准分子原位角膜磨镶术用于视网膜脱离巩膜扣带术后近视的矫正。

Laser in situ keratomileusis to correct myopia after scleral buckling for retinal detachment.

作者信息

Belda José I, Ruíz-Moreno José M, Pérez-Santonja Juan J, Alió Jorge L

机构信息

Instituto Oftalmológico de Alicante, Alicante, Spain.

出版信息

J Cataract Refract Surg. 2003 Jun;29(6):1231-5. doi: 10.1016/s0886-3350(03)00063-4.

DOI:10.1016/s0886-3350(03)00063-4

PMID:12842697

Abstract

We describe 5 patients with a previously placed encircling scleral buckle for a retinal detachment who had laser in situ keratomileusis (LASIK) to correct myopia. Uncorrected (UCVA) and best corrected visual acuity, ultrasound pachymetry before and 6 months after LASIK, and development of intraoperative or postoperative complications were measured. In all patients, the UCVA improved and the myopic spherical equivalent decreased after the procedure. The mean ultrasonic pachymetry after LASIK was 413 microm +/- 23.1 (SD) (range 380 to 436 microm). No patient had difficulties with LASIK or postoperative complications. To correct myopia in eyes with a previous scleral buckle, LASIK was a feasible and relatively safe procedure.

摘要

我们描述了5例曾因视网膜脱离而植入环扎式巩膜扣带术的患者，他们接受了准分子原位角膜磨镶术（LASIK）以矫正近视。测量了未矫正视力（UCVA）和最佳矫正视力、LASIK术前及术后6个月的超声角膜测厚，以及术中或术后并发症的发生情况。所有患者术后UCVA均有改善，近视等效球镜度数降低。LASIK术后平均超声角膜厚度为413微米±23.1（标准差）（范围380至436微米）。没有患者在LASIK手术中遇到困难或出现术后并发症。对于曾行巩膜扣带术的眼睛，LASIK是一种可行且相对安全的手术。