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巩膜交联术防治近视进展的研究进展。

Advanced Research in Scleral Cross-Linking to Prevent From Progressive Myopia.

机构信息

Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Sciences Key Lab, Beijing 100730, China.

出版信息

Asia Pac J Ophthalmol (Phila). 2021 Jan 22;10(2):161-166. doi: 10.1097/APO.0000000000000340.

Abstract

Riboflavin-ultraviolet A (UVA) collagen cross-linking (CXL) has been applied in clinical settings to prevent the progression of keratoconus and corneal dilatation caused by other reasons in past decades. As CXL with riboflavin-UVA can enhance the stiffness of collagen-rich tissues, this technique has been further used on sclera to investigate as a safe and effective myopia prevention treatment. Despite the riboflavin-UVA scleral CXL is still in the animal and in vitro experimental phases and the mechanism is not very clear, it is promising to control myopia development clinically. In this article, researches on the laboratory experiments of riboflavin-UVA scleral CXL on scheme exploration and mechanism were reviewed in order to provide more laboratory evidence for scleral CXL in clinical myopia prevention and control in the future.

摘要

核黄素-紫外线 A(UVA)胶原交联(CXL)在过去几十年中已应用于临床,以预防圆锥角膜和其他原因引起的角膜扩张。由于核黄素-UVA 的 CXL 可以增强富含胶原蛋白组织的硬度,因此该技术已进一步用于巩膜,以研究其作为一种安全有效的近视预防治疗方法。尽管核黄素-UVA 巩膜 CXL 仍处于动物和体外实验阶段,其机制尚不清楚,但有望在临床上控制近视的发展。本文综述了核黄素-UVA 巩膜 CXL 的实验室实验研究,以探讨方案和机制,为未来巩膜 CXL 在临床近视防控中提供更多的实验室证据。

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