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光化性角膜切削术。

Phototherapeutic keratectomy.

机构信息

Cornea, Anterior Segment and Refractive Surgery Services, L V Prasad Eye Institute, Hyderabad, AP, India.

出版信息

Indian J Ophthalmol. 2012 Jan-Feb;60(1):5-14. doi: 10.4103/0301-4738.91335.

DOI:10.4103/0301-4738.91335
PMID:22218239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3263247/
Abstract

Phototherapeutic keratectomy (PTK) is done regularly for anterior corneal diseases such as corneal dystrophies, corneal degenerations, scars, and band-shaped keratopathy. The various indications include both therapeutic and visual. The aim of this article is to discuss the therapeutic indications for PTK, the specific technique pertaining to a specific etiology, the various other procedures like amniotic membrane graft combined with PTK or PTK being done for recurrences in the grafts, and PTK done before cataract surgery when the anterior corneal pathology coexists with the cataract. Post PTK management such as healing of an epithelial defect, use of steroids in the post PTK period, recurrences of primary disease pathology, and infections, will be discussed. Methods of literature search: A Medline search was carried out for articles in the English language, with the keywords, phototherapeutic keratectomy, band-shaped keratopathy, spheroidal degeneration, scars, bullous keratopathy, and corneal dystrophy. The relevant references are mentioned here.

摘要

光致分解角膜切削术(PTK)常用于治疗前部角膜疾病,如角膜营养不良、角膜变性、瘢痕和带状角膜病变。其适应证包括治疗和改善视力。本文旨在讨论 PTK 的治疗适应证、针对特定病因的具体技术、羊膜移植联合 PTK 或 PTK 治疗移植复发以及白内障术前存在前部角膜病变时的 PTK。还将讨论 PTK 后的管理,如上皮缺损的愈合、PTK 后使用类固醇、原发性疾病病理的复发和感染。文献检索方法:在英文文献中使用“光致分解角膜切削术、带状角膜病变、球形变性、瘢痕、大泡性角膜病变和角膜营养不良”等关键词进行 Medline 检索。此处提到了相关参考文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/5bb05a772be7/IJO-60-5-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/c57a9a078cab/IJO-60-5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/4a5741dd5f52/IJO-60-5-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/bd0c313371af/IJO-60-5-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/4abc2c4a5ece/IJO-60-5-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/09daba5d9305/IJO-60-5-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/c07e6011706e/IJO-60-5-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/5bb05a772be7/IJO-60-5-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/c57a9a078cab/IJO-60-5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/4a5741dd5f52/IJO-60-5-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/bd0c313371af/IJO-60-5-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/4abc2c4a5ece/IJO-60-5-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/09daba5d9305/IJO-60-5-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/c07e6011706e/IJO-60-5-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b2c/3263247/5bb05a772be7/IJO-60-5-g008.jpg

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本文引用的文献

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Superficial keratectomy, PTK, and mitomycin C as a combined treatment option for Salzmann's nodular degeneration: a follow-up of eight eyes.浅表性角膜切除术、PTK 和丝裂霉素 C 联合治疗 Salzmann 结节状变性:8 只眼的随访。
Graefes Arch Clin Exp Ophthalmol. 2011 Aug;249(8):1211-5. doi: 10.1007/s00417-011-1643-7. Epub 2011 Apr 5.
2
Phototherapeutic keratectomy in pediatric patients in India.印度小儿患者的光疗性角膜切除术。
Cornea. 2010 Oct;29(10):1109-12. doi: 10.1097/ICO.0b013e3181d14288.
3
Simultaneous aspheric wavefront-guided transepithelial photorefractive keratectomy and phototherapeutic keratectomy to correct aberrations and refractive errors after corneal surgery.
Eye (Lond). 2024 Oct;38(15):2888-2897. doi: 10.1038/s41433-024-03206-x. Epub 2024 Jul 8.
4
Late-Onset Chronic Corneal Fistula Following Phototherapeutic Keratectomy: A Case Report and Importance of Early Detection.光动力角膜切开术后迟发性慢性角膜瘘:病例报告及早期发现的重要性。
Am J Case Rep. 2023 Dec 5;24:e942279. doi: 10.12659/AJCR.942279.
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Changes in Stress-Strain Index and Corneal Biomechanics in Granular Corneal Dystrophy.颗粒状角膜营养不良中应力应变指数和角膜生物力学的变化。
J Clin Med. 2022 Nov 5;11(21):6571. doi: 10.3390/jcm11216571.
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Phototherapeutic keratectomy: current approaches and changing trends in a tertiary eye clinic.光治疗性角膜切削术:三级眼科诊所的当前方法及变化趋势
Arq Bras Oftalmol. 2023 Jul-Aug;86(4):353-358. doi: 10.5935/0004-2749.20230055.
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Med Hypothesis Discov Innov Ophthalmol. 2019 Fall;8(3):163-176.
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Multiple phototherapeutic keratectomy treatments in a Chinese pedigree with corneal dystrophy and an R124L mutation: a 20-year observational study.在中国一个患有角膜营养不良且存在R124L突变的家系中进行多次光治疗性角膜切除术:一项20年的观察性研究。
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