Milea D, Burillon C
Clinique Universitaire Ophtalmologique, Hôpital Edouard Herriot, Lyon, France.
J Cataract Refract Surg. 1999 May;25(5):709-11. doi: 10.1016/s0886-3350(99)00018-8.
Corectopia, the eccentric displacement of the pupil, may be associated with other abnormalities such as axial high myopia or ectopia lentis. We report the case of a patient presenting for surgery to correct bilateral myopia of 6.50 diopters (D) associated with corectopia. Excimer laser ablation was decentered and performed on the center of the abnormal pupils. After a 2 year follow-up, best corrected visual acuity was 20/20 with -1.00 D correction in each eye. To our knowledge, this is the first report of excimer laser photorefractive keratectomy for myopia associated with corectopia. The satisfactory results suggest that in abnormally eccentric pupils, excimer laser treatment of myopia may be successful when it is centered on the deviated pupil.
瞳孔异位,即瞳孔的偏心移位,可能与其他异常情况有关,如轴性高度近视或晶状体异位。我们报告了一例患者,该患者前来接受手术以矫正伴有瞳孔异位的6.50屈光度(D)的双侧近视。准分子激光消融偏离中心并在异常瞳孔的中心进行。经过2年的随访,每只眼睛的最佳矫正视力为20/20,矫正度数为-1.00 D。据我们所知,这是第一例关于准分子激光屈光性角膜切除术治疗伴有瞳孔异位的近视的报告。令人满意的结果表明,在异常偏心的瞳孔中,当准分子激光治疗近视以偏离的瞳孔为中心时可能会成功。