屈光手术后的中央毒性角膜病：诊断、治疗和临床实践中的挑战

Q3 Medicine

Archivos De La Sociedad Espanola De Oftalmologia Pub Date : 2025-05-01 DOI:10.1016/j.oftal.2024.12.005

A. Robles García , Y. Fernández Barrientos , J.L. Ramos Navarro , J. Díaz Bernal , J. Mora Castilla , J. Ortega Usobiaga

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引用次数: 0

摘要

中毒性角膜病变（CTK）是一种罕见的非炎症性并发症，可在LASIK手术后出现。通常在术后第3天至第9天出现，以角膜中央混浊、间质变薄和远视移位为特征。在这个临床病例中，34岁的患者有皮肤b细胞淋巴瘤病史，在接受准分子激光屈光手术后右眼出现CTK。本文详细介绍了保守治疗的诊断过程和临床进展。关于CTK病理生理的不同理论也被提出，强调弥漫性板层性角膜炎（DLK）鉴别诊断的重要性及其治疗意义，以尽量减少视觉后遗症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Queratopatía central tóxica tras cirugía refractiva: diagnóstico, tratamiento y retos en la práctica clínica

Central toxic keratopathy (CTK) is a rare, non-inflammatory complication that can arise after LASIK surgery. It typically presents between days3 and 9 postoperatively, characterized by central corneal opacification, stromal thinning, and a hyperopic shift. In this clinical case, a 34-year-old patient with a history of cutaneous B-cell lymphoma developed CTK in the right eye after undergoing excimer laser refractive surgery. The diagnostic process and clinical evolution of the condition under conservative treatment are detailed. Different theories regarding the pathophysiology of CTK are also presented, highlighting the importance of differential diagnosis with diffuse lamellar keratitis (DLK) and its therapeutic implications to minimize visual sequelae.

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来源期刊

Archivos De La Sociedad Espanola De Oftalmologia Medicine-Ophthalmology

CiteScore

1.20

自引率

0.00%

发文量

109

审稿时长

78 days

期刊介绍： La revista Archivos de la Sociedad Española de Oftalmología, editada mensualmente por la propia Sociedad, tiene como objetivo publicar trabajos de investigación básica y clínica como artículos originales; casos clínicos, innovaciones técnicas y correlaciones clinicopatológicas en forma de comunicaciones cortas; editoriales; revisiones; cartas al editor; comentarios de libros; información de eventos; noticias personales y anuncios comerciales, así como trabajos de temas históricos y motivos inconográficos relacionados con la Oftalmología. El título abreviado es Arch Soc Esp Oftalmol, y debe ser utilizado en bibliografías, notas a pie de página y referencias bibliográficas.