PDF(Pubmed)
Abstract：
UNASSIGNED: To report a case of metallic corneal foreign-body (CFB) penetrating the Laser in situ keratomileusis (LASIK) flap and its successful outcome. To highlight usefulness of Anterior Segment Optical Coherence Tomography (ASOCT) in diagnosis and management of post-LASIK CFB. To enumerate other similar cases published in literature.
UNASSIGNED: A 30-year-old male presented to the emergency department of a tertiary eye care centre with a metallic CFB. He had undergone uneventful LASIK elsewhere 4-years back. He was unaware of any trauma. CFB removal was attempted elsewhere but abandoned as CFB appeared deeply embedded. ASOCT showed CFB had penetrated LASIK flap and lodged into midstroma, 207 μm deep. CFB was successfully removed in operation theatre along with the application of cyanoacrylate glue and bandage contact lens. A review of literature for CFB in post-LASIK patients was done through PubMed search.
UNASSIGNED: Postoperative course was uncomplicated and there was a follow up period of 4 months. Vision improved to unaided 20/20 and N/6 from preoperative 20/60 and N/10. Review of literature of 24 patients showed Post-LASIK FB was more common in males (79%). None of the patients except for one had protective eye-wear. Metallic FB was most common followed by organic FB. Flap complications were present in seven patients. Diffuse lamellar keratitis (DLK) and epithelial ingrowth were the most common post-FB removal complications occurring in six (25%) and four (16.6%) patients respectively.
UNASSIGNED: Post-LASIK patients with CFB need to be inspected for flap related complications. CFB can be successfully removed, although DLK, epithelial ingrowth, microbial keratitis, astigmatism, can occur post-CFB removal. ASOCT can delineate CFB and flap related details and thus is an additional useful imaging tool in such scenarios.
UNASSIGNED: A 30-year-old male presented to the emergency department of a tertiary eye care centre with a metallic CFB. He had undergone uneventful LASIK elsewhere 4-years back. He was unaware of any trauma. CFB removal was attempted elsewhere but abandoned as CFB appeared deeply embedded. ASOCT showed CFB had penetrated LASIK flap and lodged into midstroma, 207 μm deep. CFB was successfully removed in operation theatre along with the application of cyanoacrylate glue and bandage contact lens. A review of literature for CFB in post-LASIK patients was done through PubMed search.
UNASSIGNED: Postoperative course was uncomplicated and there was a follow up period of 4 months. Vision improved to unaided 20/20 and N/6 from preoperative 20/60 and N/10. Review of literature of 24 patients showed Post-LASIK FB was more common in males (79%). None of the patients except for one had protective eye-wear. Metallic FB was most common followed by organic FB. Flap complications were present in seven patients. Diffuse lamellar keratitis (DLK) and epithelial ingrowth were the most common post-FB removal complications occurring in six (25%) and four (16.6%) patients respectively.
UNASSIGNED: Post-LASIK patients with CFB need to be inspected for flap related complications. CFB can be successfully removed, although DLK, epithelial ingrowth, microbial keratitis, astigmatism, can occur post-CFB removal. ASOCT can delineate CFB and flap related details and thus is an additional useful imaging tool in such scenarios.
摘要：
■报告一例金属角膜异物（CFB）穿透准分子激光原位角膜磨镶术（LASIK）皮瓣的病例及其成功结果。强调前段光学相干断层扫描（ASOCT）在LASIK后CFB的诊断和管理中的有用性。列举文献中发表的其他类似案例。
■一名30岁的男性带着金属CFB前往三级眼部护理中心的急诊科。四年前，他在其他地方经历了顺利的LASIK。他没有意识到任何创伤。已在其他地方尝试去除CFB，但由于CFB似乎嵌入很深而放弃了。ASOCT显示CFB穿透LASIK皮瓣并卡在中间基质中，207μm深。随着氰基丙烯酸酯胶和绷带隐形眼镜的应用，在手术室中成功地去除了CFB。通过PubMed检索对LASIK术后患者CFB的文献进行了综述。
■术后过程简单，随访时间为4个月。视力从术前20/60和N/10改善至无辅助20/20和N/6。对24例患者的文献回顾显示，LASIK后FB在男性中更为常见（79％）。除一名患者外，所有患者均无眼部保护。金属FB最常见，其次是有机FB。7例患者出现皮瓣并发症。弥漫性板层角膜炎（DLK）和上皮向内生长是FB切除后最常见的并发症，分别发生在6例（25％）和4例（16.6％）患者中。
■LASIK术后CFB患者需要检查皮瓣相关并发症。可以成功删除CFB，虽然DLK,上皮向内生长，微生物性角膜炎，散光,可在CFB移除后发生。ASOCT可以描绘CFB和襟翼相关的细节，因此在这种情况下是一个额外的有用的成像工具。
■一名30岁的男性带着金属CFB前往三级眼部护理中心的急诊科。四年前，他在其他地方经历了顺利的LASIK。他没有意识到任何创伤。已在其他地方尝试去除CFB，但由于CFB似乎嵌入很深而放弃了。ASOCT显示CFB穿透LASIK皮瓣并卡在中间基质中，207μm深。随着氰基丙烯酸酯胶和绷带隐形眼镜的应用，在手术室中成功地去除了CFB。通过PubMed检索对LASIK术后患者CFB的文献进行了综述。
■术后过程简单，随访时间为4个月。视力从术前20/60和N/10改善至无辅助20/20和N/6。对24例患者的文献回顾显示，LASIK后FB在男性中更为常见（79％）。除一名患者外，所有患者均无眼部保护。金属FB最常见，其次是有机FB。7例患者出现皮瓣并发症。弥漫性板层角膜炎（DLK）和上皮向内生长是FB切除后最常见的并发症，分别发生在6例（25％）和4例（16.6％）患者中。
■LASIK术后CFB患者需要检查皮瓣相关并发症。可以成功删除CFB，虽然DLK,上皮向内生长，微生物性角膜炎，散光,可在CFB移除后发生。ASOCT可以描绘CFB和襟翼相关的细节，因此在这种情况下是一个额外的有用的成像工具。
