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准分子激光治疗角膜营养不良

Treatment of corneal dystrophies with excimer laser.

作者信息

Orndahl M, Fagerholm P, Fitzsimmons T, Tengroth B

机构信息

St. Erik's Eye Hospital, Karolinska Institute, Stockholm, Sweden.

出版信息

Acta Ophthalmol (Copenh). 1994 Apr;72(2):235-40. doi: 10.1111/j.1755-3768.1994.tb05022.x.

DOI:10.1111/j.1755-3768.1994.tb05022.x
PMID:8079631
Abstract

Thirty-three eyes with different corneal dystrophies underwent phototherapeutic keratectomy to ablate corneal opacities, surface irregularities and corneal wounds. For most patients the treatment goal was to improve vision but also corneal woundhealing, glare problems and unstable refraction were indications for treatment. In 27 eyes with the treatment goal to improve vision, 23 improved 2 lines or more on the visual chart used. In none of the patients has the treatment led to a worsening of the condition. The mean follow-up time was 9 months. Excimer laser ablation of corneal dystrophies seems to be a good treatment, which can improve visual functions considerably, heal corneal wounds and in this way postpone corneal grafting in many cases.

摘要

33只患有不同角膜营养不良的眼睛接受了光治疗性角膜切削术,以消除角膜混浊、表面不规则和角膜伤口。对于大多数患者来说,治疗目标是提高视力,但角膜伤口愈合、眩光问题和屈光不稳定也是治疗的指征。在27只以提高视力为治疗目标的眼睛中,23只在使用的视力表上提高了2行或更多。没有一位患者的病情因治疗而恶化。平均随访时间为9个月。准分子激光消融角膜营养不良似乎是一种很好的治疗方法,它可以显著改善视觉功能,愈合角膜伤口,从而在许多情况下推迟角膜移植。

相似文献

1
Treatment of corneal dystrophies with excimer laser.准分子激光治疗角膜营养不良
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2
Treatment of corneal dystrophies with phototherapeutic keratectomy.用光治疗性角膜切除术治疗角膜营养不良。
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Therapeutic use of the 193-nm excimer laser in corneal pathologies.193纳米准分子激光在角膜病变中的治疗应用。
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引用本文的文献

1
Combination of phototherapeutic keratectomy and wavefront-guided photorefractive keratectomy for the treatment of Thiel-Behnke corneal dystrophy.光治疗性角膜切削术与波前引导的准分子激光原位角膜磨镶术联合治疗蒂尔-本克角膜营养不良
Indian J Ophthalmol. 2017 Apr;65(4):318-320. doi: 10.4103/ijo.IJO_683_16.
2
Predicting transepithelial phototherapeutic keratectomy outcomes using Fourier domain optical coherence tomography.利用傅里叶域光学相干断层扫描预测经上皮光角膜切削术的疗效。
Cornea. 2014 Mar;33(3):280-7. doi: 10.1097/ICO.0000000000000050.
3
Excimer laser phototherapeutic keratectomy in eyes with anterior corneal dystrophies: preoperative and postoperative ultrasound biomicroscopic examination and short-term clinical outcomes with and without an antihyperopia treatment.
准分子激光角膜切削术治疗前部角膜营养不良性眼病:术前及术后超声生物显微镜检查以及有无抗远视治疗的短期临床疗效
Trans Am Ophthalmol Soc. 2003;101:371-99.
4
Recent advances in refractive surgery.屈光手术的最新进展。
CMAJ. 1999 May 4;160(9):1329-37.
5
Excimer laser ophthalmic surgery: evaluation of a new technology.准分子激光眼科手术:一项新技术的评估
Postgrad Med J. 1998 Sep;74(875):524-8. doi: 10.1136/pgmj.74.875.524.
6
Therapeutic use of the 193-nm excimer laser in corneal pathologies.193纳米准分子激光在角膜病变中的治疗应用。
Graefes Arch Clin Exp Ophthalmol. 1997 May;235(5):296-305. doi: 10.1007/BF01739639.