Malecha Monika A
Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
J Cataract Refract Surg. 2004 Feb;30(2):496-8. doi: 10.1016/S0886-3350(03)00618-7.
A 55-year-old woman had bilateral laser in situ keratomileusis (LASIK). An epithelial defect was observed in the left eye after the flap was cut. Postoperatively, the patient developed recurrent corneal erosion in the left eye related to the traumatic epithelial defect sustained during LASIK. The erosion led to secondary diffuse lamellar keratitis (DLK). Anterior stromal puncture was required to treat the erosion after conventional treatment failed. The secondary DLK resolved quickly after the erosion healed, without the need for topical corticosteroids. Anterior stromal puncture may be a useful treatment for recurrent corneal erosions that do not respond to conventional therapy.
一名55岁女性接受了双眼准分子原位角膜磨镶术（LASIK）。在制作角膜瓣后，左眼出现了上皮缺损。术后，患者左眼发生了与LASIK术中外伤性上皮缺损相关的复发性角膜糜烂。这种糜烂导致了继发性弥漫性板层角膜炎（DLK）。在传统治疗失败后，需要进行前基质穿刺来治疗糜烂。糜烂愈合后，继发性DLK迅速消退，无需局部使用皮质类固醇。对于对传统治疗无反应的复发性角膜糜烂，前基质穿刺可能是一种有效的治疗方法。
