RESUMO
PURPOSE: to report the successful treatment of two patients who developed flap necrosis preceded by recurrent epithelial ingrowth and interface fluid syndrome after LASIK. METHODS: patient 1 was treated with epithelial debridement and flap suturing. Patient 2 was initially treated with epithelial debridement and flap suturing, but developed recurrent epithelial ingrowth in the right eye and 2 weeks later in the left eye. RESULTS: patient 1 developed diffuse interface fluid accumulation in the left eye after epithelial debridement and flap suturing and was treated with timolol meleate 0.5% solution and methazolamide. The interface fluid resolved and the cornea and flap became clear. Slit-lamp examination identified a small area of epithelial ingrowth recurrence, which has remained stable for 3 years. Patient 2 was successfully retreated with epithelial debridement followed by fibrin tissue adhesive application. Five months after debridement and fibrin tissue adhesive, no recurrence of epithelial ingrowth or interface fluid accumulation was noted. CONCLUSIONS: epithelial ingrowth and interface fluid syndrome may be associated with secondary flap necrosis following LASIK, which can be effectively treated with debridement and flap suturing or fibrin tissue adhesive application.
Assuntos
Edema da Córnea/terapia , Substância Própria/patologia , Epitélio Corneano/patologia , Ceratomileuse Assistida por Excimer Laser In Situ/efeitos adversos , Retalhos Cirúrgicos/patologia , Adulto , Anti-Hipertensivos/administração & dosagem , Líquidos Corporais , Inibidores da Anidrase Carbônica/administração & dosagem , Terapia Combinada , Edema da Córnea/etiologia , Desbridamento , Quimioterapia Combinada , Feminino , Humanos , Masculino , Metazolamida/administração & dosagem , Necrose/etiologia , Necrose/terapia , Recidiva , Técnicas de Sutura , Timolol/administração & dosagemRESUMO
PURPOSE: To study the results of treatment of corneal perforations with isobutyl cyanoacrylate tissue adhesive. DESIGN: Retrospective case series. METHODS: The charts of 20 patients (22 eyes) with corneal perforation Assuntos
Bucrilato/uso terapêutico
, Doenças da Córnea/tratamento farmacológico
, Adesivos Teciduais/uso terapêutico
, Adolescente
, Adulto
, Idoso
, Idoso de 80 Anos ou mais
, Doenças da Córnea/etiologia
, Doenças da Córnea/cirurgia
, Feminino
, Humanos
, Ceratoplastia Penetrante
, Masculino
, Pessoa de Meia-Idade
, Estudos Retrospectivos
, Ruptura Espontânea
, Resultado do Tratamento
, Acuidade Visual
, Cicatrização/efeitos dos fármacos