Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_236»
«MEDICAL WRITING: CASE ABSTRACT_236»
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Vitreoretinal surgery for
bilateral macular holes after laser-assisted in situ keratomileusis for the
correction of myopia: a case report
Laser-assisted in situ keratomileusis
surgery may induce postoperative changes in the vitreomacular interface due to
the mechanical stretch of the vitreous produced by the suction ring and the
shock waves generated by the excimer laser and, subsequently, may provoke
macular hole formation.
A 53-year-old Spanish woman who
had undergone a laser-assisted in situ keratomileusis for the
correction of myopia in her right and left eye (10 years ago) was referred to
our department with a complaint of decreased visual acuity in both eyes. A
fundoscopy and optical coherence tomography examination revealed a bilateral
full-thickness macular hole. A 23-gauge sutureless pars plana vitrectomy was
performed in both eyes, and 1 month after surgery her visual acuity improved
and the hole closed.
The development of a bilateral
full-thickness macular hole after laser-assisted in situ keratomileusis
has been reported once. This case study enhances our understanding of the
vitreoretinal pathology induced by laser-assisted in situ keratomileusis,
showing the importance of a rigorous follow-up, because complications may occur
even a decade later. In this case study we must also consider the contribution
of the underlying myopia to the development of the bilateral macular holes.
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