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类固醇滴眼液引起的准分子激光原位角膜磨镶术后界面液综合征

Post-LASIK interface fluid syndrome caused by steroid drops.

作者信息

Bamashmus Mahfouth A, Saleh Mahmoud F

机构信息

Eye Department, Faculty of Medicine and Health Sciences, Sana'a University, Republic of Yemen ; Refractive Unit, Magrabi Eye Hospital, Sana'a, Republic of Yemen.

出版信息

Saudi J Ophthalmol. 2013 Apr;27(2):125-8. doi: 10.1016/j.sjopt.2013.03.003. Epub 2013 Apr 4.

DOI:10.1016/j.sjopt.2013.03.003
PMID:24227974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3809482/
Abstract

Interface fluid syndrome after laser in situ keratomileusis (LASIK) is a rare but visually threatening postoperative complication. In this case series we present 8 post-LASIK eyes that developed interface fluid syndrome after prolonged steroid use. Patients presented with signs mimicking diffuse lamellar keratitis (DLK) that worsened with steroid treatment. Slit-lamp examination revealed corneal haze and an optically clear fluid-filled space between the flap and stroma. The IOP was high in all cases. Topical steroids were stopped and replaced with topical and systemic anti-glaucoma medications resulting in a dramatic improvement in visual acuity.

摘要

准分子原位角膜磨镶术(LASIK)后界面液综合征是一种罕见但对视功能有威胁的术后并发症。在本病例系列中,我们报告了8只LASIK术后眼睛,这些眼睛在长期使用类固醇后出现了界面液综合征。患者表现出类似弥漫性板层角膜炎(DLK)的症状,且在类固醇治疗后病情加重。裂隙灯检查显示角膜混浊,以及瓣与基质之间有一个光学透明的充满液体的间隙。所有病例眼压均升高。停用局部类固醇,改用局部和全身抗青光眼药物治疗后,视力有显著改善。

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Saudi J Ophthalmol. 2013 Apr;27(2):125-8. doi: 10.1016/j.sjopt.2013.03.003. Epub 2013 Apr 4.
2
Interface corneal edema secondary to steroid-induced elevation of intraocular pressure simulating diffuse lamellar keratitis.继发于类固醇诱导的眼压升高的界面角膜水肿,模拟弥漫性板层角膜炎。
J Refract Surg. 2006 May;22(5):441-7. doi: 10.3928/1081-597X-20060501-04.
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Pressure-induced interlamellar stromal keratitis after laser in situ keratomileusis.激光原位角膜磨镶术后压力诱导的层间基质角膜炎。
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Steroid-induced glaucoma after laser in situ keratomileusis associated with interface fluid.准分子原位角膜磨镶术后与界面液相关的类固醇性青光眼
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Steroid-induced interface fluid syndrome after LASIK.
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[The clinical analysis of corneal interface fluid syndrome after Laser lamellar corneal refractive surgery].
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引用本文的文献

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Interface Fluid Syndrome (IFS) following Toxic Anterior Segment Syndrome (TASS): not related to high intraocular pressure but to endothelial failure.毒性眼前节综合征(TASS)后的界面液综合征(IFS):与高眼压无关,而是与内皮功能衰竭有关。
Saudi J Ophthalmol. 2019 Jan-Mar;33(1):88-93. doi: 10.1016/j.sjopt.2018.06.003. Epub 2018 Jul 7.
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Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomy.白内障小梁切除术后准分子激光原位角膜磨镶术(LASIK)后迟发性界面积液综合征
BMC Ophthalmol. 2019 Mar 12;19(1):74. doi: 10.1186/s12886-019-1077-2.
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Long-term changes in keratometry and refraction after small aperture corneal inlay implantation.小孔径角膜嵌体植入术后角膜曲率计和屈光的长期变化
Clin Ophthalmol. 2018 Oct 4;12:1931-1938. doi: 10.2147/OPTH.S164964. eCollection 2018.
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Interface fluid syndrome: A potential lifelong complication after LASIK. A case report.界面液体积聚综合征:准分子激光原位角膜磨镶术(LASIK)后一种潜在的终身并发症。病例报告。
Am J Ophthalmol Case Rep. 2018 Apr 19;11:23-25. doi: 10.1016/j.ajoc.2018.04.020. eCollection 2018 Sep.

本文引用的文献

1
Misleading Goldmann applanation tonometry in a post-LASIK eye with interface fluid syndrome.界面液综合征 LASIK 术后眼中 Goldmann 压平眼压计的误导。
Indian J Ophthalmol. 2010 Jul-Aug;58(4):333-5. doi: 10.4103/0301-4738.64133.
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A 10-year prospective audit of LASIK outcomes for myopia in 37,932 eyes at a single institution in Asia.亚洲单家机构 37932 只眼的 LASIK 治疗近视 10 年前瞻性研究。
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Appropriate term for post-LASIK corneal edema.准分子激光原位角膜磨镶术后角膜水肿的恰当术语。
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Steroid-induced interface fluid syndrome after LASIK.
J Refract Surg. 2009 Feb;25(2):235-9. doi: 10.3928/1081597X-20090201-10.
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Presumed late diffuse lamellar keratitis progressing to interface fluid syndrome.推测为进展为界面液体积聚综合征的迟发性弥漫性板层角膜炎
J Cataract Refract Surg. 2008 Feb;34(2):322-6. doi: 10.1016/j.jcrs.2007.09.025.
6
Ten-year follow-up of laser in situ keratomileusis for myopia of up to -10 diopters.对高达-10屈光度近视患者进行准分子原位角膜磨镶术的十年随访。
Am J Ophthalmol. 2008 Jan;145(1):46-54. doi: 10.1016/j.ajo.2007.09.010.
7
Outcomes of LASIK for myopia with FDA-approved lasers.
Cornea. 2007 Apr;26(3):246-54. doi: 10.1097/ICO.0b013e318033dbf0.
8
Infectious and noninfectious keratitis after laser in situ keratomileusis Occurrence, management, and visual outcomes.准分子原位角膜磨镶术后感染性和非感染性角膜炎的发生、处理及视力预后
J Cataract Refract Surg. 2007 Mar;33(3):474-83. doi: 10.1016/j.jcrs.2006.11.005.
9
Interface corneal edema secondary to steroid-induced elevation of intraocular pressure simulating diffuse lamellar keratitis.继发于类固醇诱导的眼压升高的界面角膜水肿,模拟弥漫性板层角膜炎。
J Refract Surg. 2006 May;22(5):441-7. doi: 10.3928/1081-597X-20060501-04.
10
A correction formula for the real intraocular pressure after LASIK for the correction of myopic astigmatism.一种用于矫正近视散光的准分子激光原位角膜磨镶术后实际眼压的校正公式。
J Refract Surg. 2006 Mar;22(3):263-7. doi: 10.3928/1081-597X-20060301-11.