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Related Experiment Videos

Corneal temperature changes during photorefractive keratectomy

S Betney1, P B Morgan, S J Doyle

  • 1Department of Optometry and Vision Sciences, University of Manchester Institute of Science and Technology, England.

Cornea
|March 1, 1997
PubMed
Summary

Photorefractive keratectomy (PRK) can significantly increase corneal temperature, potentially reaching levels that denature collagen and cause subepithelial haze. This study quantified temperature changes during PRK, highlighting the need for strategies to mitigate thermal effects.

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Area of Science:

  • Ophthalmology
  • Laser eye surgery
  • Corneal physiology

Background:

  • Subepithelial haze after photorefractive keratectomy (PRK) is a known complication.
  • Corneal temperature elevation during PRK is suspected to contribute to haze formation.
  • Quantifying intraoperative corneal temperature changes is crucial for understanding haze aetiology.

Purpose of the Study:

  • To precisely measure and quantify the temperature fluctuations on the ocular surface during PRK.
  • To investigate the relationship between PRK parameters and corneal temperature elevation.
  • To provide data for developing strategies to minimize thermal damage during PRK.

Main Methods:

  • Utilized non-contact, color-coded ocular thermography with an infrared detection system.

Related Experiment Videos

  • Monitored corneal temperature in 12 subjects undergoing PRK.
  • Recorded temperature changes throughout the surgical procedure.
  • Main Results:

    • The mean central ocular surface temperature (OST) post-epithelial debridement was 29.15°C.
    • The mean peak OST during PRK reached 37.77°C, with rapid increases within the first 15 seconds.
    • Ablation depth, optical correction, and procedure duration did not significantly correlate with temperature changes, indicating a complex interplay.

    Conclusions:

    • Corneal temperatures during routine PRK can approach the denaturation point of corneal collagen (approximately 39°C).
    • The findings support the hypothesis that thermal effects during PRK contribute to subepithelial haze.
    • Further research into preoperative cooling and treatment pauses is recommended to mitigate temperature-related complications.