Kriegerowski M, Bende T, Seiler T, Wollensak J
Universitäts-Augenklinik im Klinikum Charlottenburg, Freien Universität Berlin.
Fortschr Ophthalmol. 1990;87(1):11-3.
The difference in structure of the corneal layers leads to an inhomogeneous reaction to photoablation with 193 nm excimer laser light. This is important for the calculation of photorefractive keratectomy (PRK) where only a thin layer (10-50 microns) of the cornea must be removed. Therefore, the ablation rate for the Bowman zone is 2.5 times lower than that for corneal stroma; the same value is found in Descemet membrane. In contrast, the ablation rate of the epithelium is 1.5 times higher. Based on these data it will be possible to achieve high precision with PRK.
角膜各层结构的差异导致对193纳米准分子激光光凝的反应不均匀。这对于仅需去除角膜薄层(10 - 50微米)的准分子激光原位角膜磨镶术(PRK)的计算很重要。因此,Bowman层的消融速率比角膜基质低2.5倍;在Descemet膜中也发现了相同的值。相比之下,上皮的消融速率高1.5倍。基于这些数据,PRK有可能实现高精度。