Davies John B, Randleman J Bradley
Department of Ophthalmology, Emory University, Atlanta, GA, USA.
Ophthalmic Surg Lasers Imaging. 2008 May-Jun;39(3):221-4. doi: 10.3928/15428877-20080501-05.
A 53-year-old woman presented with decreased vision and light sensitivity in the left eye for 3 months' duration. The patient had injured her left eye 7 months after laser in situ keratomileusis (LASIK), causing a traumatic flap dislocation that had not been repositioned. Three months after the injury, the LASIK flap was successfully repositioned with extensive intraoperative epithelial debridement and the use of flap sutures. Uncorrected visual acuity improved from 20/200 and J12 preoperatively to 20/60 and J1 postoperatively. This case illustrates that, although immediate flap repositioning is always recommended, a dislocated LASIK flap can be successfully repositioned even months after the trauma with an excellent visual outcome.
一名53岁女性因左眼视力下降和畏光3个月前来就诊。该患者在准分子原位角膜磨镶术（LASIK）后7个月左眼受伤，导致外伤性角膜瓣脱位，未进行复位。受伤3个月后，通过术中广泛的上皮清创和使用角膜瓣缝线，成功地将LASIK角膜瓣复位。未矫正视力从术前的20/200和J12提高到术后的20/60和J1。该病例表明，尽管一直建议立即进行角膜瓣复位，但外伤性LASIK角膜瓣即使在受伤数月后也能成功复位，且视力恢复良好。
