小切口微透镜取出术后单侧扩张。
Unilateral ectasia after small-incision lenticule extraction.
机构信息
Cathedral Eye Clinic, Belfast, United Kingdom; School of Biomedical Sciences, Ulster University, Coleraine, United Kingdom.
Biomedical Engineering Office, Research and Development, Schwind Eye-Tech-Solutions, Kleinostheim, Germany; Recognized Research Group in Optical Diagnostic Techniques, University of Valladolid, Valladolid, Spain; Department of Ophthalmology and Sciences of Vision, University of Oviedo, Oviedo, Spain.
出版信息
J Cataract Refract Surg. 2019 Feb;45(2):236-241. doi: 10.1016/j.jcrs.2018.10.018. Epub 2018 Dec 17.
A 23-year-old man developed unilateral corneal ectasia after bilateral small-incision lenticule extraction (SMILE). The preoperative corneal topography was normal, with a minimum corneal thickness of 582 μm and 586 μm in the right eye and left eye, respectively. The refractive correction was -3.00 diopters (D) sphere in the right eye and -3.50 D sphere in the left eye. At the 12-month postoperative visit, corneal topography showed early signs of ectasia in the right eye; the ectasia had deteriorated by the 15-month examination. Corneal crosslinking was performed to arrest further progression. At the last examination, the uncorrected distance visual acuity in the right eye was 0.1 logarithm of the minimum angle of resolution (logMAR) and the corrected distance visual acuity, -0.1 logMAR.
一位 23 岁男性在双眼行小切口微透镜取出术（SMILE）后出现单侧角膜扩张。术前角膜地形正常，右眼最小角膜厚度为 582μm，左眼为 586μm。右眼屈光矫正为-3.00 屈光度（D）球镜，左眼为-3.50 D 球镜。术后 12 个月随访时，右眼角膜地形图显示早期扩张迹象；术后 15 个月时，扩张恶化。行角膜交联术以阻止进一步进展。末次随访时，右眼未矫正远视力为 0.1 最小分辨角对数视力（logMAR），矫正远视力为-0.1 logMAR。
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