Veritti Daniele, Sarao Valentina, Lanzetta Paolo
Istituto Europeo di Microchirurgia Oculare (IEMO), Udine, Italy.
Department of Medicine-Ophthalmology, University of Udine, Udine, Italy.
J Ophthalmol. 2017;2017:7545687. doi: 10.1155/2017/7545687. Epub 2017 Apr 18.
To evaluate prospectively the safety and efficacy of optimal keratoplasty for the correction of hyperopia and presbyopia. . Consecutive patients undergoing bilateral optimal keratoplasty for refractive presbyopic and hypermetropic corrections were enrolled. Each patient received a complete ophthalmologic examination at baseline, 1 hour, 1 day, 1 week, 1 month, 3 months, and 6 months after treatment. . The study included 40 consecutive eyes of 20 patients. All patients reached the 6-month follow-up. No serious intra- or postoperative complications were recorded. Monocular and binocular uncorrected near visual acuities improved significantly during the follow-up ( < 0.001). Binocular uncorrected distance visual acuity in presbyopic patients improved from 0.28 logMAR to a maximum of 0.04 logMAR (from 20/38 to 20/22 Snellen equivalent) the day after the treatment and remained significantly better than baseline until the end of the follow-up. A significant improvement of patient satisfaction for near ( < 0.001) and distance ( = 0.007) activities was seen the day after treatment and was maintained throughout the follow-up. Optimal keratoplasty is a safe, noninvasive, rapid, pain-free, office-based procedure. It offers low to moderate hyperopes and presbyopes an improvement in uncorrected near visual acuity while maintaining or improving their distance visual acuity.
前瞻性评估优化角膜移植术矫正远视和老花眼的安全性和有效性。纳入连续接受双侧优化角膜移植术以矫正屈光性老花眼和远视的患者。每位患者在治疗前基线、治疗后1小时、1天、1周、1个月、3个月和6个月时接受全面的眼科检查。该研究纳入了20例患者的40只连续眼睛。所有患者均完成了6个月的随访。未记录到严重的术中或术后并发症。随访期间，单眼和双眼未矫正近视力显著改善（P<0.001）。老花眼患者的双眼未矫正远视力在治疗后第二天从0.28 logMAR提高到最高0.04 logMAR（从20/38 Snellen等效视力提高到20/22 Snellen等效视力），并在随访结束前一直显著优于基线水平。治疗后第二天，患者对近距离（P<0.001）和远距离（P = 0.007）活动的满意度显著提高，并在整个随访期间保持。优化角膜移植术是一种安全、无创、快速、无痛的门诊手术。它为低度至中度远视和老花眼患者改善了未矫正近视力，同时保持或提高了他们的远视力。
