Giant Tear Retinal Detachment after laser in Situ Keratomileusis - a Case Report

雷射角膜內層重塑術後發生巨大裂孔性視網膜剝離－病例報告

蔡宜佑(Yi-Yu Tsai) ； 林正明(Jane-Ming Lin) ； 蔡三章(San-Chang Tsai)

《The Kaohsiung Journal of Medical Sciences》 17卷11期 (2001/11) Pp. 586-589

https://doi.org/10.6452/KJMS.200111.0586

摘要

一位42歲女性，其右眼近視暨散光度數為10.00S–2.00C×105°。她在本院接受電射角膜內層重塑術，雷射機型為Schwind excimer laser (Keratom Multiscan, Schwind, Kleinostheim, Germany)，板層刀為Moria LSK-One manual microkeratome，切削深度為130μm。病人術後非常滿意。但是九個月後，她突然間覺得右眼視力模糊，經眼底檢查發現在視網膜的十點鐘至兩點鐘有一巨大裂孔並合併有視網膜剝離及玻璃體出血。經過環型鞏膜扣壓、玻璃體切除及氣液體換，雖然視網膜剝離及玻璃體出血已經恢復，但是三個月後卻有玻璃紙樣黃斑部病變的產生。就我們所知，這是台灣第一例在接受電射角膜內層重塑術後產生巨大裂孔性視網膜剝離病例。

並列摘要

A 42-year-old woman with a refractive error of – 10.00S – 2.00C×105° in the right eye underwent laser in situ keratomileusis (LASIK) at our hospital. LASIK was performed using the Schwind excimer laser (Keratom Multiscan, Schwind, Kleinostheim, Germany) and Moria LSK-One manual microkeratome with a 130 μm ablation plate. The uncorrected visual acuity improved postoperatively, and the patient was very satisfied. However, nine months later, she complained of sudden loss of visual acuity in the right eye. Indirect ophthalmoscopy revealed a giant retinal tear extending from 10:00 to 2:00 o’clock position with retinal detachment and vitreous hemorrhage. We performed scleral buckling procedure (with silicone band encircling), vitrectomy, and fluid-gas exchange with air/SF6 mixture. The retina attached postoperatively and remained so during 3-month follow-up period, but cellophane maculopathy was noted.

並列關鍵字

giant tear retinal detachment ； laser in situ keratomileusis