Sánchez-González José-María, Alonso-Aliste Federico, Borroni Davide, Amián-Cordero Jonatan, De-Hita-Cantalejo Concepción, Capote-Puente Raúl, Bautista-Llamas María-José, Sánchez-González María Carmen, Rodríguez-Calvo-de-Mora Marina, Rocha-de-Lossada Carlos
Department of Physics of Condensed Matter, Optics Area, University of Seville, 41012 Seville, Spain.
Department of Ophthalmology, Tecnolaser Clinic Vision, 41018 Seville, Spain.
J Clin Med. 2021 Apr 30;10(9):1939. doi: 10.3390/jcm10091939.
To evaluate the usage of plasma rich in growth factor (PRGF) in transepithelial photorefractive keratectomy (TPRK) in low and moderate myopia, patients who underwent myopic and astigmatism TPRK with PRGF were involved in this retrospective, observational study. Subjects underwent a surgical procedure between February 2019 and June 2019. A three-month follow-up was recorded. Pain score was assessed with a visual analogue scale (0-10) and re-epithelialization time recorded. A total of 48 eyes from 24 patients were recruited. Mean uncorrected distance visual acuity (UDVA) was 20/20.31 (0.00 ± 0.02 LogMAR). A total of 98% of eyes did not change corrected distance visual acuity (CDVA) lines. Two percent of eyes lost one line of CDVA. Preoperative spherical equivalent was -2.67 ± 1.37 D and after three months changed to -0.21 ± 0.34 D, and 2% of eyes changed 0.50 D or more between one and three months. Pain score was 3.29 ± 0.61 (3 to 6) score points at day one and 0.08 ± 0.27 score points at day seven. Finally, re-epithelialization time was 2.50 ± 1.20 days. PRGF addition to conventional refractive treatment such as TPRK seems to alleviate immediate postoperative pain and positively contribute to corneal re-epithelization time.
为评估富含生长因子的血浆(PRGF)在低中度近视经上皮准分子激光角膜切削术(TPRK)中的应用,本回顾性观察研究纳入了接受PRGF辅助的近视和散光TPRK手术的患者。研究对象于2019年2月至2019年6月期间接受了手术,并进行了为期三个月的随访。采用视觉模拟评分法(0-10分)评估疼痛评分,并记录角膜上皮再形成时间。共招募了24例患者的48只眼。平均裸眼远视力(UDVA)为20/20.31(0.00±0.02 LogMAR)。98%的眼睛矫正远视力(CDVA)行数未发生变化。2%的眼睛CDVA下降了一行。术前等效球镜度数为-2.67±1.37 D,三个月后变为-0.21±0.34 D,2%的眼睛在术后1至3个月内等效球镜度数变化了0.50 D或更多。术后第1天疼痛评分为3.29±0.61(3至6)分,第7天为0.08±0.27分。最后,角膜上皮再形成时间为2.50±1.20天。在传统屈光手术如TPRK中添加PRGF似乎可以减轻术后即刻疼痛,并对角膜上皮再形成时间产生积极影响。