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眼压升高导致的板层间基质角膜炎,发生于 LASIK 术后 9 年。

Elevated intraocular pressure-induced interlamellar stromal keratitis occurring 9 years after laser in situ keratomileusis.

机构信息

Scheie Eye Institute, Philadelphia, PA 19104, USA.

出版信息

Cornea. 2012 Jan;31(1):87-9. doi: 10.1097/ICO.0b013e31821140fa.

Abstract

Elevated intraocular pressure-induced interlamellar stromal keratitis (PISK) is an entity of interface haze usually occurring weeks to months after laser in situ keratomileusis (LASIK) that is associated with elevated intraocular pressures and worsening with steroid treatment. There is evidence that this interface haze is the result of abnormal fluid dynamics that occur in the cornea after LASIK. We present a case of pressure-induced interlamellar stromal keratitis occurring 9 years after LASIK in the setting of anterior uveitis. This case emphasizes the importance of considering such diagnoses as pressure-induced interlamellar stromal keratitis in the differential diagnosis when presented with a patient with corneal haze and a history of LASIK.

摘要

眼压升高导致的板层间基质角膜炎(PISK)是一种界面混浊的病症,通常在 LASIK 后数周到数月出现,与眼压升高有关,并在类固醇治疗后加重。有证据表明,这种界面混浊是 LASIK 后角膜异常流体动力学的结果。我们报告了一例 LASIK 后 9 年发生在前葡萄膜炎背景下的眼压性板层间基质角膜炎。该病例强调了在 LASIK 后出现角膜混浊和病史的患者的鉴别诊断中,考虑到眼压性板层间基质角膜炎等诊断的重要性。

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