Choi Suk Kyue, Kim Jin Hyoung, Lee Doh, Oh Sae Hoon, Lee Jong Hyun, Ahn Min Soo
Department of Ophthalmology, Ilsan Paik Hospital, Inje University, Ilsan, Korea.
J Cataract Refract Surg. 2008 May;34(5):864-7. doi: 10.1016/j.jcrs.2007.12.046.
A 43-year-old woman had laser in situ keratomileusis (LASIK) using the IntraLase femtosecond laser (IntraLASIK) to create 110 microm flaps. Despite uneventful flap formation, the flaps in both eyes were extremely thin, making it difficult to lift them. The flap in the right eye resembled an epi-LASIK epithelial flap. It was lifted uneventfully. The flap in the left eye was stretched and torn on lifting, and the procedure was therefore postponed. After 6 months, the IntraLASIK surgical procedure was repeated in the left eye using a thicker and smaller flap than in the first procedure. Despite the improvements associated with using an IntraLase femtosecond laser, thinner-than-intended corneal flaps can occur. Early recognition of such a flap can prevent further complications.
一名43岁女性接受了使用IntraLase飞秒激光的准分子原位角膜磨镶术（LASIK）以制作110微米的角膜瓣。尽管角膜瓣形成过程顺利，但双眼的角膜瓣都极其薄，难以掀起。右眼的角膜瓣类似上皮瓣准分子原位角膜磨镶术（epi-LASIK）的上皮瓣，顺利掀起。左眼的角膜瓣在掀起时被拉伸撕裂，因此手术推迟。6个月后，左眼再次进行准分子原位角膜磨镶术，此次制作的角膜瓣比首次手术时更厚且更小。尽管使用IntraLase飞秒激光有诸多改进，但仍可能出现比预期更薄的角膜瓣。早期识别这种角膜瓣可预防进一步的并发症。
