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采用机械清创、瓣缝合及应用纤维蛋白胶联合技术治疗准分子激光原位角膜磨镶术(LASIK)增效术后上皮内生。

Treatment of epithelial ingrowth after LASIK enhancement with a combined technique of mechanical debridement, flap suturing, and fibrin glue application.

作者信息

Narváez Julio, Chakrabarty Arun, Chang Kenneth

机构信息

Department of Ophthalmology, Loma Linda University School of Medicine, Loma Linda, CA 92354, USA.

出版信息

Cornea. 2006 Oct;25(9):1115-7. doi: 10.1097/01.ico.0000240086.56522.69.

Abstract

PURPOSE

To report a case of clinically significant post-laser in situ keratomileusis (LASIK) epithelial ingrowth successfully treated with a combined technique of mechanical debridement, flap suturing, and fibrin glue application.

METHODS

A retrospective case report.

RESULTS

A 42-year-old female patient underwent LASIK and an enhancement procedure in 1998 and 2002, respectively. Two years after her enhancement, she developed severe, visually significant epithelial ingrowth. Treatment was undertaken using a combination of mechanical debridement, flap suturing, and fibrin glue application. No recurrence was found during a 15-month follow-up period. No adverse effects were seen with this approach.

CONCLUSION

Severe progressive epithelial ingrowth may be treated successfully with a combination of mechanical debridement, flap suturing, and fibrin glue application.

摘要

目的

报告一例采用机械清创、瓣缝合和应用纤维蛋白胶联合技术成功治疗的具有临床意义的准分子激光原位角膜磨镶术(LASIK)后上皮植入病例。

方法

一项回顾性病例报告。

结果

一名42岁女性患者分别于1998年和2002年接受了LASIK手术和增效手术。增效手术后两年,她出现了严重的、具有明显视力影响的上皮植入。采用机械清创、瓣缝合和应用纤维蛋白胶联合治疗。在15个月的随访期内未发现复发。该方法未观察到不良反应。

结论

采用机械清创、瓣缝合和应用纤维蛋白胶联合治疗可成功治疗严重进行性上皮植入。

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