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飞秒激光辅助角膜原位磨镶术后视网膜神经纤维层厚度变化

Retinal Nerve Fibre Layer Thickness Change Following Femtosecond Laser-Assisted Keratomileusis.

作者信息

Jiang Yang, Wang Zhonghai, Li Ying, Li Yong, Lu Thomas Chengxuan

机构信息

Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

Key Laboratory of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

出版信息

Front Med (Lausanne). 2021 Nov 29;8:778666. doi: 10.3389/fmed.2021.778666. eCollection 2021.

Abstract

To evaluate the effect of femtosecond laser-assisted keratomileusis (FS-LASIK) on retinal fovea thickness, volume, and retinal nerve fibre layer (RNFL) thickness. Thirty-seven eyes (37 patients) undergoing FS-LASIK were included in this prospective study. Optical coherence tomography (OCT) was performed 1 day before, 1 h and 1 day after FS-LASIK surgery. Eighteen male and nineteen females were enrolled. Mean patient age was 22.94 ± 4.22 years. One hour postoperatively, macula fovea thicknesses, macula fovea volume, macula parafovea thickness, macula parafovea volume, macula perifovea thickness, macula perifove volume, temporal RNFL thickness, and superior RNFL thickness measures showed significant decrease ( = 6.171, 6.032, and 9.837, 9.700, 2.532, 4.393, 4.926, 2.265; = 0.000, 0.000, 0.000, 0.000, 0.016, 0.000, 0.000, and 0.011). Day 1 post-operation, macula fovea thicknesses, macula fovea volume, macula parafovea thickness, macula parafovea volume, and inferior RNFL thickness measures showed significant change compared to preoperative measures ( = 3.620, 3.220, 2.901, 2.910, 3.632; = 0.001, 0.003, 0.006, 0.006, and 0.001). Our data suggest there are alterations in retinal foveal and RNFL measurements by OCT 1 h and 1 day after FS-LASIK surgery.

摘要

评估飞秒激光制瓣准分子原位角膜磨镶术(FS-LASIK)对视网膜中央凹厚度、体积及视网膜神经纤维层(RNFL)厚度的影响。本前瞻性研究纳入了37例接受FS-LASIK手术的患者(37只眼)。在FS-LASIK手术前1天、术后1小时及术后1天进行光学相干断层扫描(OCT)检查。研究共纳入18例男性和19例女性。患者平均年龄为22.94±4.22岁。术后1小时,黄斑中央凹厚度、黄斑中央凹体积、黄斑旁中央凹厚度、黄斑旁中央凹体积、黄斑周边中央凹厚度、黄斑周边中央凹体积、颞侧RNFL厚度及上方RNFL厚度测量值均显著降低(χ² = 6.171、6.032、9.837、9.700、2.532、4.393、4.926、2.265;P = 0.000、0.000、0.000、0.000、0.016、0.000、0.000、0.011)。术后1天,黄斑中央凹厚度、黄斑中央凹体积、黄斑旁中央凹厚度、黄斑旁中央凹体积及下方RNFL厚度测量值与术前测量值相比有显著变化(χ² = 3.620、3.220、2.901、2.910、3.632;P = 0.001、0.003、0.006、0.006、0.001)。我们的数据表明,FS-LASIK手术后1小时和1天,OCT测量的视网膜中央凹和RNFL存在改变。

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本文引用的文献

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Int J Ophthalmol. 2015 Aug 18;8(4):777-83. doi: 10.3980/j.issn.2222-3959.2015.04.24. eCollection 2015.
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