1.LASIK Interface-Captured Foreign Bodies after Mild Traumatic Corneal Scratch without Flap Displacement.
Korean Journal of Ophthalmology 2012;26(3):222-225
A 38-year-old woman developed diffusely distributed opacities with crystalline materials in the laser in situ keratomileusis (LASIK) interface of her eye after she was scratched by a sprig during mountain climbing. No sign of flap displacement was noted. Despite two days of topical and systemic antibiotics therapy, the corneal infiltration with interface opacities persisted. The following day, the distribution of the crystalline materials had rotated in a counterclockwise direction. Flap lifting and foreign body removal using sufficient irrigation were performed. One month after surgery, the patient's postoperative uncorrected visual acuity was 0.8 with cleared interface. No signs of epithelial ingrowth or flap striae were noted. Mild traumatic corneal scratching without flap displacement may threaten the integrity of the LASIK interface. If foreign bodies are suspected to be the cause of inflammation, early flap lifting with irrigation is imperative for successful treatment.
Adult
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Cornea/*injuries/pathology/surgery
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Eye Injuries/*complications/diagnosis/surgery
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Female
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Follow-Up Studies
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Humans
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Keratomileusis, Laser In Situ/*methods
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Myopia/surgery
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*Surgical Flaps
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Surgical Wound Dehiscence/diagnosis/*etiology/surgery
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Wounds, Nonpenetrating/*complications/diagnosis/surgery
2.Transcatheter coil embolization of the inferior epigastric artery in a huge abdominal wall hematoma caused by paracentesis in a patient with liver cirrhosis.
Yun Ji PARK ; Sang Yeon LEE ; Seong Hun KIM ; In Hee KIM ; Sang Wook KIM ; Seung Ok LEE
The Korean Journal of Hepatology 2011;17(3):233-237
Therapeutic paracentesis is considered to be a relatively safe procedure and is performed commonly for the control of massive ascites in patients with liver cirrhosis. The commonest puncture site, approximately 4 or 5 cm medial of left anterior superior iliac spine, can be located across the route of the inferior epigastric artery, which is one of the sites of potential massive bleeding. In a 46-year-old woman with liver cirrhosis and refractory ascites, a huge abdominal wall hematoma developed after therapeutic paracentesis. The patient was not stabilized by conservative treatment, and inferior epigastric artery injury was confirmed on angiography. Angiographic coil embolization of the inferior epigastric artery was conducted, after which the bleeding ceased and the hematoma stopped growing. This case indicates that physicians performing paracentesis should be aware of the possibility of inferior epigastric artery injury and consider early angiographic coil embolization when a life-threatening abdominal wall hematoma develops.
Abdominal Wall
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Angiography
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Ascites/surgery
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Embolization, Therapeutic
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Epigastric Arteries/*injuries
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Female
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Hematoma/*etiology/radiography/therapy
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Humans
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Liver Cirrhosis/*diagnosis
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Middle Aged
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Paracentesis/*adverse effects
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Tomography, X-Ray Computed
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Wounds, Nonpenetrating/complications