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屈光性角膜切削术治疗后高残余屈光不正患者的小切口微透镜取出术翻修:病例报告。

Small incision lenticule extraction retreatment in a patient with high residual refractive error after photorefractive keratectomy: A case report.

机构信息

Asian Eye Hospital and Laser Institute, Pune, Maharashtra, India.

Asian Eye Hospital and Laser Institute, Pune, Maharashtra; Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Fondation Asile des aveugles, Lausanne, Switzerland; Vardinoyiannion Eye Institute of Crete (VEIC), School of Medicine, University of Crete, Heraklion, Crete, Greece.

出版信息

Indian J Ophthalmol. 2021 Feb;69(2):436-438. doi: 10.4103/ijo.IJO_713_20.

Abstract

A 36-year-old male underwent uneventful small incision lenticule extraction (SMILE) for the correction of his high residual refractive error 12 years after photorefractive keratectomy (PRK). Preoperatively, uncorrected distance visual acuity (UDVA) was counting fingers in both eyes. Corrected distance visual acuity was 20/20 in the right and 20/30 in the left eye due to amblyopia. One month after SMILE, UDVA was 20/20 and 20/30 in the right and left eye, respectively; post-PRK corneal haze had reduced. During the 4-year follow-up, UDVA remained stable and there were no complications. SMILE could be a good alternative approach for retreatment in post-PRK patient.

摘要

一位 36 岁男性曾行准分子激光角膜切削术(PRK)矫正近视,12 年后因高度屈光回退行微切口透镜取出术(SMILE),手术顺利。术前双眼裸眼视力(UCVA)均为指数,右眼矫正视力为 20/20,左眼因弱视矫正视力为 20/30。SMILE 术后 1 月,右眼和左眼的 UCVA 分别为 20/20 和 20/30,PRK 术后角膜混浊减轻。术后 4 年随访期间,UCVA 稳定,无其他并发症。SMILE 可作为 PRK 术后患者的一种治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b11a/7933835/9974f50bd8a7/IJO-69-436-g001.jpg

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