From the Department of Ophthalmology, Hospital Clinic de Barcelona, Barcelona, Spain (Rocha-de-Lossada); Department of Ophthalmology, Regional University Hospital of Malaga, Malaga, Spain (Rachwani-Anil); Department of Ophthalmology and Optometry, Vistalaser Clinic, Malaga, Spain (Colmenero-Reina); Department of Doctoral Studies, Riga Stradins University, Riga, Latvia (Borroni); Department of Ophthalmology, Royal Liverpool University Hospital, Liverpool, United Kingdom (Borroni); Department of Physics of Condensed Matter, Optics Area. University of Seville, Seville, Spain (Sánchez-González); Department of Ophthalmology, Tecnolaser Clinic Vision, Refractive Surgery Centre, Seville, Spain (Sánchez-González).
J Cataract Refract Surg. 2021 May 1;47(5):662-670. doi: 10.1097/j.jcrs.0000000000000468.
Twenty-eight case reports and case series published between 2000 and 2019 concerning laser refractive surgery in patients with corneal dystrophies, resulting in 173 eyes from 94 patients, were included in this systematic review. Best results were achieved in posterior corneal polymorphous and Cogan dystrophy. Unfavorable results were found in Avellino dystrophy and Fuchs endothelial corneal dystrophy (FECD). Photorefractive keratectomy was not indicated in Meesmann and Avellino dystrophy. Laser in situ keratomileusis was indicated in posterior polymorphous corneal dystrophy but not in FECD, Avellino, or Cogan dystrophy. Small-incision lenticule extraction and other dystrophies such as lattice, fleck, Lisch, or François did not achieve enough scientific evidence to report any recommendation.
本系统评价纳入了 2000 年至 2019 年期间发表的 28 篇关于角膜营养不良患者激光屈光手术的病例报告和病例系列研究，涉及 94 例患者的 173 只眼。在后弹力层角膜营养不良和 Cogan 营养不良中取得了最佳效果。在埃文林诺营养不良和 Fuchs 内皮角膜营养不良（FECD）中发现了不良结果。光性角膜切削术不适用于米斯曼和埃文林诺营养不良。激光原位角膜磨镶术适用于后弹力层角膜多形性营养不良，但不适用于 FECD、埃文林诺或 Cogan 营养不良。微切口透镜切除术和其他营养不良，如格子、斑点、利什或弗朗索瓦，没有足够的科学证据来报告任何建议。
