Al-Dhibi H, Chaudhry I A, Al-Assiri A, Shamsi F A
Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh 11462, Saudi Arabia.
Eur J Ophthalmol. 2007 Mar-Apr;17(2):262-5. doi: 10.1177/112067210701700218.
To describe development of early choroidal neovascular membrane (CNVM) after laser-assisted in situ keratomileusis (LASIK) procedure in a young myopic patient that was successfully managed by photodynamic therapy (PDT).
A retrospective interventional case report.
A 20-year-old woman with myopic astigmatism underwent uneventful LASIK surgery resulting in best-corrected visual acuity (BCVA) of 20/20 bilaterally. One week later, the patient presented with decreased VA in the right eye and was found to have clinical evidence of central serous chorioretinopathy (CSC). She was treated with systemic corticosteroids without any improvement. Two weeks after LASIK, the patient's VA was 20/200 and clinical evidence of early CNVM was confirmed by fluorescein angiography, indocyanine green angiography, and optical coherence tomography (OCT). PDT resulted in the regression of her CNVM with improvement in her VA and OCT findings.
Systemic corticosteroids may enhance CNVM in patients with LASIK-induced early CNVM. PDT may be effective in the resolution of LASIK-induced CNVM.
描述一名年轻近视患者在准分子激光原位角膜磨镶术（LASIK）后早期脉络膜新生血管膜（CNVM）的发生情况，该患者通过光动力疗法（PDT）成功治疗。
一项回顾性介入病例报告。
一名患有近视散光的20岁女性接受了顺利的LASIK手术，术后双眼最佳矫正视力（BCVA）均为20/20。一周后，患者右眼视力下降，被发现有中心性浆液性脉络膜视网膜病变（CSC）的临床证据。她接受了全身皮质类固醇治疗，但没有任何改善。LASIK术后两周，患者的视力为20/200，荧光素血管造影、吲哚菁绿血管造影和光学相干断层扫描（OCT）证实了早期CNVM的临床证据。PDT使她的CNVM消退，视力和OCT检查结果得到改善。
全身皮质类固醇可能会加重LASIK诱导的早期CNVM患者的CNVM。PDT可能对LASIK诱导的CNVM的消退有效。
