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Abstract：
Duchenne muscular dystrophy (DMD) is an X-linked disorder due to a dystrophin mutation and is the leading cause of muscular dystrophy. DMD presents with characteristic systemic effects, including severe muscular atrophy, cardiomyopathy, and ocular manifestations. Performing corneal refractive surgeries in patients with DMD raises concerns regarding patient positioning, risk of cataracts, and other comorbid conditions. Published reports of photorefractive keratectomy, laser-assisted in situ keratomileuses, and small incision lenticule extraction are lacking in this population. Here, we discuss a patient being evaluated for a corneal refractive surgery. This article also discusses the current understanding of DMD, known ocular manifestations, and factors to consider when evaluating a patient for potential corrective vision laser surgery.
摘要：
杜氏肌营养不良(DMD)是由于肌营养不良蛋白突变引起的X连锁病症,并且是肌营养不良的主要原因。DMD具有特征性的全身效应，包括严重的肌肉萎缩,心肌病,和眼部表现。在DMD患者中进行角膜屈光手术会引起对患者定位的担忧，患白内障的风险,以及其他合并症。光屈光性角膜切除术的已发表报告，激光辅助原位角膜磨镶术，该人群缺乏小切口微透镜的提取。这里,我们讨论了一名正在接受角膜屈光手术评估的患者。本文还讨论了当前对DMD的理解，已知的眼部表现，以及在评估患者潜在的矫正视力激光手术时要考虑的因素。
