Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA.
J Refract Surg. 2012 Aug;28(8):589-91. doi: 10.3928/1081597X-20120722-02.
To present a case of unilateral hypopyon uveitis that began 15 days after uneventful bilateral LASIK in a 24-year-old man with an undisclosed history of ulcerative colitis.
Case report.
The hypopyon uveitis completely resolved after treatment with aggressive topical and oral steroid agents in combination with topical antibiotic coverage.
Although rare, visually significant hypopyon uveitis may arise after LASIK in the setting of ulcerative colitis and positive human leukocyte antigen (HLA) B27. Early recognition and treatment can result in an excellent outcome. The exact relationship between hypopyon uveitis and LASIK is impossible to ascertain.
报告一例 24 岁男性,既往无溃疡性结肠炎病史,在双眼 LASIK 术后 15 天出现单侧前房积脓性葡萄膜炎。
病例报告。
经积极的局部和全身皮质类固醇联合局部抗生素治疗,前房积脓完全消退。
虽然罕见,但溃疡性结肠炎和人类白细胞抗原(HLA)B27 阳性患者 LASIK 术后可能发生严重的前房积脓性葡萄膜炎。早期识别和治疗可获得良好的结果。前房积脓性葡萄膜炎与 LASIK 的确切关系尚无法确定。