在放射性角膜切除术多年后,在患有高超视度和平面角膜的患者中进行治疗视觉康复
Marcony R Santhiago1, Barbara A L Dutra, Claudia R Morgado
1Rio de Janeiro, Brazil.
Journal of cataract and refractive surgery
|May 31, 2023
概括
本案例研究探讨了放射性角膜切除术 (RK) 后角膜不规则的患者的视觉康复. 它讨论了对隐形眼镜不耐受和眼镜依赖的先进治疗方案.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 折射手术是一种折射手术.
背景情况:
- 一名51岁的男性出现了眼镜依赖和视力质量差,不能容忍隐形眼镜.
- 大约30年前的放射性角切除术 (RK) 史,记录了8个闭合切口.
- 纠正距离视敏度 (CDVA) 在两只眼睛中均为20/40,具有显著的折射误差.
研究的目的:
- 评估RK后患有不规则的眼和隐形眼镜不耐受症的患者的视觉康复策略.
- 在视力恢复方面考虑保守与手术干预.
主要方法:
- 角膜拓显示出明显的中央平整和两只眼睛的不规则.
- 光学连贯断层扫描 (OCT) 揭示了结构不规则,包括环状细化和左眼中部加厚.
- 在两只眼睛中都发现了表皮不规则.
主要成果:
- 患者的不规则的纹和隐形眼镜不耐受性对视觉康复构成了挑战.
- 考虑了以地形为导向的治疗方法和保守的方法.
- 需要基于角膜结构和患者因素的量身定制方法.
结论:
- 这一案例凸显了治疗折射手术后视力障碍的复杂性.
- 对于治疗计划来说,彻底评估角膜地形和心态测量是非常重要的.
- 个性化管理策略对于实现最佳视觉效果至关重要.
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