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在断镜片提取后近视的上皮重塑

Maja Bohač¹, Ivan Gabrić², Sara Blazhevska²

¹Specialty Eye Hospital Svjetlost, School of Medicine, University of Rijeka, Heinzelova 39, 10000, Zagreb, Croatia. maja.bohac@svjetlost.hr.

Ophthalmology and therapy

|April 10, 2025

概括

使用SmartSight进行断晶状体提取 (KLEx) 导致了最小的上皮质增生. 在这种近视治疗后,手术后的上皮质厚度变化是微妙的,在临床上没有意义.

科学领域:

眼科医生眼科眼科
折射手术是一种折射手术.
角质科学角质科学

背景情况:

近视和眼是常见的折射错误.
角质折射晶片提取 (KLEx) 是近视纠正的一种手术选择.
了解KLEx后的上皮变化对于评估折射手术结果至关重要.

研究的目的:

用KLEX治疗近视后分析纵向上皮质变化.
为了评估区域上皮质厚度变化,SmartSight手术后长达12个月.
为了确定KLEX后的上皮质增生症的程度.

主要方法:

前段光学连贯性断层扫描 (AS-OCT) 用于分析.
在80只用SmartSight治疗的眼睛中测量了上皮厚度.
从术后一天到12个月收集数据,包括患者年龄,折射误差和手术前的上皮质厚度.

主要成果:

12个月后,上皮质厚度在中心增加3±5μm,在外围区域增加4±4μm.
表面皮质变化最初最多变 (POD1) 并且在1周后稳定.
没有观察到区间间上皮质变化的显著差异或与折射结果的相关性.

结论:

KLEx与SCHWIND ATOS用于中度近视导致最小的上皮质增生.
观察到的上皮质加厚是微妙的,低于临床相关性.
该程序似乎不会诱导诱导回归的慢性质.

关键词:

角膜激光折射手术角膜激光折射手术表面上皮质的重塑.五秒激光激光的使用时间为5秒.在 KLExEx 的位置.隐形眼镜 (Lenticule) 是一个隐形眼镜.短视的形眼镜.

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