Khoueir Z, Haddad N M, Saad A, Chelala E, Warrak E
Hôtel-Dieu de France, Ophthalmology department, rue Alfred-Naccache, Beirut, Lebanon.
J Fr Ophtalmol. 2013 Jan;36(1):82-6. doi: 10.1016/j.jfo.2012.03.004. Epub 2012 Dec 6.
We report a case of traumatic partial flap dislocation 10 years after uneventful laser in situ keratomileusis (LASIK). The patient was treated bilaterally for hyperopia and astigmatism with LASIK. A superior-hinged corneal flap was created using the Moria M2 microkeratome (Moria SA, Antony, France) and the surgery was uneventful. Ten years later, partial flap dislocation was diagnosed after mild trauma. This case suggests that flap dislocations can occur during recreational activities up to 10 years after surgery. Full visual recovery is achievable if the case is managed promptly. Further studies should evaluate the potential protective role of an inferior hinge during LASIK.
我们报告一例在接受顺利的准分子原位角膜磨镶术（LASIK）10年后发生的外伤性部分角膜瓣脱位病例。该患者因远视和散光接受了双侧LASIK治疗。使用Moria M2微型角膜刀（法国安东尼市Moria SA公司）制作了上方铰链式角膜瓣，手术过程顺利。十年后，患者在受到轻微外伤后被诊断为部分角膜瓣脱位。该病例表明，术后长达10年的娱乐活动期间都可能发生角膜瓣脱位。如果及时处理，可实现完全视力恢复。进一步的研究应评估LASIK术中下方铰链的潜在保护作用。
