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钻石刀和钢刀所致角膜切口与准分子激光两种紫外线辐射的比较研究

A comparative study of corneal incisions induced by diamond and steel knives and two ultraviolet radiations from an excimer laser.

作者信息

Marshall J, Trokel S, Rothery S, Krueger R R

出版信息

Br J Ophthalmol. 1986 Jul;70(7):482-501. doi: 10.1136/bjo.70.7.482.

DOI:10.1136/bjo.70.7.482
PMID:3013283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1041055/
Abstract

This paper reviews the potential role of excimer lasers in corneal surgery. The morphology of incisions induced by two wavelengths of excimer laser radiation, 193 nm and 248 nm, are compared with the morphology of incisions produced by diamond and steel knives. Analysis suggests that ablation induced by excimer laser results from highly localised photochemical reactions and that 193 nm is the optimal wavelength for surgery. The only significant complication of laser surgery is loss of endothelial cells when incisions are within 40 micron of Descemet's membrane.

摘要

本文综述了准分子激光在角膜手术中的潜在作用。比较了193纳米和248纳米两种波长的准分子激光辐射所诱导切口的形态与金刚石刀和钢刀所产生切口的形态。分析表明，准分子激光诱导的消融是由高度局部化的光化学反应引起的，并且193纳米是手术的最佳波长。激光手术唯一显著的并发症是当切口距离后弹力层膜40微米以内时内皮细胞的损失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ac/1041055/d8641773f3b4/brjopthal00629-0017-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ac/1041055/3af54168bddd/brjopthal00629-0013-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ac/1041055/3af54168bddd/brjopthal00629-0013-a.jpg
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本文引用的文献

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Arch Ophthalmol. 1981 Dec;99(12):2151-8. doi: 10.1001/archopht.1981.03930021027009.
2
Histologic and electron microscopic assessment of endothelial damage produced by anterior radial keratotomy in the monkey cornea.猴眼角膜放射状角膜切开术所致内皮损伤的组织学及电子显微镜评估
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Histopathology of a case of radial keratotomy.
Eye (Lond). 2023 Oct;37(14):2864-2876. doi: 10.1038/s41433-023-02440-z. Epub 2023 Feb 14.
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Refractive Effect of Epithelial Remodelling in Myopia after Transepithelial Photorefractive Keratectomy.经上皮准分子激光角膜切削术后近视中上皮重塑的屈光效应
Vision (Basel). 2022 Dec 13;6(4):74. doi: 10.3390/vision6040074.
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The 2014 Bowman Lecture-Bowman's and Bruch's: a tale of two membranes during the laser revolution.2014年鲍曼讲座——鲍曼膜与布鲁赫膜：激光革命中的双膜传奇
Eye (Lond). 2015 Jan;29(1):46-64. doi: 10.1038/eye.2014.240.
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Corneal endothelial cell loss 9 years after excimer laser keratorefractive surgery.准分子激光角膜屈光手术后9年的角膜内皮细胞丢失
Arch Ophthalmol. 2009 Nov;127(11):1423-7. doi: 10.1001/archophthalmol.2009.192.
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