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用于监测植入可变形角膜嵌体患者的诊断与管理工具

Diagnostic and Management Tool for Monitoring Patients Implanted with a Shape-Changing Corneal Inlay.

作者信息

Chu Ralph, Lee Briana R

机构信息

Chu Vision Institute, Bloomington, Minnesota, USA.

ReVision Optics Inc., Lake Forest, California, USA.

出版信息

Case Rep Ophthalmol. 2018 Mar 2;9(1):190-196. doi: 10.1159/000484436. eCollection 2018 Jan-Apr.

DOI:10.1159/000484436
PMID:29681835
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5903103/
Abstract

We report two cases that underwent corneal inlay implantation under a femtosecond flap. The first case had no complications during the postoperative period. Pentacam maps remained stable over time: corneal densitometry (CD) values had less than 2 units of change across visits up to 3 years. Axial/sagittal topography maps showed a stable K (∼47 D), i.e., less than 1 D change between visits. The second case developed haze at 8 months postoperatively. CD increased by more than 4 units from 3 to 8 M and K increased by 2.6 D. The patient was prescribed steroids and 1 month later the haze regressed, resulting in pre-haze CD and K values, similar to the ones at 3 months.

摘要

我们报告了两例在飞秒瓣下进行角膜镶嵌植入术的病例。第一例在术后期间没有并发症。随着时间的推移,Pentacam地形图保持稳定:角膜密度测量(CD)值在长达3年的随访中每次变化小于2个单位。轴向/矢状地形图显示K值稳定(约47 D),即随访期间变化小于1 D。第二例在术后8个月出现 haze。CD从3个月到8个月增加了超过4个单位,K增加了2.6 D。患者被给予类固醇药物,1个月后haze消退,CD和K值恢复到haze出现前,类似于3个月时的值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab09/5903103/85c5152275b8/cop-0009-0190-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab09/5903103/578ff44ea240/cop-0009-0190-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab09/5903103/7852292f9720/cop-0009-0190-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab09/5903103/85c5152275b8/cop-0009-0190-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab09/5903103/578ff44ea240/cop-0009-0190-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab09/5903103/7852292f9720/cop-0009-0190-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab09/5903103/85c5152275b8/cop-0009-0190-g03.jpg

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引用本文的文献

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本文引用的文献

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Ophthalmology. 2016 Mar;123(3):466-75. doi: 10.1016/j.ophtha.2015.11.011. Epub 2016 Jan 27.
2
Three-dimensional modeling of metabolic species transport in the cornea with a hydrogel intrastromal inlay.
Invest Ophthalmol Vis Sci. 2014 May 15;55(5):3093-106. doi: 10.1167/iovs.13-13844.
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Normative values for corneal densitometry analysis by Scheimpflug optical assessment.Scheimpflug 光学评估角膜密度分析的正常值。
Invest Ophthalmol Vis Sci. 2014 Jan 7;55(1):162-8. doi: 10.1167/iovs.13-13236.
4
Corneal densitometry as an indicator of corneal health.角膜密度测定作为角膜健康的指标。
Ophthalmology. 2012 Mar;119(3):501-8. doi: 10.1016/j.ophtha.2011.08.024. Epub 2011 Nov 30.
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Normative database for corneal backscatter analysis by in vivo confocal microscopy.基于活体共聚焦显微镜的角膜背散射分析的规范数据库。
Invest Ophthalmol Vis Sci. 2011 Sep 21;52(10):7274-81. doi: 10.1167/iovs.11-7747.
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The effect of corneal light scatter on vision after penetrating keratoplasty.穿透性角膜移植术后角膜散光对视力的影响。
Am J Ophthalmol. 2008 Dec;146(6):913-9. doi: 10.1016/j.ajo.2008.07.018. Epub 2008 Sep 6.
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Repeatability of corneal first-surface wavefront aberrations measured with Pentacam corneal topography.使用Pentacam角膜地形图测量的角膜前表面波前像差的可重复性。
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