Lang Jacob, Rah Marjorie J
New England College of Optometry, Boston, MA, USA.
Eye Contact Lens. 2004 Oct;30(4):231-3; discussion 242-3. doi: 10.1097/01.icl.0000140230.56008.ef.
This case series presents the first documented cases of infectious ulcers associated with overnight orthokeratology in North America and other less serious complications associated with overnight corneal reshaping.
Five cases of adverse corneal events associated with corneal refractive therapy are described: two cases of microbial keratitis, one case of infiltrates, one case of toxic keratitis, and one corneal abrasion.
Corneal compromise and poor compliance can cause adverse events with corneal reshaping. The need for ongoing patient education is important not only for pediatric contact lens patients, but also for adults.
本病例系列展示了北美地区首例有记录的与夜间角膜塑形术相关的感染性溃疡以及与夜间角膜重塑相关的其他不太严重的并发症。
描述了5例与角膜屈光治疗相关的不良角膜事件：2例微生物性角膜炎、1例浸润、1例中毒性角膜炎和1例角膜擦伤。
角膜受损和依从性差会导致角膜重塑出现不良事件。持续对患者进行教育很重要，这不仅适用于儿童隐形眼镜佩戴者，也适用于成年人。
