Gasset A R
Ophthalmic Surg. 1979 Feb;10(2):26-33.
The first 52 eyes of 48 keratoconus patients treated with conectomy and followed for a period of time ranging from 6 to 48 months are included in this study. An average change in the refractive power of the cornea of 10.3 diopters was found after conectomy. The mode for the best corrected visual acuity was 20/30, and the average corneal astigmatism was 3.00 diopters. Photodiagnosis evaluation, microsurgical techniques and instrumentation monofilament nylon, use of the donor cornea minus the endothelium and improved postoperative refractive techniques have combined to make conectomy a reliable and successful form of treatment in keratoconus patients. Both penetrating keratoplasty and conectomy techniques have proven to be successful in the surgical management of keratoconus, and it is the surgeon's responsibility to determine the appropriate approach for the keratoconus patient. Both of these procedures will continue to be refined as ophthalmic technology and surgical skills improve.
本研究纳入了48例接受角膜切除术治疗的圆锥角膜患者的前52只眼睛，随访时间为6至48个月。角膜切除术后发现角膜屈光力平均变化为10.3屈光度。最佳矫正视力模式为20/30，平均角膜散光为3.00屈光度。光诊断评估、显微手术技术和仪器单丝尼龙、使用去除内皮的供体角膜以及改进的术后屈光技术相结合，使角膜切除术成为圆锥角膜患者可靠且成功的治疗方式。穿透性角膜移植术和角膜切除术技术在圆锥角膜的手术治疗中均已被证明是成功的，确定圆锥角膜患者的合适治疗方法是外科医生的责任。随着眼科技术和手术技能的提高，这两种手术都将不断完善。
