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小切口透镜切除术正确组织层面识别的停止标志。

Stop sign for correct tissue plane identification in small incision lenticule extraction.

作者信息

Sachdev Gitansha S, Ramamurthy Shreyas, Dandapani Ramamurthy

机构信息

Refractive Services, The Eye Foundation, RS Puram, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Ophthalmol. 2020 May;68(5):895-896. doi: 10.4103/ijo.IJO_1264_19.

DOI:10.4103/ijo.IJO_1264_19
PMID:32317474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7350430/
Abstract

We describe the "stop sign" which allows correct anterior and posterior lenticular plane delineation in Small Incision Lenticule Extraction (SMILE). This sign describes the resistance noted at the junction between the dissected and undissected halves of both the planes, interfering with subsequent lateral movement of the instrument. The resistance is demonstrated at both the anterior and posterior lenticular plane. This allows ideal dissection of the lenticule from the overlying cap and underlying stroma, thereby reducing the complications arising from incorrect tissue dissection.

摘要

我们描述了“停车标志”,它可在小切口透镜切除术(SMILE)中实现晶状体前后平面的正确划定。该标志描述了在两个平面的已分离和未分离部分之间的交界处所观察到的阻力,这种阻力会干扰器械随后的侧向移动。在晶状体前平面和后平面均表现出这种阻力。这使得能够从上方的晶状体囊膜和下方的基质中理想地分离出晶状体,从而减少因组织分离不正确而产生的并发症。

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Stop sign for correct tissue plane identification in small incision lenticule extraction.小切口透镜切除术正确组织层面识别的停止标志。
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2
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引用本文的文献

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Clin Ophthalmol. 2024 Dec 12;18:3709-3712. doi: 10.2147/OPTH.S503088. eCollection 2024.
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Impact of unintended initial dissection of the posterior plane during SMILE surgery on surgery time and visual outcomes.SMILE 术中意外初始后板层分离对手术时间和视觉效果的影响。
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Complications of small incision lenticule extraction.小切口微透镜取出术的并发症。

本文引用的文献

1
Development of the Modified Lenticule Edge Dissection Technique for Small Incision Lenticule Extraction.用于小切口透镜切除术的改良透镜边缘剥离技术的开发。
Cornea. 2018 Oct;37(10):1260-1263. doi: 10.1097/ICO.0000000000001691.
2
Microscope-integrated intraoperative optical coherence tomography-guided small-incision lenticule extraction: New surgical technique.显微镜集成术中应用光学相干断层扫描引导的小切口准分子激光角膜磨镶术:一种新的手术技术。
J Cataract Refract Surg. 2017 Oct;43(10):1245-1250. doi: 10.1016/j.jcrs.2017.10.015.
3
Lenticuloschisis: A "No Dissection" Technique for Lenticule Extraction in Small Incision Lenticule Extraction.
Indian J Ophthalmol. 2020 Dec;68(12):2711-2722. doi: 10.4103/ijo.IJO_3258_20.
4
Decade - long journey with small incision lenticule extraction: The learnings.长达十年的小切口微透镜取出术之旅:经验教训。
Indian J Ophthalmol. 2020 Dec;68(12):2705-2710. doi: 10.4103/ijo.IJO_2622_20.
晶状体分层分离术:小切口晶状体取出术中一种用于晶状体透镜取出的“无剥离”技术。
J Refract Surg. 2017 Aug 1;33(8):563-566. doi: 10.3928/1081597X-20170504-09.
4
White ring sign for uneventful lenticule separation in small-incision lenticule extraction.微小切口角膜透镜取出术中无晶状体分离的白色环征。
J Cataract Refract Surg. 2016 Sep;42(9):1251-1254. doi: 10.1016/j.jcrs.2016.07.018.
5
Clinical Outcomes After SMILE and Femtosecond Laser-Assisted LASIK for Myopia and Myopic Astigmatism: A Prospective Randomized Comparative Study.全飞秒激光微小切口基质透镜切除术和飞秒激光制瓣准分子原位角膜磨镶术治疗近视及近视散光的临床疗效:一项前瞻性随机对照研究
Cornea. 2016 Feb;35(2):210-6. doi: 10.1097/ICO.0000000000000707.
6
Development of the continuous curvilinear lenticulerrhexis technique for small incision lenticule extraction.用于小切口透镜切除术的连续曲线形晶状体前囊撕开技术的发展
J Refract Surg. 2015 Jan;31(1):16-21. doi: 10.3928/1081597X-20141218-02.
7
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J Refract Surg. 2013 Jul;29(7):454-60. doi: 10.3928/1081597X-20130617-03.
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