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Combined Excimer Phototherapeutic Keratectomy and Hyperopic Photorefractive Keratectomy for Reis-Bücklers' Corneal Dystrophy
以治療性準分子雷射手術結合遠視雷射手術治療Reis-Bucklers'角膜失養症
並列摘要
This report describes a patient with Reis-Bücklers' corneal dystrophy who underwent simultaneous treatment by excimer phototherapeutic keratectomy (PTK) and hyperopic photorefractive keratectomy (PRK). The 48-year-old male had experienced episodes of bilateral ocular pain and progressive blurred vision since his teenage years. On examination, the refraction error was +4.25-1.75×130 in the right eye and +4.00-1.50×70 in the left eye. The best-corrected visual acuity was 6/20 in the right eye and 6/12 in the left eye. Slit-lamp examination revealed a diffuse, honeycomb-shaped corneal opacification in the region of Bowman's layer and varying degrees of corneal epithelial erosion in both eyes. A positive family history was evident in his two daughters, whose vision was unimpeded. The extent of corneal opacification decreased after excimer PTK and hyperopic PRK. One month after surgery, the refraction error was +2.50-1.75×5 in the right eye and +2.00-0.75×60 in the left eye, and the best-corrected visual acuity was 6/7.5 in the right eye and 6/8.6 in the left eye. This improved visual acuity occurred without evidence of corneal erosion at a 10-month follow-up. The combination of excimer PTK and hyperopic PRK may provide a satisfactory therapeutic alternative in patients with Reis-Bücklers' corneal dystrophy and recurrent corneal erosion.
延伸閱讀
- 黃雍穆、胡芳蓉（1990）。白內障手術中以鬆弛性切開術合併輪部壓迫法來矯正角膜移植術後散光－病例報告。中華民國眼科醫學會雜誌，29(1)，165-169。https://doi.org/10.30048/ACTASOS.199005.0029
- Huang, J. C. C., Chen, K. J., Sun, M. H., Lai, J. Y., & Sun, C. C. (2012). 雷射近視手術後併發膿腫分枝桿菌角膜炎之治療—病例報告. 中華民國眼科醫學會雜誌, 51(1), 106-111. https://doi.org/10.30048/ACTASOS.201203.0016
- Chang, Y. T., Tsai, C. B., Tan, C. Y., & Chang, K. B. (2000). 以準分子雷射屈光性角膜切除術治療近視－初報. 中華民國眼科醫學會雜誌, 39(4), 507-515. https://doi.org/10.30048/ACTASOS.200012.0010
- Lin, H. C., Lin, H. Y., Lin, W. H., & Yeh, C. J. (2007). 不同角膜板層刀合併前導波雷射角膜原位成型術治療高度近視－初報. 中華民國眼科醫學會雜誌, 46(1), 1-7. https://doi.org/10.30048/ACTASOS.200703.0001
- Kung, Y. H., Lin, C. S., Chen, J. L., & Sheu, S. J. (2007). 角膜原位層狀雷射手術後的神經失養性角膜潰瘍－病例報告. 中華民國眼科醫學會雜誌, 46(2), 145-151. https://doi.org/10.30048/ACTASOS.200706.0008