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使用板层微型角膜刀和准分子激光的角膜磨镶术

[Keratomileusis with a lamellar microkeratome and the excimer laser].

作者信息

Kohlhaas M, Lerche R C, Draeger J, Arnott E, Williams K

机构信息

Universitäts-Augenklinik Hamburg.

出版信息

Ophthalmologe. 1995 Aug;92(4):499-502.

PMID:7549336
Abstract

In a combined prospective study with E. Arnott's department, intrastromal excimer keratomileusis on the lenticle stroma was performed in 15 eyes of 15 patients (follow-up 6 months). The primary keratectomy was performed using the lamellar automatic rotating microkeratome, followed by refractive modification by the excimer laser on the excised corneal discs. For the laser ablation, a repetition rate of 10 Hz and a fluence on the corneal plane of 180 mJ/cm2 was used. Following surgery, all treated eyes were subjected to guttae of Maxitrol q.i.d. for 12 weeks. Excimer laser intrastromal keratomileusis effectively combines corneal microsurgery and photoablation. The predictability of the refractive correction is better than with the other surgical keratomileusis techniques.

摘要

在与E. 阿诺特科室联合开展的一项前瞻性研究中,对15例患者的15只眼睛进行了晶状体基质层间准分子原位角膜磨镶术(随访6个月)。初次角膜切除术使用板层自动旋转微型角膜刀进行,随后在切除的角膜片上用准分子激光进行屈光矫正。激光消融时,使用的重复频率为10 Hz,角膜平面上的能量密度为180 mJ/cm²。术后,所有接受治疗的眼睛均每日四次滴用Maxitrol眼药水,持续12周。准分子激光基质内角膜磨镶术有效地将角膜显微手术和光消融结合在一起。屈光矫正的可预测性优于其他手术性角膜磨镶术技术。

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Ophthalmologe. 1995 Aug;92(4):499-502.
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