两种不同治疗方式治疗轻中度圆锥角膜的疗效比较。
Outcomes of two different treatment modalities in mild to moderate keratoconus.
机构信息
Ophthalmology Department, Faculty of Medicine, Minia University, Minia, Egypt.
出版信息
BMC Ophthalmol. 2023 Jul 17;23(1):325. doi: 10.1186/s12886-023-03040-x.
PURPOSE
To describe visual and refractive outcomes of intrastromal corneal ring segments (ICRS) and toric implantable collamer lenses (TICL) implantation in cases of mild and moderate keratoconus.
METHODS
A prospective descriptive interventional case series. 40 eyes were allocated into two groups. First group (20 eyes) was treated with corneal collagen crosslinking (CXL) 1 month after ICRS implantation and the second group was treated using TICL after 1 year of CXL.
RESULTS
Both groups showed statistically significant improvement in spherical equivalent, cylindrical refraction, uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) over the follow-up period.
CONCLUSION
Both ICRS and TICL are effective in treatment of mid and moderate keratoconus with more predictable visual results with TICL.
目的
描述基质内角膜环段（ICRS）和可植入式矫正散光胶原透镜（TICL）植入术治疗轻、中度圆锥角膜的视力和屈光结果。
方法
前瞻性描述性干预性病例系列。40 只眼被分为两组。第一组（20 只眼）在 ICRS 植入后 1 个月行角膜交联术（CXL），第二组在 CXL 后 1 年行 TICL。
结果
两组在随访期间，球镜等效、圆柱镜屈光、未矫正视力（UCVA）和最佳矫正视力（BCVA）均有统计学意义上的显著改善。
结论
ICRS 和 TICL 治疗中、中度圆锥角膜均有效，TICL 具有更可预测的视力结果。
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