Forstot S L
Cornea. 1988;7(2):133-7.
A modified relaxing incision technique for postkeratoplasty astigmatism is described in this article. Following the initial, standard relaxing incision techniques, a planned spreading and recutting of the initial relaxing incision was performed at 1-3-week intervals following the initial surgery. The wound may be deepened and lengthened if more effect is needed. The number of spreading and recutting procedures is also dependent on the effect required. This additional procedure may be performed for late regression of the desired effect. The endpoint for the procedure is corneal astigmatism that will allow either spectacle or contact lens correction, depending on the patient's visual needs. Corrections of greater than 10 D of astigmatism are possible. The technique allows for evaluation of the corneal astigmatism with no sutures in place. No complications of the recutting and spreading procedure have been noted. There have been no microperforations or macroperforations requiring suturing, no infections, and no graft rejections following the procedures. Seven cases using the modified relaxing incision technique are described.
本文介绍了一种用于角膜移植术后散光的改良松解切口技术。在最初的标准松解切口技术之后，在初次手术后每隔1至3周对最初的松解切口进行一次计划性的扩展和重新切割。如果需要更大效果，可加深和延长伤口。扩展和重新切割的次数也取决于所需效果。此附加操作可用于所需效果的后期消退。该操作的终点是角膜散光，根据患者的视觉需求，可通过框架眼镜或隐形眼镜进行矫正。散光矫正超过10 D是可行的。该技术可在未缝合的情况下评估角膜散光。未发现重新切割和扩展操作的并发症。术后未出现需要缝合的微小穿孔或大穿孔、感染及移植物排斥反应。本文描述了7例使用改良松解切口技术的病例。
