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[准分子激光角膜切口的构型:一项实验研究]

[Configuration of corneal incisions with the excimer laser: an experimental study].

作者信息

Lang G K, Koch J W, Schröder E, Yanoff M, Naumann G O

出版信息

Fortschr Ophthalmol. 1989;86(5):437-42.

PMID:2583635
Abstract

The potential applications of an ophthalmic excimer laser at 193 nm include its use as a precise trephine in keratoplasty procedures. In a series of 20 human autopsy and 40 pig cadaver eyes the histological and ultrastructural results of donor and recipient trephination and full-thickness corneal grafting using new mask systems were evaluated. In comparison with other beam delivery systems the "open mask system" allows the performance of excimer laser trephinations with reproducible wound configuration and geometry, with easy handling and high reliability. This technique enables the surgeon to surmount the mechanical limitations of cutting direction and makes non-circular trephinations possible.

摘要

波长为193nm的眼科准分子激光的潜在应用包括在角膜移植手术中用作精确的环钻。在一系列20例人类尸眼和40例猪尸体眼中,评估了使用新型掩膜系统进行供体和受体环钻以及全层角膜移植的组织学和超微结构结果。与其他光束传输系统相比,“开放式掩膜系统”能够进行准分子激光环钻,其伤口形态和几何形状具有可重复性,操作简便且可靠性高。这项技术使外科医生能够克服切割方向的机械限制,并使非圆形环钻成为可能。

相似文献

1
[Configuration of corneal incisions with the excimer laser: an experimental study].[准分子激光角膜切口的构型:一项实验研究]
Fortschr Ophthalmol. 1989;86(5):437-42.
2
Excimer laser keratoplasty. Part 1: Basic concepts.
Ophthalmic Surg. 1989 Apr;20(4):262-7.
3
[Corneal wound healing after experimental penetrating keratoplasty after excimer laser trephination in free form].[准分子激光非球面切削后实验性穿透性角膜移植术后的角膜伤口愈合]
Klin Monbl Augenheilkd. 2006 Dec;223(12):957-65. doi: 10.1055/s-2006-927097.
4
[Trephination using an Excimer laser].
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Corneal lathing using the excimer laser and a computer-controlled positioning system: Part II--Variable trephination of corneal buttons.使用准分子激光和计算机控制定位系统进行角膜切削:第二部分——角膜片的可变环切术。
Refract Corneal Surg. 1991 Sep-Oct;7(5):385-9.
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Excimer laser keratoplasty. Part 2: Elliptical keratoplasty.准分子激光角膜移植术。第2部分:椭圆形角膜移植术。
Ophthalmic Surg. 1989 May;20(5):342-6.
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Corneal lathing using the excimer laser and a computer-controlled positioning system: Part I--Lathing of epikeratoplasty lenticules.
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Myopic keratomileusis by excimer laser on a lathe.准分子激光在车床上进行的近视角膜磨镶术。
J Refract Corneal Surg. 1994 Sep-Oct;10(5):575-81.
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[Impact of an Er:YAG laser beam control on cut quality of non-mechanical corneal trepanation for penetrating keratoplasty].[铒激光束控制对穿透性角膜移植术非机械性角膜环钻切割质量的影响]
Ophthalmologe. 2003 Jun;100(6):471-5. doi: 10.1007/s00347-002-0777-8.
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Noncontact laser photothermal keratoplasty. I: Biophysical principles and laser beam delivery system.非接触式激光光热角膜成形术。I:生物物理原理与激光束传输系统。
J Refract Corneal Surg. 1994 Sep-Oct;10(5):511-8.

引用本文的文献

1
Analysis of the changes in keratoplasty indications and preferred techniques.分析角膜移植适应证和首选技术的变化。
PLoS One. 2014 Nov 11;9(11):e112696. doi: 10.1371/journal.pone.0112696. eCollection 2014.
2
[Results of the first 1,000 consecutive elective nonmechanical keratoplasties using the excimer laser. A prospective study over more than 12 years].[使用准分子激光进行的连续1000例择期非机械性角膜移植术的结果。一项超过12年的前瞻性研究]
Ophthalmologe. 2004 May;101(5):478-88. doi: 10.1007/s00347-003-0900-5.
3
Corneal shrinkage induced by nonmechanical Q-switched erbium:YAG laser trephination for penetrating keratoplasty in porcine eyes.
非机械调Q铒:钇铝石榴石激光环切诱导猪眼角膜移植术中角膜收缩
Graefes Arch Clin Exp Ophthalmol. 2003 Aug;241(8):667-72. doi: 10.1007/s00417-003-0675-z. Epub 2003 Jul 17.
4
Excimer laser "corneal shaping": a new technique for customized trephination in penetrating keratoplasty. First experimental results in rabbits.
Graefes Arch Clin Exp Ophthalmol. 2003 May;241(5):423-31. doi: 10.1007/s00417-003-0646-4. Epub 2003 Apr 17.
5
"Orientation teeth" in non-mechanical laser corneal trephination for penetrating keratoplasty: 2.94 microm Er:YAG v 193 nm ArF excimer laser.穿透性角膜移植术中非机械性激光角膜环切术的“定位齿”:2.94微米铒钇铝石榴石激光与193纳米氟化氩准分子激光对比
Br J Ophthalmol. 1999 Sep;83(9):1008-12. doi: 10.1136/bjo.83.9.1008.
6
Thermal effects in excimer laser trephination of the cornea.
Graefes Arch Clin Exp Ophthalmol. 1996 Aug;234 Suppl 1:S142-8. doi: 10.1007/BF02343064.