Rogers C, Cohen P, Lawless M
Sydney Refractive Surgery Centre, Mater Misercordiae Hospital, New South Wales, Australia.
Aust N Z J Ophthalmol. 1993 Nov;21(4):247-50. doi: 10.1111/j.1442-9071.1993.tb00963.x.
Superficial keratectomy, penetrating and lamellar keratoplasty have all been advocated when intervention in Reis Bucklers' corneal dystrophy is necessary because of diminished visual acuity. In this study, 11 eyes were treated by phototherapeutic keratectomy with an excimer laser. Two eyes had previously been treated by penetrating keratoplasty. The visual acuity improved in all eyes, from an average of 6/60 to 6/9 with complete cessation of recurrent erosions. The technique was modified, with experience, to minimise the hyperopic shift that occurs with this procedure. Phototherapeutic keratectomy has significant advantages over other procedures and is now the procedure of choice once surgery is required in Reis Bucklers' dystrophy.
当因视力下降而有必要对Reis Bucklers角膜营养不良进行干预时，曾有人主张采用浅表角膜切除术、穿透性角膜移植术和板层角膜移植术。在本研究中，11只眼接受了准分子激光光治疗性角膜切削术。其中2只眼此前接受过穿透性角膜移植术。所有眼的视力均有提高，平均从6/60提高到6/9，复发性角膜糜烂完全停止。随着经验的积累，该技术得到了改进，以尽量减少该手术中出现的远视性移位。光治疗性角膜切削术相对于其他手术具有显著优势，现在一旦Reis Bucklers营养不良需要手术，它就是首选的手术方式。
