准分子原位角膜磨镶术后的界面液
Interface fluid after laser in situ keratomileusis.
作者信息
Lyle W Andrew, Jin George J C, Jin Yian
机构信息
The Eye Institute of Utah, Salt Lake City, UT 84107, USA.
出版信息
J Refract Surg. 2003 Jul-Aug;19(4):455-9. doi: 10.3928/1081-597X-20030701-13.
PURPOSE
To describe a case of interface fluid after laser in situ keratomileusis (LASIK) and review the literature on this rare complication after LASIK.
METHODS
We present a case report and literature review. Articles for this review were chosen from electronic database and manual literature searches. MEDLINE searches were made from 1990 to April 2002, using the key words "interface fluid" and "LASIK."
RESULTS
A 40-year-old man had uneventful LASIK for residual refractive error from previous penetrating keratoplasty in his right eye. Diffuse lamellar keratitis began 1 day postoperatively. Topical corticosteroids were administered. Six weeks after LASIK, a layer of interface fluid developed. Intraocular pressure was 9 mmHg when measured centrally by Goldmann applanation tonometry and 30 mmHg by Tono-pen tonometry. The interface fluid resolved with antiglaucoma agents and corticosteroids combined with cyclosporine.
CONCLUSIONS
This case, along with other reported cases, demonstrate the clinical features of interface fluid after LASIK.
目的
描述一例准分子原位角膜磨镶术（LASIK）后界面液的病例，并回顾关于LASIK术后这种罕见并发症的文献。
方法
我们呈现一例病例报告并进行文献回顾。本综述的文章选自电子数据库和手工文献检索。使用关键词“界面液”和“LASIK”在1990年至2002年4月期间进行了MEDLINE检索。
结果
一名40岁男性右眼因先前穿透性角膜移植术后残留屈光不正接受了顺利的LASIK手术。术后1天发生弥漫性板层角膜炎。给予局部皮质类固醇治疗。LASIK术后六周，出现一层界面液。用戈德曼压平眼压计测量中央眼压为9 mmHg，用非接触眼压计测量为30 mmHg。界面液通过抗青光眼药物、皮质类固醇与环孢素联合治疗得以消退。
结论
该病例以及其他报道的病例展示了LASIK术后界面液的临床特征。
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