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准分子激光角膜手术:初步报告。

Human excimer laser corneal surgery: preliminary report.

作者信息

L'Esperance F A, Taylor D M, Del Pero R A, Roberts A, Gigstad J, Stokes M T, Warner J W, Telfair W B, Martin C A, Yoder P R

出版信息

Trans Am Ophthalmol Soc. 1988;86:208-75.

PMID:2979049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1298808/
Abstract

The first human trial utilizing the argon fluoride excimer laser at 193 nm to produce a superficial keratectomy in ten human eyes has been described with the histopathological evaluation of four eyes and the longer gross appearance of six eyes at intervals extending to 10 months post-excimer laser treatment. The process of laser superficial keratectomy has proved to be one of the promising areas of surgical intervention for reconstructive or refractive keratoplasty in the future. Intensive investigations need to be undertaken on the corneal wound healing process following laser ablation as well as the nature, and long-term stability of the corneal excisions or induced refractive corrections. It is essential that the optimal laser parameters be established for the various refractive corrections and other corneal surgical techniques, and that pathophysiologic and histopathologic changes that have been induced by the excimer laser-corneal tissue interaction in animals and humans be critically and extensively analyzed.

摘要

首次在10只人眼中利用193纳米的氟化氩准分子激光进行表面角膜切除术的人体试验已被报道,其中4只眼睛进行了组织病理学评估,6只眼睛在准分子激光治疗后长达10个月的时间里进行了更长时间的大体外观观察。激光表面角膜切除术已被证明是未来用于重建性或屈光性角膜移植手术干预的有前景的领域之一。需要对激光消融后的角膜伤口愈合过程以及角膜切除或诱导屈光矫正的性质和长期稳定性进行深入研究。至关重要的是,要为各种屈光矫正和其他角膜手术技术确定最佳激光参数,并对动物和人类中准分子激光与角膜组织相互作用所引起的病理生理和组织病理学变化进行严格而广泛的分析。

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