Tosi Gian Marco, Baiocchi Stefano, Caporossi Tomaso
Department of Ophthalmology and Neurosurgery, University of Siena, Siena, Italy.
J Cataract Refract Surg. 2004 May;30(5):1124-6. doi: 10.1016/j.jcrs.2003.09.038.
A 42-year-old man had uneventful bilateral nonsimultaneous photorefractive keratectomy (PRK) for severe myopia. Thirty-nine months after the procedure, the patient presented with a retinal detachment (RD) in the right eye. Cerclage, vitrectomy, endolaser, and intravitreal silicone oil tamponade were performed, and the RD was successfully repaired. Three months after vitrectomy and 42 months after PRK, the patient complained of visual impairment in the right eye and photophobia. On slitlamp examination, marked reticular scarring of the central anterior cornea was observed. The occurrence of late-onset corneal haze highlights the need for special attention to patients who have vitrectomy after PRK.
一名42岁男性因高度近视接受了双侧非同时性准分子激光原位角膜磨镶术(PRK),手术过程顺利。术后39个月,该患者右眼出现视网膜脱离(RD)。进行了环扎术、玻璃体切除术、眼内激光治疗和玻璃体内硅油填充,视网膜脱离成功修复。玻璃体切除术后3个月以及PRK术后42个月,患者主诉右眼视力下降和畏光。裂隙灯检查发现中央前角膜有明显的网状瘢痕形成。迟发性角膜混浊的发生凸显了对PRK术后接受玻璃体切除术的患者需要特别关注。