透视角膜交叉连接与氧气增强和脉冲光用于渐进式脱皮:一年的结果
Alaa Eldanasoury1, Emad Abdelazeem2, Karim Ayesh2
1Magrabi Hospitals and Centers, Main Jeddah Hospital, Old Makkah Rd. K3, Khozam St., PO Box: 7344, Jeddah, 21462, Saudi Arabia. malaa@magrabi.com.sa.
International ophthalmology
|June 30, 2023
概括
通过氧气进行晶状体加速交联 (TE-ACXL),有效地在一年内阻止角膜脱落的进展. 这种脉冲光手术为患有渐进性角膜或LASIK后脱的患者提供了折射中性结果.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 视觉科学 视觉科学 视觉科学
背景情况:
- Corneal ectasia,包括渐进式角质和后LASIK ectasia,对维护视觉功能构成重大挑战.
- 标准的角膜交叉连接 (CXL) 旨在阻止脱光症的进展,但可能是侵入性的.
- 穿越皮质的方法通过避免上皮质的去除提供了潜在的优势.
研究的目的:
- 评估使用脉冲光和补充氧气的跨甲状腺加速交联 (TE-ACXL) 的疗效和安全性.
- 评估TE-ACXL对视敏度,角膜拓和角膜脱光症患者的折射结果的影响.
主要方法:
- 一项前性,非比较性研究,涉及30名患者的30只眼睛,其中30名患者患有进展性角膜或LASIK后脱眼症.
- 所有参与者都接受了TE-ACXL与补充氧气.
- 主要结局包括术后12个月纠正距离视敏度 (CDVA) 和最大角质量 (max K) 的变化.
主要成果:
- 在12个月的随访中,CDVA显示出统计学上显著的改善 (p=0.027).
- 角膜角质量测量和心力测量没有显著变化.
- 一个月后在78.6%的眼睛和12个月后在42.9%的眼睛观察到分界线,平均深度为341.9微米.
结论:
- 补充氧气的TE-ACXL有效地阻止角膜脱膜症的进展至少一年.
- 这种程序似乎是折射中性.
- TE-ACXL代表了一种有前途的替代方案来管理角膜脱膜症.
关键词:
加速式CXL的使用情况角质交叉连接 角质交叉连接埃克塔西亚 (Ectasia) 是一种生长的植物.克拉托科努斯 (Keratoconus) 是一种形状的形状.皮质量测量 (keratometry) 是一种测量皮质量的方法.更多相关视频
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