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散光轴位治疗错误后单眼地形图引导的准分子激光原位角膜磨镶术增效的病例报告

Case report of a uniocular topography guided laser-assisted keratomileusis enhancement following an incorrectly treated astigmatic axis.

作者信息

Ahooja Hitendra, Prasad Sridhar, Gautam Kaushal, Ghimire Bikram

机构信息

Ahooja Eye and Dental Institute, Gurgaon, Haryana, India.

Alcon Wavelight, New Delhi, India.

出版信息

Indian J Ophthalmol. 2020 Dec;68(12):3050-3053. doi: 10.4103/ijo.IJO_1213_20.

DOI:10.4103/ijo.IJO_1213_20
PMID:33229703
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7856993/
Abstract

A 23-year-old male presented to us wanting spectacle removal for cosmetic purposes. He underwent bilateral wavefront optimized (WFO) laser-assisted in situ keratomileusis (LASIK) on the Alcon Wavelight EX-500 excimer laser with an incorrectly treated astigmatism axis for left eye due to a manual data entry error in the laser. WFO LASIK treats the sphere and cylinder only. LASIK enhancement with topographic-guided ablation resulted in the elimination of all refractive errors and gave excellent results. Wavelight topographic-guided treatment can perform two separate layers of correction in the same ablation: The first is to treat the corneal irregularities for the higher order aberration (HOA) removal, the second one meant to treat the sphere and cylinder if indicated.

摘要

一名23岁男性因美容目的前来我院要求摘除眼镜。他在爱尔康威视顿EX-500准分子激光仪上接受了双眼波前优化(WFO)准分子原位角膜磨镶术(LASIK),由于激光手动数据输入错误,左眼散光轴治疗不当。WFO LASIK仅治疗球镜和柱镜。采用地形引导消融的LASIK增效手术消除了所有屈光不正,效果极佳。威视顿地形引导治疗可在同一消融过程中进行两层独立的矫正:第一层是治疗角膜不规则性以消除高阶像差(HOA),第二层是在必要时治疗球镜和柱镜。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/1b6b63f5b3a6/IJO-68-3050-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/ae5b24c2894c/IJO-68-3050-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/58225dee0597/IJO-68-3050-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/1c7048511194/IJO-68-3050-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/90b4ac18eedc/IJO-68-3050-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/ce807af50293/IJO-68-3050-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/e8f4b7ce82df/IJO-68-3050-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/7185fa8490d4/IJO-68-3050-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/1b6b63f5b3a6/IJO-68-3050-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/ae5b24c2894c/IJO-68-3050-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/58225dee0597/IJO-68-3050-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/1c7048511194/IJO-68-3050-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/90b4ac18eedc/IJO-68-3050-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/ce807af50293/IJO-68-3050-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/e8f4b7ce82df/IJO-68-3050-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/7185fa8490d4/IJO-68-3050-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1365/7856993/1b6b63f5b3a6/IJO-68-3050-g008.jpg

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本文引用的文献

1
Clinical outcomes after topography-guided LASIK: comparing results based on a new topography analysis algorithm with those based on manifest refraction.角膜地形图引导的准分子激光原位角膜磨镶术的临床结果:基于一种新的角膜地形图分析算法的结果与基于明显屈光不正的结果比较。
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The use of WaveLight Contoura to create a uniform cornea: the LYRA Protocol. Part 3: the results of 50 treated eyes.使用威视康(WaveLight)Contoura打造均匀角膜:LYRA方案。第3部分:50只治疗眼的结果
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The use of WaveLight Contoura to create a uniform cornea: the LYRA Protocol. Part 2: the consequences of treating astigmatism on an incorrect axis via excimer laser.
使用威视康拓(WaveLight Contoura)打造均匀角膜:LYRA方案。第2部分:通过准分子激光在错误轴位治疗散光的后果。
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LASIK Enhancement: Clinical and Surgical Management.准分子激光原位角膜磨镶术增效治疗:临床与手术管理
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