라식수술을 시행한 환자에서 결막절개를 통한 하안검성형술 시 발생한 각막손상

Corneal Abrasion Occurred during Transconjunctival Blepharoplasty in a Patient with History of LASIK Operation

  • Shin, Jong-In (Jo N Shin Plastic Surgery Clinic) ;
  • Kwon, In-Oh (Jo N Shin Plastic Surgery Clinic) ;
  • Kim, Chang-Yeon (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
  • 투고 : 2011.03.03
  • 심사 : 2011.06.13
  • 발행 : 2011.07.10

초록

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.

키워드

참고문헌

  1. Solomon KD, Fernandez de Castro LE, Sandoval HP, Bartholomew LR, Vroman DT: Refractive surgery survey 2003. J Cataract Refract Surg 30: 1556, 2004 https://doi.org/10.1016/j.jcrs.2004.01.032
  2. Muller LJ, Pels L, Vrensen GF: Ultrastructural organization of human corneal nerves. Invest Ophthalmol Vis Sci 37: 476, 1996
  3. Muller LJ, Vrensen GF, Pels L, Cardozo BN, Willekens B: Architecture of human corneal nerves. Invest Ophthalmol Vis Sci 38: 985, 1997
  4. Toda I, Asano-Kato N, Komai-Hori Y, Tsubota K: Dry eye after laser in situ keratomileusis. Am J Ophthalmol 132: 1, 2001 https://doi.org/10.1016/S0002-9394(01)00959-X
  5. Donnenfeld ED, Solomon K, Perry HD, Doshi SJ, Ehrenhaus M, Solomon R, Biser S: The effect of hinge position on corneal sensation and dry eye after LASIK. Ophthalmology 110: 1023, 2003 https://doi.org/10.1016/S0161-6420(03)00100-3
  6. Korn BS, Kikkawa DO, Schanzlin DJ: Blepharoplasty in the post-laser in situ keratomileusis patient: preoperative considerations to avoid dry eye syndrome. Plast Reconstr Surg 119: 2232, 2007 https://doi.org/10.1097/01.prs.0000260750.15059.17
  7. Hamaway AH, Farkas JP, Fagien S, Rohrich RJ: Preventing and managing dry eyes after periorbital surgery: a retrospective review. Plast Reconstr Surg 123: 353, 2009 https://doi.org/10.1097/PRS.0b013e31819346ea