[赖斯-巴克勒营养不良症：准分子激光治疗性光消融术]
[Reis-Buckler dystrophy: therapeutic photo-ablation with the excimer laser].
作者信息
el Aouni A, Briat B, Mayer F, Saragoussi J J, Abenhaim A, Assouline M, David T, Pouliquen Y, Renard G
机构信息
Service d'Ophtalmologie, Hôtel-Dieu, Paris.
出版信息
J Fr Ophtalmol. 1998 Jan;21(1):23-7.
PURPOSE
Reis-Buckler's corneal dystrophy consist of superficial reticulated opacities with recurring attacks of corneal erosion. Lamellar and penetrating keratoplasties were the traditional surgical means of improving recurrent erosions and vision but the dystrophy recurs following surgery. Phototherapeutic keratectomy (PTK) is now the standard method of managing this anterior corneal disease when intervention is required.
MATERIAL AND METHODS
We have treated ten eyes with Reis-Buckler's dystrophy using Excimer laser PTK.
RESULTS
All of patients achieved visual improvement (preoperative corrected visual acuity: average 0.3 +/- 0.2 SD, postoperative at one month 0.6 +/- 0.3 SD and 0.7 +/- 0.2 SD at one year. The refractive shift changed from a spherical equivalent of -0.92 D to a postoperative refraction of +1.80 D at one month and +1.65 D at one year.
目的
赖斯 - 巴克勒角膜营养不良表现为浅层网状混浊，并伴有角膜糜烂反复发作。板层角膜移植术和穿透性角膜移植术是改善复发性角膜糜烂和视力的传统手术方法，但术后营养不良仍会复发。当需要干预时，光动力角膜切削术（PTK）现在是治疗这种前部角膜疾病的标准方法。
材料与方法
我们使用准分子激光PTK治疗了10例患有赖斯 - 巴克勒营养不良的眼睛。
结果
所有患者视力均有改善（术前矫正视力：平均0.3±0.2标准差，术后1个月为0.6±0.3标准差，术后1年为0.7±0.2标准差。屈光变化从等效球镜度-0.92 D变为术后1个月的+1.80 D和术后1年的+1.65 D。
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