Crecimiento epitelial severo después de vitrectomía pars plana a los 10 años de LASIK

J.I. Fernández-Vigo , A. Macarro-Merino , B. Burgos-Blasco , I. Almorín-Fernández-Vigo , P. Arriola-Villalobos , J.Á. Fernández-Vigo
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Abstract

Epithelial ingrowth is one of the most significant complications of Laser in Situ Keratomileusis (LASIK) refractive surgery. We present the case of a 72-year-old male with a history of myopic LASIK (1999), who underwent cataract surgery and a second thin LASIK sub-Bowman flap to correct refractive error. Then, three months after pars plana vitrectomy for an epiretinal membrane, the patient complained of progressive vision loss. A diffuse haze of the corneal stroma that did not exist before surgery was observed. As the main suspicion was epithelial ingrowth, the flap was lifted and meticulous de-epithelialization of the stromal bed was performed. Mitomycin C 0.02% was applied, the flap was sutured with 10-0 Nylon, and a bandage contact lens was placed. The epithelialization of the interface after vitrectomy in a patient with LASIK could occur even when it is a rare complication and without obvious flap traumatism.

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LASIK 10 年后进行玻璃体旁切除术后上皮严重增生
上皮内生是激光原位角膜磨镶术(LASIK)屈光手术最重要的并发症之一。我们介绍了一例 72 岁男性患者的病例,他曾接受过近视 LASIK 手术(1999 年),后来接受了白内障手术和第二次薄 LASIK 下鲍曼瓣矫正屈光不正。随后,在因视网膜外膜而进行玻璃体旁切除术三个月后,患者主诉视力逐渐下降。患者的角膜基质出现了手术前没有的弥漫性混浊。由于主要怀疑是上皮增生,因此将角膜瓣掀起,对基质床进行了细致的去上皮处理。使用 0.02% 的丝裂霉素 C,用 10-0 尼龙线缝合皮瓣,并戴上绷带隐形眼镜。LASIK 患者玻璃体切除术后的界面上皮化即使是罕见的并发症,而且没有明显的皮瓣创伤,也有可能发生。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
109
审稿时长
78 days
期刊介绍: La revista Archivos de la Sociedad Española de Oftalmología, editada mensualmente por la propia Sociedad, tiene como objetivo publicar trabajos de investigación básica y clínica como artículos originales; casos clínicos, innovaciones técnicas y correlaciones clinicopatológicas en forma de comunicaciones cortas; editoriales; revisiones; cartas al editor; comentarios de libros; información de eventos; noticias personales y anuncios comerciales, así como trabajos de temas históricos y motivos inconográficos relacionados con la Oftalmología. El título abreviado es Arch Soc Esp Oftalmol, y debe ser utilizado en bibliografías, notas a pie de página y referencias bibliográficas.
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