Loewenstein A, Lipshitz I, Varssano D, Lazar M
Department of Ophthalmology, Ichilov Hospital, Assutah Laser Center, Tel-Aviv, Israel.
J Cataract Refract Surg. 1997 Jun;23(5):808-10. doi: 10.1016/s0886-3350(97)80297-0.
We describe three patients with high myopia, 13.0 to 20.0 diopters (D), who had typical myopic macular hemorrhages 1 to 6 months after photorefractive keratectomy (PRK). The hemorrhages eventually resolved, with resultant permanent decrease in vision and pigmentary and atrophic changes in the macula. Highly myopic eyes are predisposed to bleeding in areas of lacquer cracks and to myopic choroidal neovascularization formation. Awareness of potential retinal pathology in patients having PRK and follow-up retinal examinations are warranted.
我们描述了三名高度近视患者，近视度数为13.0至20.0屈光度（D），他们在准分子激光原位角膜磨镶术（PRK）后1至6个月出现典型的近视性黄斑出血。出血最终消退，但导致视力永久性下降以及黄斑区色素沉着和萎缩性改变。高度近视眼易在漆裂纹区域出血并形成近视性脉络膜新生血管。对于接受PRK的患者，有必要了解潜在的视网膜病变并进行视网膜随访检查。
