准分子激光原位角膜磨镶术（LASIK）瓣移位的高分辨率光学相干断层扫描可视化
High-resolution optical coherence tomography visualization of LASIK flap displacement.
作者信息
Rosas Salaroli Camila Haydée, Li Yan, Huang David
机构信息
Center for Ophthalmic Optics and Lasers, Doheny Eye Institute and Department of Ophthalmology, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
出版信息
J Cataract Refract Surg. 2009 Sep;35(9):1640-2. doi: 10.1016/j.jcrs.2009.04.025.
Abstract
Uneventful myopic laser in situ keratomileusis (LASIK) was performed in both eyes of a 33-year-old woman. Two weeks after LASIK, examination of the left eye revealed flap striae radiating inferonasally from the superior hinge. The flap was relifted and repositioned to remove the irregular astigmatism and reduce the striae. Before the flap was relifted, Fourier-domain optical coherence tomography (FD-OCT) showed the gap at the temporal flap, which had not been detected by biomicroscopy. After the flap was relifted, FD-OCT documented that the gap was closed. High-resolution FD-OCT was helpful in the visualization and management of flap displacement.
摘要
一名33岁女性双眼均接受了顺利的准分子激光原位角膜磨镶术（LASIK）。LASIK术后两周，左眼检查发现瓣状条纹从上方铰链处向下鼻侧放射状分布。将瓣重新掀起并重新定位，以消除不规则散光并减少条纹。在瓣重新掀起之前，傅里叶域光学相干断层扫描（FD-OCT）显示颞侧瓣处有间隙，这是生物显微镜检查未检测到的。瓣重新掀起后，FD-OCT记录显示间隙已闭合。高分辨率FD-OCT有助于瓣移位的可视化和处理。
相似文献
1
High-resolution optical coherence tomography visualization of LASIK flap displacement.准分子激光原位角膜磨镶术（LASIK）瓣移位的高分辨率光学相干断层扫描可视化
J Cataract Refract Surg. 2009 Sep;35(9):1640-2. doi: 10.1016/j.jcrs.2009.04.025.
2
Predictability of corneal flap thickness in laser in situ keratomileusis using a 200 kHz femtosecond laser.应用 200kHz 飞秒激光行 LASIK 术中角膜瓣厚度的可预测性。
J Cataract Refract Surg. 2013 Mar;39(3):378-85. doi: 10.1016/j.jcrs.2012.10.041. Epub 2013 Jan 23.
3
AS-OCT as a tool for flap thickness measurement after femtosecond-assisted LASIK.频域光学相干断层扫描（AS-OCT）作为飞秒激光原位角膜磨镶术（femtosecond-assisted LASIK）后瓣厚度测量的工具。
Ophthalmic Surg Lasers Imaging. 2011 Jan-Feb;42(1):31-6. doi: 10.3928/15428877-20101124-03. Epub 2010 Dec 1.
4
Late partial dislocation of a laser in situ keratomileusis flap.
J Cataract Refract Surg. 2001 Jul;27(7):1108-10. doi: 10.1016/s0886-3350(00)00761-6.
5
Analysis of planned and postoperatively measured flap thickness after LASIK using the LenSx multifunctional femtosecond laser system.利用 LenSx 多功能飞秒激光系统分析 LASIK 术后计划和实际测量的瓣厚度。
J Refract Surg. 2014 Sep;30(9):622-6. doi: 10.3928/1081597X-20140827-01.
6
OCT visualization of corneal structural changes in traumatic dislocation of LASIK flap.准分子激光原位角膜磨镶术（LASIK）瓣外伤性脱位中角膜结构变化的光学相干断层扫描（OCT）可视化
Int Ophthalmol. 2012 Oct;32(5):459-60. doi: 10.1007/s10792-012-9596-3. Epub 2012 Jun 24.
7
Continuous monitoring of corneal thickness changes during LASIK with online optical coherence pachymetry.使用在线光学相干测厚法在准分子激光原位角膜磨镶术（LASIK）过程中持续监测角膜厚度变化。
J Cataract Refract Surg. 2004 Dec;30(12):2559-68. doi: 10.1016/j.jcrs.2004.04.068.
8
Successful delayed surgical revision of a dislocated LASIK flap.成功进行的脱位准分子激光原位角膜磨镶术（LASIK）瓣延迟手术修复。
Ophthalmic Surg Lasers Imaging. 2008 May-Jun;39(3):221-4. doi: 10.3928/15428877-20080501-05.
9
Anterior segment optical coherence tomography measurement of flap thickness after myopic LASIK using the Moria one use-plus microkeratome.应用 Moria one use-plus 微型角膜刀行 LASIK 术后前节相干光断层扫描测量角膜瓣厚度。
J Refract Surg. 2010 Jun;26(6):403-10. doi: 10.3928/1081597X-20090710-04. Epub 2010 Jun 17.
10
Creation of an extremely thin flap using IntraLase femtosecond laser.使用IntraLase飞秒激光制作极薄瓣。
J Cataract Refract Surg. 2008 May;34(5):864-7. doi: 10.1016/j.jcrs.2007.12.046.
引用本文的文献
1
Expanding Application of Optical Coherence Tomography Beyond the Clinic: A Narrative Review.光学相干断层扫描在临床之外的扩展应用：一项叙述性综述
Diagnostics (Basel). 2025 Apr 29;15(9):1140. doi: 10.3390/diagnostics15091140.
2
Bibliometric analysis of ophthalmic OCT and OCT angiography research trends over the past 20 years.20 年来眼科 OCT 和 OCT 血管造影研究趋势的文献计量分析。
Int Ophthalmol. 2024 Sep 9;44(1):374. doi: 10.1007/s10792-024-03292-6.
3
Clinical Applications of Anterior Segment Optical Coherence Tomography: An Updated Review.眼前节光学相干断层扫描的临床应用：最新综述
Diagnostics (Basel). 2024 Jan 5;14(2):122. doi: 10.3390/diagnostics14020122.
4
Advances in OCT Imaging in Myopia and Pathologic Myopia.近视和病理性近视的光学相干断层扫描成像进展
Diagnostics (Basel). 2022 Jun 8;12(6):1418. doi: 10.3390/diagnostics12061418.
5
Anterior Segment Optical Coherence Tomography: Applications for Clinical Care and Scientific Research.眼前节光学相干断层扫描：临床护理与科研应用
Asia Pac J Ophthalmol (Phila). 2019;8(2):146-157. doi: 10.22608/APO.201910.
6
Novel application of In Vivo Micro-Optical Coherence Tomography to assess Cornea scarring in an Animal Model.活体微型光学相干断层扫描在动物模型中评估角膜瘢痕的新应用。
Sci Rep. 2018 Jul 31;8(1):11483. doi: 10.1038/s41598-018-29761-4.
7
Clinical applications of anterior segment optical coherence tomography.眼前节光学相干断层扫描的临床应用
J Ophthalmol. 2015;2015:605729. doi: 10.1155/2015/605729. Epub 2015 Mar 3.
8
Label-Free, Longitudinal Visualization of PDT Response In Vitro with Optical Coherence Tomography.利用光学相干断层扫描技术对光动力疗法反应进行无标记纵向体外可视化
Isr J Chem. 2012 Sep;52(8-9):728-744. doi: 10.1002/ijch.201200009. Epub 2012 Sep 13.
9
OCT visualization of corneal structural changes in traumatic dislocation of LASIK flap.准分子激光原位角膜磨镶术（LASIK）瓣外伤性脱位中角膜结构变化的光学相干断层扫描（OCT）可视化
Int Ophthalmol. 2012 Oct;32(5):459-60. doi: 10.1007/s10792-012-9596-3. Epub 2012 Jun 24.
10
Repeatability of laser in situ keratomileusis flap thickness measurement by Fourier-domain optical coherence tomography.傅里叶域光学相干断层扫描仪测量激光原位角膜磨镶术瓣厚度的重复性。
J Cataract Refract Surg. 2011 Apr;37(4):649-54. doi: 10.1016/j.jcrs.2010.10.047.
本文引用的文献
1
Outbreak of diffuse lamellar keratitis caused by marking-pen toxicity.记号笔毒性导致的弥漫性板层角膜炎暴发。
J Cataract Refract Surg. 2008 Jul;34(7):1121-4. doi: 10.1016/j.jcrs.2008.03.024.
2
Photorefractive keratectomy for refractory laser in situ keratomileusis flap striae.准分子激光角膜切削术治疗难治性准分子原位角膜磨镶术瓣皱襞。
J Cataract Refract Surg. 2008 Feb;34(2):330-3. doi: 10.1016/j.jcrs.2007.09.026.
3
Results of phototherapeutic keratectomy in the management of flap striae after LASIK before and after developing a standardized protocol: long-term follow-up of an expanded patient population.在制定标准化方案前后，光治疗性角膜切削术治疗准分子激光原位角膜磨镶术后瓣条纹的结果：扩大患者群体的长期随访
Ophthalmology. 2007 Jun;114(6):1118-23. doi: 10.1016/j.ophtha.2006.09.023. Epub 2007 Jan 29.
4
Results of phototherapeutic keratectomy in the management of flap striae after LASIK.准分子激光角膜切削术治疗LASIK术后角膜瓣条纹的效果
Ophthalmology. 2004 Apr;111(4):740-6. doi: 10.1016/j.ophtha.2003.06.015.
5
Therapeutic flap massage for microstriae after laser in situ keratomileusis: treatment technique and implications.准分子原位角膜磨镶术后微条纹的治疗性皮瓣按摩：治疗技术及意义
J Cataract Refract Surg. 2004 Feb;30(2):369-73. doi: 10.1016/S0886-3350(03)00574-1.
6
Slitlamp stretching of the corneal flap after laser in situ keratomileusis to reduce corneal striae.
J Cataract Refract Surg. 2003 Jul;29(7):1292-6. doi: 10.1016/s0886-3350(03)00046-4.
7
Sequential lift and suture technique for post-LASIK corneal striae.
J Cataract Refract Surg. 2003 Apr;29(4):785-7. doi: 10.1016/s0886-3350(02)01610-3.
8
Optical coherence tomography for evaluation of anatomical changes in the cornea after laser in situ keratomileusis.光学相干断层扫描术用于评估准分子原位角膜磨镶术后角膜的解剖学变化。
J Cataract Refract Surg. 2000 Oct;26(10):1458-62. doi: 10.1016/s0886-3350(00)00558-7.
9
Management of flap striae.皮瓣条纹的处理
Int Ophthalmol Clin. 2000 Summer;40(3):87-92. doi: 10.1097/00004397-200007000-00011.
10
Fluorescein test for the detection of striae in the corneal flap after laser in situ keratomileusis.用于检测准分子原位角膜磨镶术后角膜瓣中条纹的荧光素试验。
Am J Ophthalmol. 1999 Jun;127(6):717-8. doi: 10.1016/s0002-9394(98)00421-8.
Zotero 插件