圆锥角膜患者屈光手术失败后行圆锥内楔形切除术。
Wedge resection in the cone after failed refractive surgery in a patient with keratoconus.
作者信息
Martin R G
机构信息
Carolina Eye Associates, Southern Pines, North Carolina 28387, USA.
出版信息
J Cataract Refract Surg. 1995 May;21(3):348-50. doi: 10.1016/s0886-3350(13)80145-9.
A 30-year-old man with keratoconus in the right eye had radial keratotomy in the left eye. Two pairs of corneal relaxing incisions (CRIs) were made in the right eye to flatten the central cornea and reduce high astigmatism. The right eye required an enhancement, and two additional arcuate CRIs were made. A corneal ulcer developed in the right eye, with infiltrates in the incision and corneal thinning. Although the second set of CRIs resulted in more regular astigmatism, the corneal thinning and ulcer caused regression at two months postoperatively. A wedge resection was performed to even the irregular astigmatism. The results are presented.
一名30岁男性，右眼患有圆锥角膜，左眼接受了放射状角膜切开术。在右眼制作了两对角膜松解切口（CRIs），以 flatten 中央角膜并减少高度散光。右眼需要进行增强手术，又制作了两条额外的弧形CRIs。右眼发生了角膜溃疡，切口处有浸润和角膜变薄。尽管第二组CRIs导致散光更规则，但角膜变薄和溃疡在术后两个月引起了回退。进行了楔形切除术以矫正不规则散光。展示了结果。 （注：原文中“flatten”一词在医学语境下可能有更准确专业表述，此处暂保留英文，以待结合专业知识准确翻译，比如“使变平、降低曲率等”）
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