Osman Essam A, Alsaleh Ahmed A, Al Turki Turki, Al Obeidan Saleh A
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Saudi J Ophthalmol. 2009 Oct;23(3-4):215-7. doi: 10.1016/j.sjopt.2009.10.006. Epub 2009 Oct 24.
Acute angle closure glaucoma is unexpected complication following laser in situ keratomileusis (LASIK). We are reporting a 49-years-old lady that was presented to the emergency department with acute glaucoma in both eyes soon after LASIK correction. Diagnosis was made on detailed clinical history and examination, slit lamp examination, intraocular pressure measurement and gonioscopy. Laser iridotomy in both eyes succeeded in controlling the attack and normalizing the intraocular pressure (IOP) more than 6 months of follow-up. Prophylactic laser iridotomy is essential for narrow angle patients before LASIK surgery if refractive laser surgery is indicated.
急性闭角型青光眼是准分子原位角膜磨镶术（LASIK）术后意想不到的并发症。我们报告了一位49岁女性，在LASIK矫正术后不久因双眼急性青光眼被送往急诊科。通过详细的临床病史、检查、裂隙灯检查、眼压测量和前房角镜检查做出诊断。双眼激光虹膜切开术成功控制了发作，并在超过6个月的随访中使眼压（IOP）恢复正常。对于有窄房角的患者，如果有行屈光性激光手术的指征，预防性激光虹膜切开术在LASIK手术前是必不可少的。
