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Exacerbation of Avellino corneal dystrophy after LASIK in North America.

机译:北美LASIK术后阿维利诺角膜营养不良的恶化。

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PURPOSE: To report the first case of Avellino corneal dystrophy exacerbation after LASIK in a white or North American patient. METHODS: Case report and literature review. RESULTS: A 25-year-old white female developed progressive corneal opacities after LASIK. Preoperative examination had revealed only subtle white corneal opacities in each eye. The patient's mother had similar corneal opacities. DNA analysis of the patient revealed a heterozygous mutation at the R124H location in the BIGH3 gene. CONCLUSIONS: LASIK can exacerbate Avellino corneal dystrophy and should be avoided in patients with this condition. A careful history and genetic analysis can identify affected patients and those at risk.
机译:目的:报告第一例白人或北美患者在LASIK术后发生阿维利诺角膜营养不良。方法:病例报告和文献复习。结果:一名25岁的白人女性在LASIK手术后出现进行性角膜混浊。术前检查发现每只眼睛仅有微妙的白色角膜混浊。病人的母亲有类似的角膜混浊。对患者进行的DNA分析显示,BIGH3基因的R124H位置存在杂合突变。结论:LASIK手术可加重阿韦利诺角膜营养不良,在这种情况下应避免使用。仔细的病史和遗传分析可以确定受影响的患者和有风险的患者。

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