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Pentacam 指标在光折射性角膜切削术中的应用。

Pentacam Indices in Photorefractive Keratectomy Surgery.

机构信息

School of Medicine, Ardabil Azad University, Ardabil, Iran.

Department of Surgery, School of Medicine and Allied Medical Sciences, Imam Reza Hospital,Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

J Med Life. 2020 Oct-Dec;13(4):523-529. doi: 10.25122/jml-2020-0057.

Abstract

Refractive eye surgeries are one of the most non-emergent ophthalmic surgeries due to the effect on the reduction of refractive errors, increasing visual acuity, enhancing the quality of vision, and indirectly increasing the quality of life of patients. The aim of this study was to determine Pentacam indices in the patients who underwent photorefractive keratectomy (PRK) during 2014-2018, as well as to show their correlation with the type of refractive error. This descriptive cross-sectional study was performed on 2215 eyes of 1125 patients undergoing PRK surgery. The patients' checklist, including demographic information, refractive index, keratometry, pachymetry, corneal surface zone indices, and progressive corneal thickness indices, was provided. All data were analyzed using the IBM SPSS software, version 25. The findings showed that there was a significant association between posterior corneal astigmatism (PCA) and anterior corneal astigmatism (ACA) (p=0.00). The mean Kmax front was recorded as 44.844 ± 1.58 D, which was significantly correlated with the type of refractive errors (p=0.00). According to the findings, there was a significant relationship between anterior chamber indices and refractive error types and their severity (p=0.00). There was also a significant correlation between the surface zone and keratoconus indices (i.e., index of surface variance - ISV, index of vertical asymmetry - IVA, index of height asymmetry - IHA, and minimum radius of curvature - Rmin) with refractive errors (p=0.00). The findings showed that some of the Pentacam indices could be related to the types of refractive errors in patients undergoing PRK surgery. Therefore, their evaluation is of great importance in this regard.

摘要

屈光性眼病手术是眼科手术中最不紧急的手术之一,因为它可以有效矫正屈光不正、提高视力、改善视觉质量,并间接提高患者的生活质量。本研究旨在确定 2014 年至 2018 年期间接受准分子激光角膜切削术(PRK)的患者的 Pentacam 指数,并展示其与屈光不正类型的相关性。这是一项描述性的横断面研究,共纳入 1125 例 2215 只眼接受 PRK 手术的患者。提供了患者的检查表,包括人口统计学信息、屈光指数、角膜曲率、角膜厚度、角膜表面区指数和角膜渐进厚度指数。所有数据均使用 IBM SPSS 软件版本 25 进行分析。结果显示,后角膜散光(PCA)与前角膜散光(ACA)之间存在显著相关性(p=0.00)。最大角膜曲率(Kmax 前)记录为 44.844 ± 1.58 D,与屈光不正类型显著相关(p=0.00)。研究结果表明,前房指数与屈光不正类型及其严重程度之间存在显著关系(p=0.00)。表面区和圆锥角膜指数(即表面变异指数 - ISV、垂直不对称指数 - IVA、高度不对称指数 - IHA 和最小曲率半径 - Rmin)与屈光不正之间也存在显著相关性(p=0.00)。研究结果表明,一些 Pentacam 指数可能与接受 PRK 手术的患者的屈光不正类型有关。因此,在这方面评估这些指数非常重要。

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