准分子原位角膜磨镶术（LASIK）后调节痉挛

Accommodative spasm after laser-assisted in situ keratomileusis (LASIK).

作者信息

Airiani Suzanna, Braunstein Richard E

机构信息

Edward S. Harkness Eye Institute, Columbia University, College of Physicians and Surgeons, New York, NY 10032, USA.

出版信息

Am J Ophthalmol. 2006 Jun;141(6):1163-4. doi: 10.1016/j.ajo.2006.01.069.

DOI:10.1016/j.ajo.2006.01.069

PMID:16765703

Abstract

PURPOSE

To report a case of accommodative spasm following laser-assisted in situ keratomileusis (LASIK).

DESIGN

Observational case report.

METHODS

Ophthalmic examination including manifest and cycloplegic refraction to assist in diagnosis.

RESULTS

Two months following LASIK surgery, a 41-year-old healthy woman complained of intolerable headaches that had interfered with her daily activities. The patient sought medical consultation, and an MRI of the brain was normal. Best-corrected visual acuity (BCVA) was 20/20 and 20/25 with manifest refraction of -2.25 -0.50 x 170 and plano in the right and the left eye, respectively. Cycloplegic refraction was plano in the right and +0.75 sphere in the left eye, and she was corrected to 20/20 bilaterally. After being treated with cyclopentolate 1% one drop at bedtime to each eye for approximately six weeks, the headache completely resolved.

CONCLUSIONS

Accommodative spasm should be considered in patients undergoing LASIK surgery complicated with fluctuating refraction of uncertain causes.

摘要

目的

报告1例准分子原位角膜磨镶术（LASIK）后发生调节痉挛的病例。

设计

观察性病例报告。

方法

进行眼科检查，包括显验光和散瞳验光以辅助诊断。

结果

LASIK手术后两个月，一名41岁健康女性主诉出现难以忍受的头痛，影响了她的日常活动。该患者寻求医疗咨询，脑部磁共振成像（MRI）结果正常。最佳矫正视力（BCVA）右眼为20/20，左眼为20/25，右眼显验光为-2.25 -0.50×170，左眼为平光。散瞳验光右眼为平光，左眼为+0.75球镜，双眼矫正视力均为20/20。每晚每眼滴用1%托吡卡胺滴眼液一滴，持续约六周后，头痛完全缓解。