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在微笑后与上皮相关的并发症的发生率和管理

Majid Moshirfar^1,2,3, Stephanie Zhang⁴, Shreya Pandya⁵

¹Hoopes Vision Research Center, Hoopes Vision, Draper, UT, USA.

Clinical ophthalmology (Auckland, N.Z.)

|September 26, 2023

概括

在小切割镜片提取 (SMILE) 后,15.7%的眼睛出现了与上皮相关的并发症,特别是在老年患者中. 尽管存在这些问题,但在适当的管理下,视觉效果仍然有利.

科学领域:

眼科医生眼科眼科
折射手术是一种折射手术.
角膜外科手术角膜外科手术

背景情况:

小切口镜片提取 (SMILE) 是一种流行的折射性手术程序.
表皮相关的并发症可能会发生在SMILE后,可能会影响视觉结果.
了解这些并发症的发生率和管理对于患者护理至关重要.

研究的目的:

为了确定 SMILE 后与上皮相关的并发症的发生率.
确定与这些并发症相关的风险因素.
评估SMILE后表皮相关问题患者的管理策略和视觉结果.

主要方法:

一个回顾性,单位研究分析了220名接受SMILE.患者的432只眼睛.
收集的数据包括人口统计信息,术前参数和术后视力敏度.
在不同的时间点评估并发症,统计分析比较并发症和对照组.

主要成果:

与上皮相关的并发症发生在15.7%的眼睛中,接口碎片是最常见的 (4.9%).
年龄较大是SMILE后表皮病发病的重要危险因素 (P=0.001).
患有并发症的患者更有可能需要光折射性角膜切除术 (PRK) 增强 (P=0.001),但视敏度 (UDVA,CDVA) 和安全性/有效性指数没有显著差异.

结论:

在SMILE之后,表皮相关的并发症在老年人中更为常见.
这些并发症可能需要PRK增强,但不会影响长期视觉预后.
有效的管理策略确保了有利的视觉结果,尽管发生了上皮质问题.

关键词:

DLKK 是一个很好的方法.激光手术 (LASIK) 是一种激光手术.这就是 ReLExEx.扩散的叶片状角膜炎.表面上生长的内生长.微观状体 (microstriae) 是一种微观状体.

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