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用不同的光学区域进行小切口镜片提取后的后角膜稳定性
Xueying Cheng1, Yu Zhao2,3,4,5, Dan Fu2,3,4,5
1Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, China.
Eye (London, England)
|July 12, 2024
概括
小切口镜片提取 (SMILE) 不会导致后角膜向前突出,无论光区大小如何. 这种折射性手术技术在手术后三年对角膜稳定性似乎是安全的.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 角质生物力学 角质生物力学
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.
- 了解SMILE对角膜后部的长期影响对于患者的安全至关重要.
研究的目的:
- 评估SMILE后后角膜表面的变化.
- 根据不同的外科手术光学区域大小来比较这些变化.
主要方法:
- 在SMILE. 3年后对106只眼睛 (106名患者) 进行了回顾性研究.
- 眼睛根据光区大小分为两组:≤6.2毫米 (A组) 和≥6.5毫米 (B组).
- 用Pentacam测量后角膜升高 (PCE) 和其他点.
主要成果:
- 在这两组中都没有观察到阳性质脱落症.
- 在两组中,后部中部高度 (PCE) 显著降低 (P < 0.05).
- 后面的角膜变化显示出向后移位,特别是在下部外围,没有前部突起.
结论:
- 微笑有不同的光学区域不会导致后角膜向前突出.
- 角膜稳定性在微笑后的三年内得到维持.
- 术前测量对于预防并发症和确保折射手术安全至关重要.
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