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라식수술을 시행한 환자에서 결막절개를 통한 하안검성형술 시 발생한 각막손상

Title
라식수술을 시행한 환자에서 결막절개를 통한 하안검성형술 시 발생한 각막손상
Author
김창연
Keywords
LASIK; Transconjunctival blepharoplasty; Corneal injuries
Issue Date
2011-07
Publisher
대한성형외과학회
Citation
대한성형외과학회지, 2011, 38(4), P.543-546
Abstract
Purpose: LASIK, one of the currently popular ophthalmic procedures, can sometimes result in dry eye symptoms. In the patient who had underwent LASIK operation, the periorbital surgery may be more likely to lead to such a complication as dry eye symptom. We would like to report a case of corneal abrasion occurred after transconjunctival blepharoplasty in post-LASIK state and suggest the method about preventing the complication. Methods: A 30-year-old female patient underwent transconjunctival blepharoplasty and microfat graft into the face. She had history of LASIK operation 2 years ago. Corneal protector was applied to both eye during transconjunctival operation. After the surgery, she complained of visual blurring at left side. Ophthalmic examination revealed corneal abrasion of left eye. Results: Cornea protecting lens was applied to left eye for 2 weeks. Steroid and antibiotic eye drops were applied for relieving the symptoms and the prevention from progressing of complication. After 1 week, visual power and acuity was recovered to preoperative state. No other specific complications happened. Conclusion: Post-LASIK patient may have possibility of decreased corneal sensation and tear production. Preoperative ophthalmic examination is recommended for the prevention of complication. When corneal protector is applied, we suggest Optagel$^{(R)}$ as a useful lubricant.
URI
http://click.ndsl.kr/servlet/LinkingDetailView?cn=JAKO201119535549287&dbt=JAKO&org_code=O483&site_code=SS1483&service_code=01
ISSN
1015-6402; 2234-6163
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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