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准分子激光角膜移植术。第2部分:椭圆形角膜移植术。

Excimer laser keratoplasty. Part 2: Elliptical keratoplasty.

作者信息

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

机构信息

Department of Ophthalmology, University of Erlangen-Nuernberg, West Germany.

出版信息

Ophthalmic Surg. 1989 May;20(5):342-6.

PMID:2657533
Abstract

An excimer laser at 193 nm was used with a new "open mask system" to perform elliptical noncontact and nonthermal keratoplasties and corneal grafts in human cadaver eyes (Part 1 of this article, Ophthalmic Surg 1989; 20:262-267). By light microscopy the corneas showed sharp, unbeveled cut margins with nearly perfect apposition of the inner wound aspects. An elliptical shape may be better than a circular one, since the former closely approximates the cornea's normal elliptical outline, making it easier to fit corresponding areas of corneal graft to bed. Also, it provides a wider area of Bowman's membrane for anchoring sutures and relatively less volume of donor antigenic tissue.

摘要

使用波长为193nm的准分子激光和一种新型“开放式掩膜系统”,在人类尸体眼睛上进行椭圆形非接触式非热角膜移植和角膜移植术(本文第1部分,《眼科手术》1989年;20:262 - 267)。通过光学显微镜观察,角膜切口边缘锐利、无斜面,内伤口面几乎完美贴合。椭圆形可能比圆形更好,因为前者更接近角膜的正常椭圆形轮廓,使得角膜移植片与植床的相应区域更容易匹配。此外,它为缝合线提供了更宽的Bowman膜区域,且供体抗原性组织的体积相对较小。

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