COVID-19感染致LASIK术后急性适应性不全。

IF 3 3区医学 Q1 OPHTHALMOLOGY

Journal of refractive surgery Pub Date : 2025-09-01 DOI:10.3928/1081597X-20250801-01

Bianca N Susanna, Jason M Marcellus, J Bradley Randleman

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引用次数: 0

摘要

目的：报告1例新型冠状病毒病2019 （COVID-19）致激光原位角膜磨磨术（LASIK）术后急性短暂性调节功能不全。方法：病例报告和文献复习。结果：一名36岁男性患者在顺利进行双侧远视LASIK术后7天出现急性近视力模糊，同时出现COVID-19感染。检查显示新发的调节功能不全，双眼交叉筒试验显示双眼调节滞后+1.00屈光度(D)。瞳孔和眼球运动正常。患者暂时使用低加角多焦点隐形眼镜。术后6个月，调节滞后消失，调节功能恢复到基线，近视力恢复到J1。结论：本报告将急性适应性功能不全描述为COVID-19的并发症，并在6个月内自行消退。鉴于对屈光手术结果的重大影响，作者建议在COVID-19后延迟至少6个月的选择性手术，特别是在出现无法解释的术后近视力变化的患者中。

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Acute Accommodative Insufficiency After LASIK Due to COVID-19 Infection.

Purpose: To report a case of acute and transient accommodative insufficiency after laser in situ keratomileusis (LASIK) due to coronavirus disease 2019 (COVID-19).

Methods: Case report and literature review.

Results: A 36-year-old man complained of acute blurred near vision 7 days after uneventful bilateral hyperopic LASIK, concurrent with the onset of COVID-19 infection. Examination revealed new-onset accommodative insufficiency, with binocular cross-cylinder test demonstrating an accommodative lag of +1.00 diopters (D) in both eyes. Pupillary and ocular motility findings were normal. The patient was prescribed low add multifocal contact lenses for temporary use. Six months postoperatively, accommodative lag resolved, accommodative function returned to baseline, and near vision returned to J1 uncorrected.

Conclusions: This report describes acute accommodative insufficiency as a complication of COVID-19, with spontaneous resolution over 6 months. Given the significant impact on refractive surgery outcomes, the authors recommend delaying elective procedures for at least 6 months after COVID-19, especially in patients presenting with unexplained postoperative near vision changes.

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来源期刊

$Journal of refractive surgery$

Journal of refractive surgery 医学-外科

CiteScore

5.10

自引率

12.50%

发文量

160

审稿时长

4-8 weeks

期刊介绍： The Journal of Refractive Surgery, the official journal of the International Society of Refractive Surgery, a partner of the American Academy of Ophthalmology, has been a monthly peer-reviewed forum for original research, review, and evaluation of refractive and lens-based surgical procedures for more than 30 years. Practical, clinically valuable articles provide readers with the most up-to-date information regarding advances in the field of refractive surgery. Begin to explore the Journal and all of its great benefits such as: • Columns including “Translational Science,” “Surgical Techniques,” and “Biomechanics” • Supplemental videos and materials available for many articles • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance.