Fung Simon Sheung Man, Iovieno Alfonso, Shanmuganathan Vijay, Maurino Vicenzo
Cornea and External Diseases Service, Moorfields Eye Hospital NHS Trust, London, 162 City Road, London EC1V 2PD, UK.
Case Rep Ophthalmol Med. 2012;2012:190953. doi: 10.1155/2012/190953. Epub 2012 Apr 18.
Purpose. To report the use of femtosecond laser-assisted in situ keratomileusis (LASIK) in the treatment of hyperopia subsequent to Descemet stripping-automated endothelial keratoplasty (DSAEK). Methods. Interventional case report. Results. A 66-year-old woman with Fuchs endothelial dystrophy developed bullous keratopathy after cataract surgery in her right eye. She underwent DSAEK with a significant postoperative hyperopic shift in her refraction. Thirteen months after DSAEK, she underwent wavefront-guided, femtosecond laser-assisted LASIK (IntraLase, Inc., Irvine, CA/AMO, Inc., IL, USA). Pretreatment unaided visual acuity was 20/120, and best-corrected visual acuity was 20/20 with a refraction of +3.25/-0.50 × 170. One year after laser refractive correction, unaided visual acuity was 20/20 with a refraction of +0.25/-0.75 × 160. Conclusion. To our knowledge, this is the first paper on the successful treatment of hyperopic shift related to DSAEK with wavefront-guided, femtosecond laser-assisted LASIK.
目的。报告飞秒激光原位角膜磨镶术（LASIK）用于治疗Descemet膜剥脱自动内皮角膜移植术（DSAEK）后远视的情况。方法。介入性病例报告。结果。一名66岁患有Fuchs内皮营养不良的女性在右眼白内障手术后发生大疱性角膜病变。她接受了DSAEK手术，术后屈光出现明显远视性偏移。DSAEK术后13个月，她接受了波前引导的飞秒激光辅助LASIK手术（美国加利福尼亚州欧文市IntraLase公司/美国伊利诺伊州AMO公司）。术前裸眼视力为20/120，最佳矫正视力为20/20，屈光度为+3.25/-0.50×170。激光屈光矫正术后一年，裸眼视力为20/20，屈光度为+0.25/-0.75×160。结论。据我们所知，本文是关于用波前引导的飞秒激光辅助LASIK成功治疗与DSAEK相关的远视性偏移的首篇报道。
