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穿透性角膜移植术后致残性散光的屈光性角膜移植术。

Refractive keratoplasty for disabling astigmatism after penetrating keratoplasty.

作者信息

McCartney D L, Whitney C E, Stark W J, Wong S K, Bernitsky D A

出版信息

Arch Ophthalmol. 1987 Jul;105(7):954-7. doi: 10.1001/archopht.1987.01060070090035.

DOI:10.1001/archopht.1987.01060070090035
PMID:3300616
Abstract

Postoperative astigmatism is one of the major limitations of penetrating keratoplasty. In an attempt to reduce postkeratoplasty astigmatism, we combined corneal-relaxing incisions with orthogonal compression sutures, guided by the intraoperative use of a ring keratometer. Eleven consecutive patients from a mixed referral population with functionally disabling astigmatism were studied. The average preoperative keratometric cylinder of 11.68 diopters was reduced by 7.95 (+/- 3.03 SD) diopters. Each patient's net keratometric cylinder was reduced. We believe that this technique is safer and more predictable than previously published techniques.

摘要

术后散光是穿透性角膜移植术的主要局限性之一。为了减少角膜移植术后的散光,我们在术中使用环形角膜曲率计的引导下,将角膜松解切口与正交压迫缝线相结合。对11例来自混合转诊人群、患有功能性致残散光的连续患者进行了研究。术前平均角膜曲率计圆柱度为11.68屈光度,降低了7.95(±3.03标准差)屈光度。每位患者的净角膜曲率计圆柱度均有所降低。我们认为,与先前发表的技术相比,这项技术更安全、更可预测。

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2
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引用本文的文献

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Post-keratoplasty astigmatism management by relaxing incisions: a systematic review.通过松解切口治疗角膜移植术后散光:一项系统评价
Eye Vis (Lond). 2017 Dec 6;4:29. doi: 10.1186/s40662-017-0093-7. eCollection 2017.
2
Current approaches for management of postpenetrating keratoplasty astigmatism.穿透性角膜移植术后散光的当前管理方法。
J Ophthalmol. 2011;2011:708736. doi: 10.1155/2011/708736. Epub 2011 Jul 27.
3
Late onset post-keratoplasty astigmatism in patients with keratoconus.圆锥角膜患者角膜移植术后迟发性散光
Br J Ophthalmol. 2004 Mar;88(3):371-6. doi: 10.1136/bjo.2003.027037.
4
Relaxing incisions with compression sutures for control of astigmatism after penetrating keratoplasty.穿透性角膜移植术后采用松解切口加压迫缝线控制散光
Graefes Arch Clin Exp Ophthalmol. 1994 Sep;232(9):527-32. doi: 10.1007/BF00181995.
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Anterior segment surgery.眼前节手术
Br J Ophthalmol. 1990 Jun;74(6):368-9. doi: 10.1136/bjo.74.6.368.
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Suture adjustment for postkeratoplasty astigmatism.角膜移植术后散光的缝线调整
Trans Am Ophthalmol Soc. 1990;88:289-96; discussion 296-300.
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Long-term results of corneal wedge resections for the correction of high astigmatism.
Doc Ophthalmol. 1990 Oct;75(3-4):263-73. doi: 10.1007/BF00164840.