目的 :分析准分子激光原位角膜磨镶术 (excimerlaserinsitukeratomileusis ,LASIK)治疗近视发生并发症的原因。方法 :16 37例、3192眼近视患者 (- 1.0 0D～ - 13.75D)均用LASIK进行治疗。结果 :术中主要并发症为薄角膜瓣 5眼 ,占 0 .16 % ;角膜瓣形成不全 3眼 ,占 0 .10 % ;角膜瓣游离 4眼 ,占 0 .13% ;角膜血管翳出血 87眼 ,占 2 .87%。术后主要并发症 ,包括角膜水肿 2 0 6眼 ,占 6 .8% ;瓣移位 3眼 ,占 0 .10 % ;瓣皱褶 2眼 ,占 0 .0 7% ;上皮内生 11眼 ,占 0 .36 % ;层间沙漠反应 8眼 ,占 0 .2 6 % ;高眼压症 5眼 ,占 0 .16 %。结论 :及时、正确的处理LASIK手术的并发症 ,是手术成功的关键 Objective: To analyze the causes of myopia complications by laser in situ keratomileusis (LASIK). Methods: Totally 16 37 patients (3192 eyes) with myopia (-1.0D ~ - 13.75D) were treated with LASIK. Results: The main complications during operation were 5 thin corneal flap (0.16%), 3 corneal flap insufficiency (0. 10%), 4 corneal flap free (0 .13%), corneal haemorrhage Eyes, accounting for 2.87%. The main postoperative complications included 206 corneal edema, accounting for 6.8%; 3 cases of flap displacement, accounting for 0.10%; 2 cases of flap fold, accounting for 0.07%; 11 cases of epithelial endothelium , Accounting for 0 .36%; 8 layers of desert reaction, accounting for 0.26%; ocular hypertension 5, accounting for 0.16%. Conclusion: The timely and correct treatment of complications of LASIK surgery is the key to successful operation