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[角膜屈光手术新方法。实验研究]

[New methods of refractive corneal surgery. Experimental studies].

作者信息

Draeger J, Böhnke M, Grabner G, Slezak H, Lang K

机构信息

Universitäts-Augenklinik, Hamburg.

出版信息

Klin Monbl Augenheilkd. 1988 May;192(5):458-61. doi: 10.1055/s-2008-1050151.

DOI:10.1055/s-2008-1050151
PMID:3404957
Abstract

In an experimental study the surface characteristics of two fundamentally different lamellar corneal dissection techniques were compared. Using porcine corneae, 9.5 mm lenticles were cut from the whole globe and evaluated by SEM. With an oscillating blade, a smooth cut surface was found in most cases with occasional irregularities. The rotating lamellar keratome had uniform cutting characteristics with a somewhat wavy surface structure, which has not so far been observed in human tissue. By increasing the speed of rotation and decreasing the rate of advance of the blade the surface structure was improved. The two cutting principles and their possible clinical applications are discussed.

摘要

在一项实验研究中,对两种根本不同的板层角膜切开技术的表面特征进行了比较。使用猪角膜,从整个眼球上切下9.5毫米的透镜体,并通过扫描电子显微镜进行评估。使用振荡刀片时,在大多数情况下发现切割表面光滑,偶尔有不规则之处。旋转板层角膜刀具有均匀的切割特性,表面结构有点呈波浪状,这在人体组织中迄今尚未观察到。通过提高旋转速度和降低刀片前进速度,表面结构得到了改善。讨论了这两种切割原理及其可能的临床应用。

相似文献

1
[New methods of refractive corneal surgery. Experimental studies].[角膜屈光手术新方法。实验研究]
Klin Monbl Augenheilkd. 1988 May;192(5):458-61. doi: 10.1055/s-2008-1050151.
2
[Can the cutting performance of trephines still be improved?].环钻的切割性能还能提高吗?
Klin Monbl Augenheilkd. 2005 Sep;222(9):709-16. doi: 10.1055/s-2005-858661.
3
[Development of new fixing mechanisms and forms for the preparation of refractive corneal sections].[用于制备屈光角膜切片的新型固定机制和形式的研发]
Fortschr Ophthalmol. 1989;86(4):276-8.
4
Refractive corneal surgery with the Draeger rotary microkeratome in human cadaver eyes.在人类尸体眼睛上使用Draeger旋转微型角膜刀进行屈光性角膜手术。
J Refract Corneal Surg. 1994 Jan-Feb;10(1):49-55.
5
[Precision of lenticular thickness in relation to full stroma corneal thickness. Experimental results with the lamellar microkeratome].[晶状体厚度与全基质角膜厚度的关系精度。板层微型角膜刀的实验结果]
Ophthalmologe. 1992 Apr;89(2):147-50.
6
[Experimental studies of the precision of lamellar corneal sections].[板层角膜切片精度的实验研究]
Fortschr Ophthalmol. 1989;86(4):272-5.
7
[Comparison of the diameter and thickness of the corneal lamella in LASIK surgery using the oscillating microkeratome].
Cesk Slov Oftalmol. 1999 May;55(3):160-9.
8
Rotating brush for fast removal of corneal epithelium.
J Refract Corneal Surg. 1994 Jul-Aug;10(4):439-42.
9
The sharpness of incision instruments in corneal tissue.角膜组织中切割器械的锋利度。
Ophthalmic Surg. 1989 Feb;20(2):120-3.
10
[Cutting edges after automatic lamellar keratotomy].[自动板层角膜切开术后的切削边缘]
Klin Monbl Augenheilkd. 1998 Nov;213(5):293-300. doi: 10.1055/s-2008-1034990.

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