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手术后的化术后的术后化:基于PRISMA的系统综述和元分析

Magdalena Kijonka^1,2, Anna Nowińska^1,2, Edward Wylęgała^1,2

¹Chair and Clinical Department of Ophthalmology, School of Medicine in Zabrze, Medical University of Silesia in Katowice, District Railway Hospital, 40-760 Katowice, Poland.

Journal of clinical medicine

|June 19, 2024

概括

激光手术显著改善视力敏度,并减少角膜移植后的纹. 五秒钟辅助切割术和LASIK在切成形术后的纹症管理中最有效.

科学领域:

眼科医生眼科眼科
折射手术是一种折射手术.
角膜移植角膜移植

背景情况:

角膜移植越来越多地用于各种眼睛疾病.
宫造术后的折射结果往往是不可预测的,显著的纹是常见的并发症.
现有外科手术技术可用于管理化术后的化症,并提高患者的生活质量.

研究的目的:

为了比较角膜移植后的视力敏度和形减轻与辅助形减轻手术.
为了确定最有效的手术方法来管理形术后的形.

主要方法:

在主要数据库 (PubMed,Scopus,Web of Science等) 中进行了系统的文献搜索. 对于在2010年至2023年之间发表的研究.
包括的研究集中在透塑术 (PKP),深前层层叶片塑术 (DALK) 或深前层叶片内皮塑术 (DSEAK) 等透塑术后形形的折射手术上.
使用综合元分析软件进行了元分析,效果大小报告为标准化差异,并使用Q值,I2,chi平方和tau平方评估异质性.

主要成果:

分析了21项涉及1539只眼睛的研究.
激光手术程序,特别是femtosecond辅助切除术 (在DALK和PKP之后) 和激光辅助 in situ切除术 (LASIK) (在DSEAK之后),显示了视力敏度的最显著改善.
这些基于激光的干预也导致角膜形症的显著减少.

结论:

激光手术技术,包括femtosecond辅助切除术和LASIK,在改善视觉结果和减少角膜移植后的纹症方面非常有效.
这些折射手术程序代表了管理形术后的形形的有价值的选择.

关键词:

德塞梅特的剥离内皮自动化角质整形 (DSEAK)前叶片角膜整形术 (ALK) 是一种前叶片角膜整形术.角膜移植角膜移植深部前层层叶片角膜整形术 (DALK)内皮切层成形术 (EK) 是一种内皮切层成形术.五秒激光 LASIK 的使用方法激光在现场化 (LASIK)穿透式角膜整形 (PK) 是一种切入式角膜整形.在基拉托塑性手术后的形形.后面的叶片叶片角塑性.在手术后的形.折射手术是一种折射手术.

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