通过钕钇铝石榴石激光或二极管泵浦钕钇铝石榴石激光破坏内生上皮。一项关于准分子激光原位角膜磨镶术后患者的回顾性病例系列研究。
Disruption of ingrown epithelium via Nd:YAG laser or DIEYAG. A retrospective case series of Post-LASIK patients.
作者信息
Cosgrove Ryan J, Borr Matthew J, Keil Michael L
机构信息
Michigan State University, Department of Neurology and Ophthalmology, 804 Service Rd, East Lansing, 48824, MI, USA.
Ascension Macomb-Oakland Hospital, 27351 Dequindre Rd., Madison Heights, 48071, MI, USA.
出版信息
Am J Ophthalmol Case Rep. 2021 Mar 23;22:101071. doi: 10.1016/j.ajoc.2021.101071. eCollection 2021 Jun.
PURPOSE
To describe in detail the technique used and results of disruption of ingrown epithelium via Nd:YAG laser (DIEYAG) after LASIK treatment and enhancement.
OBSERVATIONS
Epithelial ingrowth following laser in situ keratomileusis (LASIK) enhancement has the potential to cause significant refractive error and discomfort when allowed to progress. This retrospective case series following seven eyes after LASIK enhancement and one eye with flap trauma, assessed the effectiveness and safety of the disruption of ingrown epithelium via Nd:YAG laser. In all cases, we found that the progression of ingrown epithelium was eliminated. Using best spectacle corrected visual acuity and topography as our main outcome measures, we found that refractive error and visual disturbance caused by ingrowth stabilized or improved, with no subsequent complications identified.
CONCLUSION AND IMPORTANCE
The disruption of ingrown epithelium via Nd:YAG laser offers a safe and effective alternative to other treatments for epithelial ingrowth after LASIK treatment and enhancement.
目的
详细描述准分子激光原位角膜磨镶术（LASIK）治疗及增效后，利用钕钇铝石榴石激光（Nd:YAG）破坏内生上皮（DIEYAG）的技术及结果。
观察结果
准分子激光原位角膜磨镶术（LASIK）增效后出现的上皮内生若任其发展，有可能导致显著的屈光不正和不适。本回顾性病例系列研究了7例LASIK增效术后患眼及1例有瓣创伤患眼，评估了利用Nd:YAG激光破坏内生上皮的有效性和安全性。在所有病例中，我们发现内生上皮的进展均得以消除。以最佳矫正视力和角膜地形图作为主要观察指标，我们发现由内生上皮引起的屈光不正和视觉障碍得以稳定或改善，且未发现后续并发症。
结论及重要性
利用Nd:YAG激光破坏内生上皮为LASIK治疗及增效后上皮内生的其他治疗方法提供了一种安全有效的替代方案。
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