Nuijts Rudy M M A, Missier Kiran A Abhilakh, Nabar Vaisjaly A
Department of Ophthalmology, Academic Hospital Maastricht, Maastricht, The Netherlands.
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。
