Oshika T, Klyce S D
University of Tokyo School of Medicine, Tokyo, Japan.
Semin Ophthalmol. 1998 Jun;13(2):64-70. doi: 10.3109/08820539809059820.
Corneal topography plays an important role in laser in situ keratomileusis (LASIK). Preoperative screening permits the detection of keratoconus and other corneal shape anomalies that may be a contraindication for refractive surgery. Monitoring the progress of the surgical outcome with topography is helpful to detect postoperative complications such as decentration and clinically significant irregular astigmatism. LASIK compares favorably with PRK for the treatment of low to moderate myopia in terms of early achievement of refractive stability, but induction of modest amounts of irregular astigmatism can be a concern.
角膜地形图在准分子原位角膜磨镶术(LASIK)中起着重要作用。术前筛查有助于检测圆锥角膜和其他可能成为屈光手术禁忌证的角膜形态异常。通过地形图监测手术效果的进展有助于检测术后并发症,如偏心和具有临床意义的不规则散光。在早期实现屈光稳定方面,LASIK治疗低度至中度近视比准分子激光角膜切削术(PRK)更具优势,但诱导产生适量的不规则散光可能是一个问题。