Sharma Ashok, Sharma Rajan
Cornea Centre, Chandigarh, India.
Indian J Ophthalmol. 2020 Dec;68(12):3045-3047. doi: 10.4103/ijo.IJO_1525_20.
A 28-year-old male underwent microkeratome assisted Laser-assisted in situ keratomileusis (LASIK) for, myopia. On postoperative day 1, patient had a large epithelial defect in OD. The corneal epithelial defect healed within 72 hours, but sub-optimal vision persisted. The patient was referred for further management to us. On evaluation, patient had non-healing of flap margin at 5 o'clock. Fluoroscein stain revealed no corneal epithelial defect, but a large pool of dye beneath the LASIK flap. A clinical diagnosis of non-adherence of LASIK flap was considered. Application of bandage contact lens was done. LASIK flap completely healed in 1 week. Possible etiologies are discussed and literature is reviewed.
一名28岁男性接受了微型角膜刀辅助的准分子激光原位角膜磨镶术（LASIK）治疗近视。术后第1天，患者右眼出现大片上皮缺损。角膜上皮缺损在72小时内愈合，但视力仍未达到最佳状态。该患者被转诊至我们处进行进一步治疗。经评估，患者5点处的角膜瓣边缘未愈合。荧光素染色显示角膜上皮无缺损，但在LASIK角膜瓣下有一大片染料积聚。考虑临床诊断为LASIK角膜瓣贴合不良。应用了绷带式隐形眼镜。LASIK角膜瓣在1周内完全愈合。讨论了可能的病因并回顾了相关文献。
