疑似眼组织胞浆菌病综合征患者行准分子激光原位角膜磨镶术后的脉络膜新生血管形成
Choroidal neovascularization after laser in situ keratomileusis in a patient with presumed ocular histoplasmosis syndrome.
作者信息
Fedorovich I, Mehr D S, Oz O, Akduman L
机构信息
Saint Louis University Eye Institute, St. Louis, Missouri 63104, USA.
出版信息
Eur J Ophthalmol. 2004 May-Jun;14(3):261-3.
PURPOSE
A 44-year-old patient with presumed ocular histoplasmosis syndrome (POHS) who developed a choroidal neovascular membrane (CNV) after laser in situ keratomileusis (LASIK) surgery is presented.
METHODS
A 44-year-old male patient with moderate myopia and POHS who underwent LASIK surgery complained of distorted vision after the procedure. He had a quiet POHS lesion prior to refractive surgery. Fundus examination and fluorescein angiography revealed subfoveal CNV after the LASIK surgery. He underwent 2 sessions of photodynamic therapy (PDT).
RESULTS
Subfoveal CNV involuted after PDT and his vision improved from 20/300 to 20/25 at 13 months follow-up.
CONCLUSIONS
CNV can be triggered by LASIK surgery in patients with POHS. Those patients should be made aware of and closely followed up postoperatively for this complication.
目的
报告一名44岁疑似眼组织胞浆菌病综合征（POHS）患者，其在准分子激光原位角膜磨镶术（LASIK）后发生脉络膜新生血管膜（CNV）。
方法
一名44岁患有中度近视和POHS的男性患者接受了LASIK手术，术后抱怨视力扭曲。屈光手术前他有一个静止的POHS病变。眼底检查和荧光素血管造影显示LASIK手术后黄斑下CNV形成。他接受了2次光动力疗法（PDT）。
结果
PDT后黄斑下CNV消退，在13个月的随访中，他的视力从20/300提高到20/25。
结论
POHS患者的CNV可由LASIK手术引发。应让这些患者了解并在术后密切随访该并发症。
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