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[板层间扇形角膜移植术治疗散光的手术矫正]

[Interlamellar sectoral keratoplasty in the surgical correction of astigmatism].

作者信息

Frolov M A, Beliaev V S, Dushin N V, Kravchinina V V, Barashkov V I, Gonchar P A

出版信息

Vestn Oftalmol. 1996 Apr-Jun;112(2):15-8.

PMID:9045479
Abstract

A new original method of interlamellar sectorial keratoplasty is proposed for surgical correction of astigmatism. Eleven operations were carried out in 8 patients (11 eyes) with astigmatism of 4 to 7.0 diopters. Vision acuity without correction was 0.6 to 1.0 in 5 patients (7 eyes, 63.6%). In 2 patients (2 eyes, 18.2%) vision acuity without correction was 0.3 to 0.5 diopters, and in 2 more patients (2 eyes, 18.2%) it was from 0.1 to 0.3 diopters, that is, equal to the maximal vision acuity with the optimal correction. The refraction effect stabilized in 3-4 months. The highest refraction effect attained was 7.0 diopters. The patients were followed up for 3 months to 4 years. Clinical analysis of the operations confirmed the efficacy and reliability of the method and stability of refraction. Interlamellar sectorial keratoplasty is recommended for surgical correction of astigmatism.

摘要

提出了一种用于手术矫正散光的新的板层间扇形角膜移植术。对8例(11只眼)散光度数为4至7.0屈光度的患者进行了11次手术。5例患者(7只眼,63.6%)未矫正视力为0.6至1.0。2例患者(2只眼,18.2%)未矫正视力为0.3至0.5屈光度,另外2例患者(2只眼,18.2%)未矫正视力为0.1至0.3屈光度,即等于最佳矫正时的最大视力。屈光效果在3至4个月内稳定。达到的最高屈光效果为7.0屈光度。对患者进行了3个月至4年的随访。手术的临床分析证实了该方法的有效性、可靠性以及屈光的稳定性。推荐板层间扇形角膜移植术用于散光的手术矫正。

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