Shivitz I A, Arrowsmith P N
Arrowsmith Eye Institute, Nashville, TN 37203.
Ophthalmology. 1988 Jun;95(6):827-32. doi: 10.1016/s0161-6420(88)33102-7.
Corneal sensitivity was tested in 76 eyes of 40 patients who underwent radial keratotomy for the correction of myopia, and radial keratotomy plus transverse incisions for the correction of myopia and astigmatism. There was a decrease in corneal sensitivity in 30.9 and 9.5% of patients undergoing radial keratotomy after 6 and 12 months, respectively. Approximately 70% of patients in this group had a recovery of lost sensitivity after 6 months. There was a similar decrease in sensitivity in 79.4 and 47.0% of patients undergoing radial keratotomy with the addition of transverse incisions for astigmatism at 6 and 12 months, respectively. The recovery rate in this group was 40.7%. The most significant loss of corneal sensation was in the areas central to the transverse incisions. The depth of the transverse incision, as well as the preoperative astigmatism, appeared to be factors in the loss of corneal sensation as well as in the recovery of the corneal sensitivity. There were no complications noted in this study as a result of decreased corneal sensitivity.
对40例接受放射状角膜切开术矫正近视以及放射状角膜切开术联合横向切口矫正近视和散光的患者的76只眼睛进行了角膜敏感性测试。接受放射状角膜切开术的患者中,分别在术后6个月和12个月时,角膜敏感性下降的患者比例为30.9%和9.5%。该组中约70%的患者在6个月后丧失的敏感性有所恢复。在接受放射状角膜切开术联合横向切口矫正散光的患者中,分别在术后6个月和12个月时,角膜敏感性下降的患者比例为79.4%和47.0%。该组的恢复率为40.7%。角膜感觉丧失最明显的区域是横向切口中央部位。横向切口的深度以及术前散光似乎是角膜感觉丧失以及角膜敏感性恢复的影响因素。本研究中未发现因角膜敏感性降低而出现的并发症。