飞秒激光原位角膜磨镶术后真菌性角膜炎：一种采用准分子激光原位角膜磨镶术瓣自体移植和穿透性角膜移植术的新型治疗方法：病例报告
Fungal Keratitis Post-FemtoLASIK: A Novel Therapeutic Approach with LASIK Flap Autograft and Penetrating Keratoplasty: A Case Report.
作者信息
Lee Jackson Chee Chea, Shah Yachana Vaibhav, Gooding Hannah Kathleen, Barrett Graham David
机构信息
Lions Outback Vision, Nedlands, WA, Australia.
Sir Charles Gairdner Hospital, Nedlands, WA, Australia.
出版信息
Case Rep Ophthalmol. 2024 Mar 28;15(1):273-278. doi: 10.1159/000538062. eCollection 2024 Jan-Dec.
INTRODUCTION
This case report describes a rare case of fungal keratitis following femtoLASIK. Despite targetted antifungal therapy, this case necessitated an innovative surgical approach to manage an unexpected corneal perforation.
CASE PRESENTATION
A 35-year-old male presented 3 weeks post-femtoLASIK for myopic astigmatism with discomfort and reduced vision in his right eye. He was diagnosed with fungal keratitis surgery caused by and was treated with a myriad of therapy. Unfortunately, the patient developed corneal perforation during flap lift and flap bed irrigation. An innovative approach involving a tectonic autograft using a viable LASIK flap, followed by prompt penetrating keratoplasty, was utilised.
CONCLUSION
This technique was effective and able to mitigate the progression to an open globe.
引言
本病例报告描述了一例飞秒激光原位角膜磨镶术（femtoLASIK）后罕见的真菌性角膜炎病例。尽管采取了针对性的抗真菌治疗，但该病例仍需要创新的手术方法来处理意外的角膜穿孔。
病例介绍
一名35岁男性在飞秒激光原位角膜磨镶术后3周因近视散光就诊，右眼不适且视力下降。他被诊断为由 引起的真菌性角膜炎并接受了多种治疗。不幸的是，患者在掀起角膜瓣和冲洗角膜瓣下时发生了角膜穿孔。采用了一种创新方法，即使用存活的飞秒激光原位角膜磨镶术角膜瓣进行结构性自体移植，随后迅速进行穿透性角膜移植术。
结论
该技术有效，能够减轻病情发展至眼球开放性损伤。
Zotero 插件