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Pentacam 指标在不同类型和程度的屈光不正患者中对于光折射性角膜切削术(PRK)手术的候选者的对比研究。

A comparative study of Pentacam indices in various types and severities of refractive error in candidates for photorefractive keratectomy (PRK) surgery.

机构信息

Department of Medical Education, School of Medicine, Ardabil Azad University, Ardabil, Iran.

Department of Surgery, School of Medicine and Allied Medical Sciences, Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

J Med Life. 2022 Jun;15(6):810-818. doi: 10.25122/jml-2021-0027.

Abstract

This study aimed to specify Pentacam indices in patients who suffered from different types of refractive error and underwent photorefractive keratectomy (PRK) surgery. It is a descriptive cross-sectional study carried out on 1125 patients (2215 eye samples) who underwent PRK surgery in the Noor Surgical Center of Ardabil, Iran, over a 5 year period (2014-2018). A particular checklist was provided to patients, which consisted of demographic data, pachymetry test, keratometry, refractive error, corneal-thickness indices, and corneal surface area indices. The data were analysed using the statistical analysis package of IBM V25. The mean age of the participants in this study was 28.48±6.82 years, and the ratio of women to men was 66.4%. It was observed that the differences between angle, volume, the depth of the anterior chamber, IVA, and ISV were significant (P=0.00) when compared to each other in all types of refractive errors. High myopes had significantly higher K front than low myopes (P=0.00). In astigmatism patients, the K in front of the cornea in extreme type was significantly higher than in moderate (P=0.00) and high (P=0.01) types. High myopes had significantly lower R than mild myopes (P=0.02), and extreme astigmatism had significantly lower R than high (P=0.014) and moderate types (P=0.013). The data from this study revealed that in patients undergoing PRK surgery, some Pentacam indices could be related to some types of refractive error, and in some of these indices, there are statistically significant differences between different severities of refractive errors. Therefore, their preoperative evaluation is very important.

摘要

这项研究旨在明确经历过不同类型屈光不正并接受光折射性角膜切削术(PRK)的患者的 Pentacam 指数。这是一项在过去 5 年(2014-2018 年)在伊朗阿尔达比勒 Noor 外科中心接受 PRK 手术的 1125 名患者(2215 只眼样本)中进行的描述性横断面研究。为患者提供了一份特别的检查表,其中包括人口统计学数据、角膜厚度测试、角膜曲率计、屈光不正、角膜厚度指数和角膜表面面积指数。使用 IBM V25 的统计分析包对数据进行分析。本研究中参与者的平均年龄为 28.48±6.82 岁,男女比例为 66.4%。观察到,在所有类型的屈光不正中,角度、体积、前房深度、IVA 和 ISV 之间存在显著差异(P=0.00)。高度近视的 K 前值明显高于低度近视(P=0.00)。在散光患者中,角膜前极的 K 值在极度类型中明显高于中度(P=0.00)和高度(P=0.01)类型。高度近视的 R 值明显低于轻度近视(P=0.02),而极度散光的 R 值明显低于高度(P=0.014)和中度类型(P=0.013)。这项研究的数据表明,在接受 PRK 手术的患者中,一些 Pentacam 指数可能与某些类型的屈光不正有关,在这些指数中,不同严重程度的屈光不正之间存在统计学上的显著差异。因此,他们的术前评估非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efde/9321500/996fa1b1f9ac/JMedLife-15-810-g001.jpg

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