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角膜胶原交联术的最新进展:适应证、技术及临床结果

Updates on corneal collagen cross-linking: Indications, techniques and clinical outcomes.

作者信息

Mohammadpour Mehrdad, Masoumi Ahmad, Mirghorbani Masoud, Shahraki Kianoosh, Hashemi Hassan

机构信息

Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran.

出版信息

J Curr Ophthalmol. 2017 Sep 12;29(4):235-247. doi: 10.1016/j.joco.2017.07.003. eCollection 2017 Dec.

DOI:10.1016/j.joco.2017.07.003
PMID:29270469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5735256/
Abstract

PURPOSE

To review the historical background and basic principles of collagen cross-linking, to bring together the data regarding the outcomes and complications of collagen cross-linking and finally to explore the efficacy and safety of new variations of this technique.

METHODS

A literature review was performed using PubMed and Scopus. The following keywords were used for literature search: cross linking, crosslinking, cross-linking, keratoconus, keratectasia.

RESULTS

In contrast to traditional treatment modalities for keratoconus (KCN), this new technique addresses the progression of the disease. Several clinical studies have been conducted to assess the efficacy of corneal collagen cross-linking (CXL) in the last decade. The results were promising as collagen cross-linking showed significant improvement in visual acuity and keratometric values. Moreover, initial results show that it is a safe procedure with few reported complications.

CONCLUSION

CXL is an emerging treatment method in ophthalmology that offers the possibility to effectively treat progressive KCN.

摘要

目的

回顾胶原交联的历史背景和基本原理,汇总有关胶原交联的结果和并发症的数据,并最终探讨该技术新变体的疗效和安全性。

方法

使用PubMed和Scopus进行文献综述。以下关键词用于文献检索:交联、角膜交联、圆锥角膜、角膜扩张。

结果

与传统的圆锥角膜(KCN)治疗方式不同,这项新技术可解决疾病的进展问题。在过去十年中,已经进行了多项临床研究来评估角膜胶原交联(CXL)的疗效。结果很有前景,因为胶原交联在视力和角膜曲率值方面有显著改善。此外,初步结果表明这是一种安全的手术,报告的并发症很少。

结论

CXL是眼科中一种新兴的治疗方法,为有效治疗进行性KCN提供了可能性。

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本文引用的文献

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Refractive, Topographic, and Aberrometric Results at 2-Year Follow-Up for Accelerated Corneal Cross-Link for Progressive Keratoconus.进行性圆锥角膜加速角膜交联术后2年随访的屈光、地形图及像差测量结果
J Ophthalmol. 2017;2017:5714372. doi: 10.1155/2017/5714372. Epub 2017 Jan 18.
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Corneal Collagen Cross-Linking for Keratoconus in Pediatric Patients-Long-Term Results.儿童圆锥角膜的角膜胶原交联术——长期结果
Cornea. 2017 Feb;36(2):138-143. doi: 10.1097/ICO.0000000000001102.
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Accelerated transepithelial corneal cross-linking for progressive keratoconus: a prospective study of 12 months.加速上皮角膜交联治疗进行性圆锥角膜:一项为期12个月的前瞻性研究
Br J Ophthalmol. 2017 Sep;101(9):1244-1249. doi: 10.1136/bjophthalmol-2016-309775. Epub 2017 Jan 5.
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Accelerated versus conventional corneal collagen cross-linking in patients with keratoconus: an intrapatient comparative study.圆锥角膜患者中加速与传统角膜胶原交联的自身对照比较研究。
Int Ophthalmol. 2018 Feb;38(1):67-74. doi: 10.1007/s10792-016-0423-0. Epub 2016 Dec 29.
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Efficacy and safety of transepithelial collagen cross linking for progressive keratoconus.经上皮角膜胶原交联术治疗进行性圆锥角膜的疗效与安全性
Pak J Med Sci. 2016 Sep-Oct;32(5):1111-1115. doi: 10.12669/pjms.325.10922.
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Epithelium-off versus transepithelial corneal collagen crosslinking for progressive corneal ectasia: a randomised and controlled trial.上皮剥脱性与经上皮角膜胶原交联治疗进行性角膜扩张症:一项随机对照试验
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Pediatric Corneal Collagen Cross-Linking: Long-Term Follow-Up of Visual, Refractive, and Topographic Outcomes.儿童角膜胶原交联术:视力、屈光和地形图结果的长期随访
Cornea. 2016 Feb;35(2):162-8. doi: 10.1097/ICO.0000000000000702.
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Standard versus accelerated riboflavin-ultraviolet corneal collagen crosslinking: Resistance against enzymatic digestion.标准与加速核黄素-紫外线角膜胶原交联:抗酶消化能力
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Technique of simultaneous femtosecond laser assisted Myoring implantation and accelerated intrastromal collagen cross-linking for management of progressive keratoconus: A novel technique.飞秒激光辅助同时植入肌原纤维和加速基质内胶原交联治疗进行性圆锥角膜的技术:一种新技术。
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