关键词: Autograft Case report Fungal keratitis LASIK flap Tectonic graft

来  源:   DOI:10.1159/000538062   PDF(Pubmed)

Abstract:
UNASSIGNED: This case report describes a rare case of fungal keratitis following femtoLASIK. Despite targetted antifungal therapy, this case necessitated an innovative surgical approach to manage an unexpected corneal perforation.
UNASSIGNED: A 35-year-old male presented 3 weeks post-femtoLASIK for myopic astigmatism with discomfort and reduced vision in his right eye. He was diagnosed with fungal keratitis surgery caused by Purpureocillium lilacinum and was treated with a myriad of therapy. Unfortunately, the patient developed corneal perforation during flap lift and flap bed irrigation. An innovative approach involving a tectonic autograft using a viable LASIK flap, followed by prompt penetrating keratoplasty, was utilised.
UNASSIGNED: This technique was effective and able to mitigate the progression to an open globe.
摘要:
本病例报告描述了一例femtoLASIK术后真菌性角膜炎的罕见病例。尽管有针对性的抗真菌治疗,这种情况需要创新的手术方法来处理意外的角膜穿孔。
一名35岁男性在femtoLASIK术后3周因近视散光出现不适和右眼视力下降。他被诊断出患有由淡紫色青霉引起的真菌性角膜炎手术,并接受了多种治疗。不幸的是,患者在皮瓣提起和皮瓣床冲洗期间出现角膜穿孔。一种使用可行的LASIK皮瓣进行构造自体移植的创新方法,随后是快速穿透性角膜移植术,被利用了。
这种技术是有效的,能够减轻向开放地球的进展。
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