准分子原位角膜磨镶术后瓣移位后的有晶状体眼散光人工晶状体植入术
Phakic toric intraocular lens implantation after flap decentration in laser in situ keratomileusis.
作者信息
Nuijts Rudy M M A, Missier Kiran A Abhilakh, Nabar Vaisjaly A
机构信息
Department of Ophthalmology, Academic Hospital Maastricht, Maastricht, The Netherlands.
出版信息
J Cataract Refract Surg. 2004 Jan;30(1):259-61. doi: 10.1016/S0886-3350(03)00653-9.
We describe a patient with flap decentration after laser in situ keratomileusis (LASIK) and subsequent phakic toric intraocular lens (IOL) implantation. A 19-year-old man with mixed astigmatism had LASIK in the left eye complicated by flap decentration. Laser ablation was abandoned and implantation of a phakic toric IOL was done. Ten months after IOL implantation, the uncorrected visual acuity in the left eye was 20/25 and best corrected visual acuity was 20/20 with +0.25 -0.50 x 90. Simulated keratometry values were 44.30@150 and 42.00@60 before LASIK and 45.00@150 and 41.90@60 after IOL implantation. Phakic toric IOL implantation may be adequate treatment for flap decentration after LASIK in cases of mixed astigmatism.
我们描述了一名在准分子原位角膜磨镶术（LASIK）后出现瓣移位并随后植入有晶体眼散光人工晶状体（IOL）的患者。一名患有混合性散光的19岁男性左眼接受LASIK手术，并发瓣移位。放弃激光消融，改为植入有晶体眼散光IOL。IOL植入十个月后，左眼未矫正视力为20/25，最佳矫正视力为20/20，散光度数为+0.25 -0.50 x 90。LASIK术前模拟角膜曲率值为44.30@150和42.00@60，IOL植入术后为45.00@150和41.90@60。对于混合性散光患者，有晶体眼散光IOL植入可能是LASIK术后瓣移位的合适治疗方法。
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