Avetisov S E, Nazarova N N, Nikol'skaia G M
Vestn Oftalmol. 1990 Jul-Aug;106(4):14-9.
The authors analyze the results of surgical correction of hypermetropic and mixed astigmatism, carried out by two methods: clinoid resection of the cornea and clinoid resection of the cornea with tangent autoclinoplasty (i. e. implantation of the resected site to the tangent incision in strongly refracting meridian). Surgical technique has been mastered in experiments with isolated eyes and the mechanism of changes in corneal refraction, resultant from its resection, studied. Experiments with rabbit eyes have shown that after corneal resection cicatrization is over by the third month after surgery. 17 operations with classical clinoid resection and 17 ones with that and tangent clinoid autoclinoplasty were carried out in patients with corneal astigmatism of 2.0 to 6.25 diopters, the follow-up periods being from 6 months to 4 years. The mean reduction of astigmatism after the use of the aforesaid methods has made up 2.47 and 4.8 diopters respectively (according to the data of subjective examination of refraction).
角膜楔形切除术以及角膜楔形切除术联合切线自动角膜成形术(即将切除部位植入强屈光子午线的切线切口处)。手术技术已在离体眼实验中掌握,并研究了角膜切除引起的角膜屈光变化机制。兔眼实验表明,角膜切除术后3个月瘢痕化结束。对2.0至6.25屈光度角膜散光患者进行了17例经典角膜楔形切除术和17例联合切线角膜自动成形术的手术,随访期为6个月至4年。根据屈光主观检查数据,使用上述方法后散光平均降低分别为2.47和4.8屈光度。