Sinha Rajesh, Shekhar Himanshu, Tinwala Sana, Gangar Anita, Titiyal Jeewan S
Department of Ophthalmology, Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Oman J Ophthalmol. 2014 Jan;7(1):25-7. doi: 10.4103/0974-620X.127919.
We report an unusual flap-related complication that occurred 4 years after uneventful laser in situ keratomileusis (LASIK) performed in the eye of a 20-year-old woman. She developed dislocation with partial infolding of the LASIK flap with macrostriae and epithelial ingrowth in her left eye after trauma by a wooden chip. The flap was refloated, stretched, smoothened, and hydrated on both under and outer surfaces after epithelial debridement. At 1 week, the uncorrected visual acuity was 20/20 with absence of flap striae. The present case highlights that flap adhesions are not very strong even months and years after LASIK. Flap refloatation and stretching with hydration on both sides of the flap are effective in removing flap striae.
我们报告了一例不寻常的与瓣相关的并发症，该并发症发生在一名20岁女性眼部行无并发症的准分子原位角膜磨镶术（LASIK）4年后。她在被木片划伤后，左眼出现LASIK瓣脱位并伴有部分折叠，出现粗大条纹和上皮内生。上皮清创后，对瓣的下表面和外表面进行了瓣重新漂浮、拉伸、平整和水化处理。1周时，裸眼视力为20/20，瓣条纹消失。本病例突出表明，即使在LASIK术后数月甚至数年，瓣粘连也不是很强。瓣重新漂浮、拉伸并在瓣两侧进行水化处理可有效消除瓣条纹。
