有准分子原位角膜磨镶术病史的患者在白内障手术期间发生的黏弹性诱导性层间基质性角膜病变（VISK）
Viscoelastic-Induced Interlamellar Stromal Keratopathy (VISK) during Cataract Surgery in a Patient with a History of Laser in situ Keratomileusis.
作者信息
Chang Matthew, Vo Rosalind C, Bernard Stewart, Hoatson Stephanie, Narvaez Julio
机构信息
Department of Ophthalmology, Loma Linda University, Loma Linda, California, USA.
Kaiser Permanente Los Angeles Medical Center, Vermont Medical Offices, Los Angeles, California, USA.
出版信息
Case Rep Ophthalmol. 2022 Mar 17;13(1):154-157. doi: 10.1159/000522378. eCollection 2022 Jan-Apr.
A 47-year-old patient status post uncomplicated bilateral LASIK treatment presented with interlamellar stromal keratopathy induced by viscoelastic material during cataract surgery, decreasing her vision to CF (count fingers) postoperatively. After recognition, the viscoelastic material was removed by interface irrigation. The keratopathy improved by postoperative day 1 and resolved by 6 weeks with best-corrected visual acuity being 20/30. We conclude that viscoelastic-induced stromal keratopathy requires correct recognition in order to undertake appropriate management.
一名47岁患者，双侧准分子激光原位角膜磨镶术（LASIK）治疗后情况良好，在白内障手术期间因粘弹材料诱发板层间基质角膜病变，术后视力降至眼前数指（CF）。确诊后，通过界面冲洗清除了粘弹材料。角膜病变在术后第1天有所改善，并在6周时消退，最佳矫正视力为20/30。我们得出结论，粘弹剂诱发的基质角膜病变需要正确识别以便进行适当处理。
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