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양안 라식 수술 후에 발생한 단안의 급성 각막수종의 임상증례

Other Titles
 The Clinical Manifestation of Unilateral Acute Hydrops after Bilateral Laser In Situ Keratomileusis (LASIK) 
Authors
 정소향  ;  조정우  ;  김응권 
Citation
 JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY, Vol.46(7) : 1246-1251, 2005 
Journal Title
 JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 
ISSN
 0378-6471 
Issue Date
2005
MeSH
Acute hydrops ; Keratoconus ; LASIK (laser in situ keratomileusis)
Keywords
Acute hydrops ; Keratoconus ; LASIK (laser in situ keratomileusis)
Abstract
Purpose: To report a case of a patient who underwent penetrating keratoplasty due to acute hydrops six years after undergoing a bilateral LASIK procedure. Methods: A 19-year old male patient with -2.75 diopter myopia received a bilateral LASIK operation at a local clinic. Forty-seven months later, -2.00 cyl axis 130o astigmatism was induced in his left eye and additional surgery was performed to correct the LASIK-induced astigmatism. The patient was referred to our hospital 16 months after the secondary operation due to reduced visual acuity in his left eye. He was diagnosed with keratectasia and acute hydrops, and penetrating keratoplasty was performed. Results: The retrospective analysis of the corneal topography prior to the LASIK surgery revealed that the inferior minus superior(I-S) value was 1.25 in the right eye and 1.3 in the left eye. At the time of the first evaluation at out hospital, a slit lamp examination showed an approximate 8x7.5mm sized area filled with aqueous humor between the corneal flap and residual stroma, and Descemet´s membrane rupture was observed. Furthermore, the histopathological section of the patient´s cornea confirmed keratocytes with myxoid degeneration and edematous change. Conclusions: In young patient, particularly those with suspicious asymptomatic keratoconus, LASIK and further enhancement surgery afterwards should be considered and approached in a cautious and deliberate manner.
Files in This Item:
T200500427.pdf Download
DOI
OAK-2005-03411
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eung Kweon(김응권) ORCID logo https://orcid.org/0000-0002-1453-8042
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147648
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