准分子原位角膜磨镶术和准分子激光角膜切削术后黄斑裂孔

Macular hole after laser in situ keratomileusis and photorefractive keratectomy.

作者信息

Chan C K, Lawrence F C

机构信息

Southern California Desert and Inland Retina Consultants, Palm Springs, California 92263, USA.

出版信息

Am J Ophthalmol. 2001 May;131(5):666-7. doi: 10.1016/s0002-9394(00)00855-2.

DOI:10.1016/s0002-9394(00)00855-2

PMID:11336951

Abstract

PURPOSE

To describe three myopic patients who developed unilateral macular hole after undergoing bilateral laser in situ keratomileusis or photorefractive keratectomy.

METHODS

Case reports.

RESULTS

Three eyes of three myopic patients developed a macular hole in one eye after bilateral laser in situ keratomileusis or photorefractive keratectomy. The macular hole formed between 4 to 7 weeks after laser in situ keratomileusis in case 1 (a 48-year-old woman), and within 2 months after laser in situ keratomileusis in case 2 (a 36-year-old woman). In case 3 (a 45-year-old man), the macular hole was found 9 months after photorefractive keratectomy. A vitrectomy closed the macular hole of case 1 with final best-corrected visual acuity of 20/25 and case 2 with 20/30, whereas case 3 declined further surgery.

CONCLUSION

A macular hole may develop in myopic eyes after laser in situ keratomileusis or photorefractive keratectomy. Vitreoretinal interface changes may play a role.

摘要

目的

描述3例近视患者在接受双眼准分子原位角膜磨镶术（LASIK）或准分子激光屈光性角膜切削术（PRK）后发生单眼黄斑裂孔的情况。

方法

病例报告。

结果

3例近视患者的3只眼在接受双眼LASIK或PRK后，其中1只眼发生了黄斑裂孔。病例1（一名48岁女性）在LASIK术后4至7周形成黄斑裂孔，病例2（一名36岁女性）在LASIK术后2个月内形成。病例3（一名45岁男性）在PRK术后9个月发现黄斑裂孔。玻璃体切除术封闭了病例1的黄斑裂孔，最终最佳矫正视力为20/25，病例2为20/30，而病例3拒绝进一步手术。