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[准分子激光在角膜表面混浊治疗中的临床应用——治疗策略与病例报告]

[Clinical use of the excimer laser in treatment of surface corneal opacities--therapeutic strategy and case reports].

作者信息

Förster W, Grewe S, Busse H

机构信息

Klinik und Poliklinik für Augenheilkunde, Universität Münster.

出版信息

Klin Monbl Augenheilkd. 1993 Feb;202(2):126-9. doi: 10.1055/s-2008-1045570.

DOI:10.1055/s-2008-1045570
PMID:8487465
Abstract

BACKGROUND

The authors report on the Phototherapeutic 193nm-Excimer Laser Keratectomy (PTK) for the treatment of superficial corneal opacities.

MATERIAL AND METHOD

In two cases with corneal opacities after contact lens wearing and after therapy resistant keratoconjunctivitis epidemica respectively the treatment strategy is presented. The epithelium and the corneal opacities are removed mechanically as far as possible. Then the Excimer laser smoothing with masking fluids of different viscosity is performed.

RESULTS

In both patients the visual acuity improved from 1/50 and 0.16 respectively to 0.7. Both eyes had an hyperopic shift. The patients were without pain within a follow-up period of 8 months after treatment.

CONCLUSION

The phototherapeutical use of the 193nm Excimer laser to treat superficial corneal opacities can be regarded as a real alternative to conventional surgical techniques.

摘要

背景

作者报告了用于治疗浅层角膜混浊的193nm准分子激光角膜切削术(PTK)。

材料与方法

分别介绍了两例因佩戴隐形眼镜后和治疗抵抗性流行性角结膜炎后出现角膜混浊的治疗策略。尽可能机械性地去除上皮和角膜混浊。然后使用不同粘度的掩蔽液进行准分子激光平滑处理。

结果

两名患者的视力分别从1/50和0.16提高到了0.7。两只眼睛均出现了远视性移位。在治疗后的8个月随访期内,患者均无疼痛。

结论

193nm准分子激光用于治疗浅层角膜混浊的光治疗方法可被视为传统手术技术的一种切实可行的替代方法。

相似文献

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Klin Monbl Augenheilkd. 1993 Feb;202(2):126-9. doi: 10.1055/s-2008-1045570.
2
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Excimer laser-assisted anterior lamellar keratoplasty for keratoconus, corneal problems after laser in situ keratomileusis, and corneal stromal opacities.准分子激光辅助前板层角膜移植术治疗圆锥角膜、准分子原位角膜磨镶术后角膜问题及角膜基质混浊。
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Long-term results of phototherapeutic keratectomy with 193-nm excimer laser for macular corneal dystrophy.193纳米准分子激光光治疗性角膜切削术治疗斑状角膜营养不良的长期疗效
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Femtosecond laser-assisted superficial lamellar keratectomy for the treatment of superficial corneal leukomas.飞秒激光辅助浅层角膜切削术治疗浅层角膜白斑。
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[Treatment of recurrent corneal erosion using phototherapeutic keratectomy with the excimer laser].[使用准分子激光光治疗性角膜切削术治疗复发性角膜糜烂]
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引用本文的文献

1
Epidemic keratoconjunctivitis: the current situation and recommendations for prevention and treatment.流行性角结膜炎:现状与防治建议。
Dtsch Arztebl Int. 2011 Jul;108(27):475-80. doi: 10.3238/arztebl.2011.0475. Epub 2011 Jul 8.
2
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.