Yoshida Miyo, Tomita Kosei, Akimoto Masayuki
Ophthalmology, Osaka Red Cross Hospital, Osaka, JPN.
Cureus. 2023 Dec 22;15(12):e50958. doi: 10.7759/cureus.50958. eCollection 2023 Dec.
Orthokeratology may be effective in slowing myopic progression. However, whether orthokeratology is beneficial enough to prevent rhegmatogenous retinal detachment formation remains unclear. Two cases of bilateral rhegmatogenous retinal detachment were seen during orthokeratology treatment and corrected with scleral buckling and cryopexy under general anesthesia. This is the first report of bilateral retinal detachment found during orthokeratology treatment. Although orthokeratology is effective for myopic correction and prevents axial length elongation, patients still have a risk of rhegmatogenous retinal detachment. Careful follow-up not only of the anterior segment but also of the peripheral retina is necessary.
角膜塑形术可能在减缓近视进展方面有效。然而,角膜塑形术是否足以预防孔源性视网膜脱离的形成仍不清楚。在角膜塑形术治疗期间出现了两例双侧孔源性视网膜脱离,并在全身麻醉下通过巩膜扣带术和冷冻疗法进行了矫正。这是关于在角膜塑形术治疗期间发现双侧视网膜脱离的首例报告。尽管角膜塑形术在矫正近视和防止眼轴伸长方面有效,但患者仍有发生孔源性视网膜脱离的风险。不仅要仔细随访眼前节,对周边视网膜的随访也很有必要。