Todd Timothy, Mondzelewski Todd, Cason John, Hofmeister Elizabeth, O'Connell Stephen, Richmond Christopher
Naval Medical Center San Diego, San Diego, CA, USA.
Naval Hospital Camp Pendleton, Camp Pendleton, CA, USA.
Am J Ophthalmol Case Rep. 2020 Jan 30;18:100608. doi: 10.1016/j.ajoc.2020.100608. eCollection 2020 Jun.
To report two cases of LASIK flap stability after severe ocular trauma.Observations: Two patients suffered open globe injuries several years after undergoing uneventful LASIK with femtosecond laser corneal flap. Both underwent primary ruptured globe repair, during which no LASIK flap dislocation was identified. Histopathologic examination of one of the cornea specimens confirmed an intact LASIK flap.
In these cases, the femtosecond LASIK flap remained in place despite significant injury to the cornea. The presence of a femtosecond LASIK flap did not complicate surgical management of the injury, and did not contribute to the patient's loss of BCVA.
报告两例严重眼外伤后准分子激光原位角膜磨镶术（LASIK）瓣稳定性的病例。观察：两名患者在接受飞秒激光角膜瓣的LASIK手术且术后情况平稳数年之后，遭受了开放性眼球损伤。两人均接受了一期眼球破裂修复手术，术中未发现LASIK瓣脱位。对其中一个角膜标本进行的组织病理学检查证实LASIK瓣完整。
在这些病例中，尽管角膜受到严重损伤，但飞秒LASIK瓣仍保持原位。飞秒LASIK瓣的存在并未使损伤的手术处理复杂化，也未导致患者最佳矫正视力（BCVA）丧失。
