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在内皮角质塑性术后,与眼内压相关的副作用

Morten B M Madsen¹, Anders Ivarsen¹, Niklas Telinius¹

¹Department of Ophthalmology, Aarhus University Hospital, Aarhus, Denmark.

Acta ophthalmologica

|February 10, 2024

概括

与透镜植入相结合内皮角质整形 (EK) 的法化与单独白内障提取相比,并没有对视网膜神经纤维层 (RNFL) 厚度产生负面影响. 手术后12个月,瞳孔功能和直径在组之间保持了可比性.

科学领域:

眼科医生眼科眼科
角膜外科手术角膜外科手术
视网膜成像视网膜成像

背景情况:

福克斯内皮质和白内障通常需要联合手术干预.
内皮角膜整形 (EK) 技术旨在恢复角膜清晰度,同时保持眼睛结构.
评估EK对眼神经等相邻眼组织的影响至关重要.

研究的目的:

为了比较单独与透镜植入后的光纤化 (phacoemulsification) 和结合内皮角膜成形 (endothelial keratoplasty) (EK) 后的环囊状视网膜神经纤维层 (RNFL) 厚度.
在接受这些手术的患者中评估瞳孔功能和直径.

主要方法:

一个随机的,单面膜试验的二次分析,涉及72名患有Fuchs内皮和白内障的患者.
患者被分配到超薄的Descemet的剥离自动化内皮皮质切除术 (UT-DSAEK) 或Descemet的膜内皮质切除术 (DMEK).
包括40名患者的对照组 (仅白内障提取[CE]);所有患者都进行了化和透镜植入.

主要成果:

手术后12个月,EK和CE组之间的RNFL厚度是可比的.
瞳孔功能 (scotopic和 photopic瞳孔直径,收缩速度) 在EK和CE组之间是相似的.
用重新泡泡治疗的患者显示了显著较小的scotopic瞳孔直径.

结论:

内皮角膜整形 (EK) 似乎不会对RNFL的厚度产生负面影响,而仅仅在12个月内进行白内障提取 (CE).
虹膜功能和瞳孔直径在外科手术后的EK和CE组之间是可比的.
进一步的研究可能会探索重新泡对瞳孔动态的具体影响.

关键词:

在 DMEK DMEK 里面.在RNFL中,RNFL是最重要的.在 UT-DSAEK 中.白内障手术是什么?白内障手术是什么?虹膜功能虹膜功能

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