挑战小切口微透镜提取手术后帽状条纹的处理- 1 例报告。
Management of cap striae following challenging small incision lenticule extraction surgery - A case report.
机构信息
Phaco and Refractive, Nethradhama Superspeciality Eye Hospital, Bangalore, India.
Department of Ophthalmology, Gavin Herbert Eye Institute, UCI, California, USA.
出版信息
Indian J Ophthalmol. 2020 Dec;68(12):3060-3061. doi: 10.4103/ijo.IJO_1487_20.
A 24-year-old female underwent small incision lenticule extraction (SMILE) for myopic astigmatism OU. In the left eye, cap-lenticular adhesion along with tearing of the cap occurred, resulting in a gaped incision and transverse striae involving the visual axis on the first post op day. Uncorrected distance visual acuity (UDVA) was 20/32. The case was managed with interface wash and stretching of the cap, in order to iron out the striae. Post intervention, the UDVA improved to 20/20, striae resolved, and interface remained clear through a follow-up of nine months, suggesting that cap striae in SMILE may be similarly managed as the flap striae in laser-assisted in situ keratomileusis (LASIK), resulting in satisfactory visual outcomes.
一位 24 岁女性因双眼近视散光接受了小切口微透镜提取术（SMILE）。左眼发生了帽状层粘连，同时帽状层撕裂，导致切口张开，且在术后第一天出现了横跨视轴的横向条纹。左眼未矫正远视力（UDVA）为 20/32。该病例通过界面冲洗和帽状层拉伸来处理，以消除条纹。干预后，UDVA 提高至 20/20，条纹消失，且在 9 个月的随访中界面保持清晰，表明 SMILE 中的帽状层条纹可能与激光辅助原位角膜磨镶术（LASIK）中的瓣状层条纹类似，可获得满意的视力结果。
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