接口流体综合征是由角膜穿孔损伤引起的小切口镜片提取后:一个病例报告
Xu Jing1, Li Congxin1, Zhang Xiaoyan1
1Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine (TCM), No. 48#, Yingxiongshan Road, 250002, Jinan, P. R. China.
BMC ophthalmology
|March 14, 2024
概括
接口流体综合征 (IFS) 可能发生在小切口镜片提取 (SMILE) 后,如果出现角膜穿孔. 使用手术内光学连贯断层扫描 (iOCT) 及时诊断和手术修复是视力恢复的关键.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 折射手术是一种折射手术.
背景情况:
- 小切口镜片提取 (SMILE) 是一种流行的折射手术.
- 创伤性角膜穿孔是一种罕见但严重的并发症.
- 接口流体综合征 (IFS) 是已知状角膜手术的并发症.
研究的目的:
- 在微笑后进行创伤性角膜穿孔修复后报告IFS病例.
- 在此背景下,突出IFS的诊断和管理挑战.
主要方法:
- 一个23岁的女性有史以来SMILE的病例,她经历了创伤性角膜穿孔.
- 用尼龙 suture 修复角膜穿孔.
- 在修复后四天,IFS的诊断.
- 使用手术内光学连贯断层扫描 (iOCT) 引导的再处理和前腔气体注射进行管理.
主要成果:
- 患者的最佳校正视敏度 (BCVA) 从20/30改善到20/25一个月后.
- 观察到角膜盖成功粘附于侧膜.
- 解决IFS的症状和迹象.
结论:
- 拉美拉手术后的角膜穿孔,包括SMILE,可以导致IFS.
- 准确评估穿孔深度至关重要.
- 术内光学相干断层扫描 (iOCT) 在指导角膜穿孔的手术修复和管理相关的IFS方面是有价值的.
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