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一名26岁患者在准分子原位角膜磨镶术后出现黄斑裂孔。

Macular hole after laser in situ keratomileusis in a 26-year-old patient.

作者信息

Bikbova Guzel, Oshitari Toshiyuki, Sakurai Madoka, Baba Takayuki, Yamamoto Shuichi

机构信息

Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Inohana 1-8-1, Chuo-ku, Chiba, Chiba 260-8670, Japan.

出版信息

Case Rep Ophthalmol Med. 2013;2013:739474. doi: 10.1155/2013/739474. Epub 2013 Jun 12.

DOI:10.1155/2013/739474
PMID:23840997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3694394/
Abstract

The purpose of this study is to describe the 26-year-old patient with developed macular hole after bilateral laser in situ keratomileusis (LASIK). A macular hole with sharp margins and irregular surface of surrounding retina appeared in the left eye of the female 26-year-old patient two months after LASIK for correction of myopia (followup of 6 months). Although the best corrected visual acuity (BCVA) after LASIK was 1.0, after the macular hole has developed BCVA became 0.5. After surgery, the final visual acuity recovered to 0.7. Macular hole may develop after LASIK for myopia correction due to unknown changes of vitreoretinal interface. Complete informed consent must be obtained from patients with high myopic eyes before LASIK.

摘要

本研究的目的是描述一名26岁女性患者,其在双眼准分子原位角膜磨镶术(LASIK)后出现黄斑裂孔。该26岁女性患者因近视矫正接受LASIK手术,术后两个月,左眼出现一个边界清晰、周围视网膜表面不规则的黄斑裂孔(随访6个月)。尽管LASIK术后最佳矫正视力(BCVA)为1.0,但黄斑裂孔形成后BCVA降至0.5。手术后,最终视力恢复到0.7。近视矫正的LASIK术后可能因玻璃体视网膜界面的未知变化而出现黄斑裂孔。对于高度近视患者,在进行LASIK手术前必须获得其完全知情同意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/414c/3694394/37ec890cec3d/CRIM.OPHMED2013-739474.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/414c/3694394/2c6778cd84b8/CRIM.OPHMED2013-739474.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/414c/3694394/37ec890cec3d/CRIM.OPHMED2013-739474.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/414c/3694394/2c6778cd84b8/CRIM.OPHMED2013-739474.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/414c/3694394/37ec890cec3d/CRIM.OPHMED2013-739474.002.jpg

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本文引用的文献

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Mathematical analysis of specific anatomic foveal configurations predisposing to the formation of macular holes.特定解剖性中心凹形态的数学分析与黄斑裂孔的形成有关。
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Vitreoretinal surgery for macular hole after laser assisted in situ keratomileusis for the correction of myopia.准分子激光原位角膜磨镶术矫正近视后黄斑裂孔的玻璃体视网膜手术。
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J Refract Surg. 2002 Nov-Dec;18(6):746-9. doi: 10.3928/1081-597X-20021101-15.
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Rhegmatogenous retinal detachment in myopic eyes after laser in situ keratomileusis. Frequency, characteristics, and mechanism.准分子原位角膜磨镶术后近视眼的孔源性视网膜脱离。发生率、特征及机制。
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Am J Ophthalmol. 2001 May;131(5):666-7. doi: 10.1016/s0002-9394(00)00855-2.
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Macular hole surgery in high myopia.高度近视性黄斑裂孔手术
Ophthalmology. 2001 Feb;108(2):377-80. doi: 10.1016/s0161-6420(00)00532-7.