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先天性散光的角膜缘松解切口:6个月随访

Limbal relaxing incisions in congenital astigmatism: 6 month follow-up.

作者信息

Budak K, Yilmaz G, Aslan B S, Duman S

机构信息

Ankara Hospital, Ankara, Turkey.

出版信息

J Cataract Refract Surg. 2001 May;27(5):715-9. doi: 10.1016/s0886-3350(00)00687-8.

DOI:10.1016/s0886-3350(00)00687-8
PMID:11377902
Abstract

PURPOSE

To evaluate the effectiveness of limbal relaxing incisions (LRIs) for correcting naturally occurring astigmatism.

SETTING

Ankara Hospital, Ankara, Turkey.

METHODS

This prospective analysis of the results of the first LRIs in 22 eyes of 13 patients with congenital astigmatism was done using a modified Gills nomogram and was based on preoperative refractive astigmatism determined by manifest and cycloplegic refractions. There were no adjustments based on sex or age.

RESULTS

An absolute decrease of 0.91 diopter (D) (44%) in mean astigmatism was achieved after 6 months in 22 eyes. The mean uncorrected visual acuity (logMAR) increased from 0.42 to 0.26 from preoperatively to 6 months postoperatively. No patient lost best corrected visual acuity. Most regression occurred in eyes with more than 3.50 D of astigmatism and between the first and third postoperative months.

CONCLUSION

Limbal relaxing incisions are a practical, simple, and forgiving approach for the correction of lower degrees of astigmatism.

摘要

目的

评估角膜缘松解切口(LRI)矫正自然发生散光的有效性。

地点

土耳其安卡拉安卡拉医院。

方法

采用改良的吉利斯列线图,对13例先天性散光患者22只眼首次行角膜缘松解切口手术的结果进行前瞻性分析,该分析基于通过显验光和睫状肌麻痹验光确定的术前屈光性散光。未根据性别或年龄进行调整。

结果

22只眼在6个月后平均散光绝对降低了0.91屈光度(D)(44%)。平均未矫正视力(logMAR)从术前的0.42提高到术后6个月的0.26。没有患者丧失最佳矫正视力。大多数回退发生在散光超过3.50 D的眼中,且发生在术后第一个月至第三个月之间。

结论

角膜缘松解切口是矫正低度散光的一种实用、简单且容错性好的方法。

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