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飞秒激光辅助角膜口袋制作术,使用角膜内镜片植入术的眼罩。

Femtosecond laser-assisted corneal pocket creation using a mask for inlay implantation.

机构信息

Institute of Vision and Optics, University of Crete, Greece.

出版信息

J Refract Surg. 2011 Nov;27(11):818-20. doi: 10.3928/1081597X-20110706-01. Epub 2011 Jul 18.

DOI:10.3928/1081597X-20110706-01
PMID:21751765
Abstract

PURPOSE

To describe the technique of femtosecond laser-assisted intracorneal pocket creation, using a mask for the implantation of a corneal inlay in the non-dominant eye of a 56-year-old, emmetropic, presbyopic woman for the correction of presbyopia.

METHODS

Using the iFlap treatment-type software of the femtosecond laser (IntraLase 150, Abbott Medical Optics), a full lamellar cut was created at 280-μm depth. A keyhole-shaped mask was placed at the internal part of the glass of the applanation cone. A separator was used to separate the stroma, and an inserter was used to implant the inlay at the center of the line of sight. To determine the line of sight, the microscope and centration system of the excimer laser (Allegretto Wave 400 Hz, WaveLight Laser Technologie AG) were used. The Flexivue Microlens inlay (Presbia) was implanted.

RESULTS

No intra- or postoperative complications occurred during follow-up. Uncorrected near visual acuity improved from 20/50 to 20/20 at the first postoperative week.

CONCLUSIONS

Femtosecond-assisted intracorneal pocket creation using a mask is a simple, safe, and efficient approach for the implantation of corneal inlays.

摘要

目的

描述使用角膜内植入物掩模在 56 岁正视远视女性非优势眼内创建飞秒激光辅助角膜囊袋的技术,以矫正远视。

方法

使用飞秒激光(IntraLase 150,Abbott Medical Optics)的 iFlap 治疗型软件,在 280-μm 深度创建全层切割。将钥匙孔形状的掩模放置在眼压计玻璃的内部。使用分离器分离基质,并使用植入器将植入物植入视线中心线上。为了确定视线,使用准分子激光的显微镜和定心系统(Allegretto Wave 400 Hz,WaveLight Laser Technologie AG)。植入 Flexivue Microlens 植入物(Presbia)。

结果

在随访期间未发生术中或术后并发症。未经矫正的近视力从术后第一周的 20/50 提高到 20/20。

结论

使用掩模的飞秒辅助角膜囊袋创建是一种简单、安全、有效的角膜内植入物植入方法。

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