小切口透镜切除术术后疑似短暂性光敏感综合征病例
Case of Presumed Transient Light-Sensitivity Syndrome After Small-Incision Lenticule Extraction.
作者信息
Desautels Jordan D, Moshirfar Majid, Quist Tyler S, Skanchy David F, Hoopes Phillip C
机构信息
*HDR Research Center, Hoopes Vision, Draper, UT; †Tufts University School of Medicine, Boston, MA; ‡Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT; §University of Utah School of Medicine, Salt Lake City, UT; and ¶McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX.
出版信息
Cornea. 2017 Sep;36(9):1139-1140. doi: 10.1097/ICO.0000000000001240.
PURPOSE
To report the first presumed case of transient light-sensitivity syndrome (TLSS) after small-incision lenticule extraction (SMILE).
METHODS
A 27-year-old male patient was treated for severe photophobic symptoms occurring 7 weeks after undergoing a bilateral SMILE procedure. His comprehensive ocular examination was unremarkable and his visual acuity was unaffected. Treatment was a month-long tapering dose of topical steroids.
RESULTS
Photophobic symptoms fully resolved after steroid treatment. TLSS related to SMILE mirrors TLSS after laser in situ keratomileusis in both onset and steroid responsiveness.
CONCLUSIONS
TLSS is a rare and minor complication of SMILE. Photophobic symptoms associated with post-SMILE TLSS are fully responsive to topical corticosteroids.
目的
报告首例小切口透镜切除术（SMILE）后疑似短暂性光敏感综合征（TLSS）的病例。
方法
一名27岁男性患者在接受双侧SMILE手术后7周出现严重畏光症状，遂接受治疗。其全面的眼部检查未见异常，视力未受影响。治疗方法是为期一个月逐渐减量的局部类固醇药物治疗。
结果
类固醇治疗后畏光症状完全缓解。与SMILE相关的TLSS在发病和对类固醇的反应性方面与准分子原位角膜磨镶术（LASIK）后的TLSS相似。
结论
TLSS是SMILE一种罕见且轻微的并发症。与SMILE术后TLSS相关的畏光症状对局部皮质类固醇药物治疗完全有效。
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