Vinger P F, Mieler W F, Oestreicher J H, Easterbrook M
Department of Ophthalmology, Tufts Medical School, Medford, Mass., USA.
Arch Ophthalmol. 1996 Feb;114(2):129-34. doi: 10.1001/archopht.1996.01100130123001.
To ascertain if cases of radial keratotomy wound rupture were occurring and whether the globes ruptured through the corneal incisions.
Cases of traumatic ruptured globe after incisional corneal refractive surgery were collected from ophthalmologists and from peer-reviewed and other ophthalmic literature.
Twenty-eight human eyes (eight previously unreported) are known to have ruptured through refractive corneal incisions in activities of daily living (n = 12), assault (n = 7), motor vehicle accidents (n = 5), and sports (n = 4). Two patients died of their injuries. Of the remaining 26 ruptured eyes, eight (31%) recovered 20/40 or better visual acuity. Six eyes (23%) were totally blinded, six (23%) were legally blinded, and six (23%) had best corrected visual acuity of 20/40 to 20/100 despite multiple surgical procedures.
As radial keratotomy becomes more popular the pool of patients who may experience traumatic ruptured globe will grow. Every patient who has had radial keratotomy should be aware that the surgery has weakened the eye(s).
确定放射状角膜切开术伤口破裂的病例是否正在发生，以及眼球是否通过角膜切口破裂。
从眼科医生以及同行评审和其他眼科文献中收集角膜切开术后外伤性眼球破裂的病例。
已知有28只人眼（8只此前未报告）在日常生活活动（n = 12）、袭击（n = 7）、机动车事故（n = 5）和体育活动（n = 4）中通过屈光性角膜切口破裂。两名患者因伤死亡。在其余26只破裂的眼睛中，8只（31%）恢复了20/40或更好的视力。6只眼睛（23%）完全失明，6只眼睛（23%）法定失明，6只眼睛（23%）尽管接受了多次手术，最佳矫正视力仍为20/40至20/100。
随着放射状角膜切开术越来越普及，可能经历外伤性眼球破裂的患者群体将会增加。每一位接受过放射状角膜切开术的患者都应该意识到该手术削弱了眼睛。
