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Purpose : To examine the etiology and management of buttonholes created during laser in situ keratomileusis (LASIK). Patients and Methods : Retrospective review of case records of 1010 eyes of 514 patients who underwent LASIK. Four eyes of 4 patients developed a flap buttonhole, and subsequent laser ablation was not performed. Retreatment was done after a mean interval of 6 months. Results : The etiology of a buttonhole was considered to be misuse of microkeratome in 1 patient and desiccation of the cornea in 2 patients, and could not be determined in 1 patient. Uncorrected visual acuity in those 4 patients was 1.2, 1.2, 0.9, and 1.5 respectively, after retreatment. The mean preoperative spherical equivalent was -5.47 diopters (D), and the mean spherical equivalent before retreatment was -5.19D. The mean preoperative corneal refractive power of 43.53D flattened to 42.88D before retreatment. The mean preoperative corneal astigmatism of 1.63D increased to 2.06D before retreatment. 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Laser in situ keratomileusis の際に生じたボタンホールとその再手術の検討
http://hdl.handle.net/2297/36196
http://hdl.handle.net/2297/36196f0ce7770-856c-46c4-b280-b6ca259d689d
名前 / ファイル | ライセンス | アクション |
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ME-PR-HIGASHIDE-T-384.pdf (4.3 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-10-03 | |||||
タイトル | ||||||
タイトル | Laser in situ keratomileusis の際に生じたボタンホールとその再手術の検討 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Management and Retreatment of Laser in Situ Keratomileusis Flap Buttonhole | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
田川, 考作
× 田川, 考作× 東出, 朋巳× 杉山, 和久× 河崎, 一夫 |
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書誌情報 |
日本眼科學会雜誌 = Journal of Japanese Ophthalmological Society 巻 110, 号 5, p. 384-390, 発行日 2006-05-10 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0029-0203 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00187157 | |||||
出版者 | ||||||
出版者 | 日本眼科学会 = Japanese Ophthalmological Society | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 目的 : Laser in situ keratomileusis(LASIK)の際に生じたボタンホールの発生原因および再手術までの経過および再手術の成績を検討する. 対象および方法 : 八尾総合病院でLASIKを施行した514例1010眼のうち4例4眼にボタンホールが生じた. 全例でボタンホールの発生後にレーザー照射を施行せず初回手術を中断した. 再手術は平均6か月後に施行された. ボタンホールの発生原因, 視力, 他覚屈折値, 角膜屈折力および角膜乱視の推移を検討した. 結果 : ボタンホールの原因は1例がケラトームの操作ミス, 2例が角膜の乾燥, 1例が原因不明と考えられた. 再手術後の裸眼視力は1.2, 1.2, 0.9, 1.5であった. 等価球面度数の平均は初回手術前が-5.47ジオプター(D), 再手術前が-5.19Dであった. 再手術前の時点では初回手術前に比べ, 角膜屈折力の平均は43.53Dから42.88Dにフラット化し, 角膜乱視の平均は1.63Dから2.06Dに増加していた. Purpose : To examine the etiology and management of buttonholes created during laser in situ keratomileusis (LASIK). Patients and Methods : Retrospective review of case records of 1010 eyes of 514 patients who underwent LASIK. Four eyes of 4 patients developed a flap buttonhole, and subsequent laser ablation was not performed. Retreatment was done after a mean interval of 6 months. Results : The etiology of a buttonhole was considered to be misuse of microkeratome in 1 patient and desiccation of the cornea in 2 patients, and could not be determined in 1 patient. Uncorrected visual acuity in those 4 patients was 1.2, 1.2, 0.9, and 1.5 respectively, after retreatment. The mean preoperative spherical equivalent was -5.47 diopters (D), and the mean spherical equivalent before retreatment was -5.19D. The mean preoperative corneal refractive power of 43.53D flattened to 42.88D before retreatment. The mean preoperative corneal astigmatism of 1.63D increased to 2.06D before retreatment. Conclusion : Misuse of microkeratome and desiccation of the cornea may cause a buttonhole. If a buttonhole is created, retreatment by LASIK scheduled several months later may achieve good uncorrected visual acuity. Nippon Ganka Gakkai Zasshi (J Jpn Ophthalmol Soc 110 : 384-390, 2006) | |||||
権利 | ||||||
権利情報 | Copyright © Japanese Ophthalmological Society | |||||
権利URI | ||||||
権利情報 | http://www.nichigan.or.jp/index.jsp | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.nichigan.or.jp/member/journal/nggz/index.jsp | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://ci.nii.ac.jp/naid/10019254884/ |