Boral Subhendu Kumar, Agarwal Deepak, Mohanta Ayan
Department of Vitreoretina, Disha Eye Hospitals Pvt Ltd, Kolkata, West Bengal, India.
Department of Cataract and Refractive Surgery, Disha Eye Hospitals Pvt Ltd, Kolkata, West Bengal, India.
Oman J Ophthalmol. 2022 Jun 29;15(2):215-217. doi: 10.4103/ojo.ojo_308_2020. eCollection 2022 May-Aug.
Rhegmatogenous retinal detachment (RRD) following femtosecond laser-assisted cataract surgery (FLACS) has not been reported till date. We described the first case of RRD after FLACS. A 29-year-old male presented with complaints of sudden, painless dimness of vision in the left eye (LE) for the past 2 days. He was operated for refractive lens exchange in both eyes for high myopia using FLACS 3 months back. On examination, his LE vision was perception of light and accurate projection of rays with fundus showing bullous RRD. His right eye fundus was absolutely normal with 20/20 vision. A 25-gauge vitrectomy was performed in LE. The retina was settled with silicone oil (1300 centistokes) endotamponade. After 4 weeks, the patient gained 20/60 vision in LE with attached retina under silicone oil. RRD is a potential complication following FLACS and thus frequent follow-ups are required for high-risk patients after FLACS.
迄今为止,尚未有关于飞秒激光辅助白内障手术(FLACS)后发生孔源性视网膜脱离(RRD)的报道。我们描述了首例FLACS术后发生RRD的病例。一名29岁男性,在过去2天出现左眼(LE)突发无痛性视力模糊的症状。3个月前他因高度近视双眼接受了FLACS下的屈光性晶状体置换手术。检查时,他的左眼视力为光感,光线投射准确,眼底显示为大泡性RRD。他的右眼眼底完全正常,视力为20/20。对左眼进行了25G玻璃体切除术。视网膜用硅油(1300厘沲)内填充复位。4周后,患者左眼在硅油填充下视网膜复位,视力提高到20/60。RRD是FLACS术后的一种潜在并发症,因此FLACS术后的高危患者需要频繁随访。