de Ortueta Diego
AURELIOS, Augenlaserzentrum Recklinghausen, Erlbruch 34-36, 45657 Recklinghausen, Germany.
Vision (Basel). 2021 Feb 3;5(1):8. doi: 10.3390/vision5010008.
We evaluated the refractive visual outcomes and efficacy of Transepithelial Photorefractive Keratectomy (TransPRK) using Smart Pulse Technology with static and dynamic cyclotorsion and the AMARIS 1050 Hz RS laser platform from Schwind in the eyes after a refractive lens exchange. Setting/Venue: Aurelios Augenlaserzentrum, Recklinghausen.
We retrospectively evaluated the data of 552 consecutive eyes treated with refractive lens exchange between 2016 and 2019. A total of 47 eyes (8.5%) required a touch up after the clear lens exchange. From 43 eyes of 43 patients, we obtained a minimum follow up of 3 months. In all cases, we performed a TransPRK with a minimum optical zone of 7.2 mm, centering the ablation on the vertex of the cornea.
The average age of the treated eyes was 57 years old, with a range between 48 and 68 years. The mean treated sphere was 0.42 diopters (D), with a range between -1.0 and +1.75 D. The mean astigmatism was 1.06 D. Postoperatively, after laser vision correction, we reduced the sphere to a mean of 0.11 D (range -0.5 to +0.75 D), and, postoperatively, the mean astigmatism was 0.25 D (range -0.75 to 0 D). The predictability for a spheric equivalent (SEQ) of 0.5 D was 91%, and for 1 D it was 100% of the cases. No eye lost more than one Snellen line.
TransPRK with smart pulse was predictable for correcting ametropia after Clear Lens Surgery.
我们评估了使用智能脉冲技术结合静态和动态旋转斜视以及施温德公司的AMARIS 1050 Hz RS激光平台进行的经上皮光屈光性角膜切削术（TransPRK）在屈光性晶状体置换术后眼睛中的屈光视觉效果和疗效。地点/场所：雷克林豪森的奥雷利奥斯眼科激光中心。
我们回顾性评估了2016年至2019年间连续接受屈光性晶状体置换术治疗的552只眼睛的数据。在透明晶状体置换术后，共有47只眼睛（8.5%）需要进行补光治疗。从43例患者的43只眼睛中，我们获得了至少3个月的随访。在所有病例中，我们进行了最小光学区为7.2毫米的TransPRK，将消融中心对准角膜顶点。
接受治疗的眼睛的平均年龄为57岁，范围在48至68岁之间。平均治疗球镜度数为0.42屈光度（D），范围在-1.0至+1.75 D之间。平均散光为1.06 D。术后，经过激光视力矫正后，我们将球镜度数平均降低至0.11 D（范围为-0.5至+0.75 D），术后平均散光为0.25 D（范围为-0.75至0 D）。等效球镜度（SEQ）为0.5 D时的预测准确性为91%，为1 D时在所有病例中的预测准确性为100%。没有一只眼睛视力下降超过一行。
在透明晶状体手术后，使用智能脉冲的TransPRK在矫正屈光不正方面具有可预测性。
