious injuries, the worst prognosis. CONCLUSIONS: The main causes of ocular trauma after LASIK in military service are injuries during training and labor, most commonly within 6 months after LASIK. Corneal flap-related complications in the most common eye symptoms, eye injury and prognosis are closely related. Tip: After LASIK stable condition and then join the army, LASIK surgery should pay special attention to eye protection.