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折射性外科纠正和治疗角质

Francesco D'Oria¹, Simone A Bagaglia², Jorge L Alio Del Barrio³

¹Section of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, Bari, Italy.

Survey of ophthalmology

|September 29, 2023

概括

诸如宫内角膜环段 (ICRS) 和 phakic眼内透镜 (PIOLs) 等手术选择可以纠正角膜病患者的视力损失. 这些治疗方法可以改善视力敏度,成功率高,并发症风险低.

科学领域:

眼科医生眼科眼科
角膜外科手术角膜外科手术
视觉科学科学视觉科学

背景情况:

角膜是一种渐进的角膜脱落性疾病,导致显著的视力障碍.
目前的手术干预旨在纠正折射误差,并改善受影响个体的视力敏度.

研究的目的:

审查角膜的外科治疗方案,重点关注角膜内膜环段 (ICRS),用角膜交叉连接 (CXL) 进行光折射性角膜切除术,并植入光眼内镜片 (PIOL).
讨论这些手术技术的疗效,成功率和并发症概况.
为应对联合白内障和角质的管理所面临的挑战.

主要方法:

对手术技术的审查,包括ICRS植入,地形导向光折射性角质切除术 (PRK) 或用CXL进行光疗性角质切除术 (PTK),以及PIOL植入 (前后腔).
讨论患者选择标准,手术规划和结果.
考虑同时患有白内障和角质的患者的折射校正方面的挑战.

主要成果:

ICRS植入是一种具有高成功率和低并发症率的最小侵入性选择,用于改善视力敏度.
拓导向的PRK/PTK与CXL相结合,通过重塑角膜形状,在某些情况下可提供视觉改善.
PIOL植入适用于具有足够解剖的稳定角病例,可选择前后腔室.

结论:

不同的手术策略,包括ICRS,CXL的PRK/PTK和PIOL,有效地管理状及其相关视力损伤.
仔细的患者选择和手术规划对于优化结果至关重要.
综合性白内障和角膜的管理需要专门的方法,包括考虑托里克眼内透镜和潜在的角膜整形.

关键词:

透明透镜提取/白内障手术角膜原的交叉链接角膜内环段的部分克拉托科努斯 (Keratoconus) 是一种形状的形状.发光性眼内镜的眼内镜.光折射性角质切除术是指光折射性角质切除术.伪造的IOL是一种伪造的IOL.折射手术是一种折射手术.

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