Cooke Matthew D, Koenig Steven B
Department of Ophthalmology, Froedtert Hospital and the Medical College of Wisconsin, Milwaukee, WI.
Cornea. 2015 Jul;34(7):835-7. doi: 10.1097/ICO.0000000000000450.
To describe a case of acute corneal hydrops in a patient with corneal ectasia after laser in situ keratomileusis (LASIK).
An observational study presenting clinical, slit-lamp, and optical coherence tomographic findings.
A 66-year-old man with a history of moderate myopic astigmatism presented with a sudden loss of vision in his left eye 11 years after undergoing LASIK. He underwent a single enhancement in his left eye and was subsequently diagnosed with ectasia 9 years later. Slit-lamp examination demonstrated a small tear in the Descemet membrane with a large fluid-filled cleft separating the LASIK flap and extending to the flap edge. Because no aqueous humor leakage was detected, the patient was managed conservatively with eventual resolution of the fluid-filled cleft and return of 20/30 visual acuity.
Acute corneal hydrops is a rare complication of post-LASIK corneal ectasia. In the absence of flap dehiscence and wound leak, such patients may be managed with simple observation.
描述1例准分子原位角膜磨镶术（LASIK）后角膜扩张患者发生急性角膜水肿的病例。
一项观察性研究，展示临床、裂隙灯及光学相干断层扫描结果。
一名有中度近视散光病史的66岁男性，在接受LASIK手术11年后左眼突然视力丧失。他左眼接受了一次增效手术，9年后被诊断为角膜扩张。裂隙灯检查显示后弹力层有一小处撕裂，一个充满液体的大裂隙将LASIK瓣分开并延伸至瓣边缘。由于未检测到房水渗漏，该患者采取保守治疗，充满液体的裂隙最终消退，视力恢复到20/30。
急性角膜水肿是LASIK术后角膜扩张的一种罕见并发症。在没有瓣裂开和伤口渗漏的情况下，此类患者可通过简单观察进行处理。
