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比较特拉维夫议定书与雅典议定书在治疗渐进性角的治疗结果

Michael Mimouni^1,2, Igor Kaiserman^2,3, Raymond Stein^4,5

¹Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel.

Journal of cataract and refractive surgery

|November 5, 2025

概括

特拉维夫议定书为角膜患者提供了更好的视力敏度增长,而雅典议定书则提供了更大的角膜平. 对于那些角膜较薄的人来说,特拉维夫议定书可能更好.

科学领域:

眼科医生眼科眼科
角膜外科手术角膜外科手术
视觉科学视觉科学视觉科学

背景情况:

角是一种渐进的疾病,导致视力受损.
角质交叉连接的目的是阻止角质的进展.
像光折射性角膜切除术这样的手术技术与交叉连接相结合,以进行折射校正.

研究的目的:

为了比较两个结合的加速交叉连接协议对角的疗效.
评价特拉维夫议定书 (上皮光折射性角膜切除术+加速交叉连接) 与雅典议定书 (地形导向光折射性角膜切除术+加速交叉连接) 的结果.

主要方法:

一项多中心的回顾性研究比较了35只眼睛 (特拉维夫议定书) 和60只眼睛 (雅典议定书).
术前和1年术后的数据包括视敏度,折射误差,纹,角膜测量和角膜厚度.
倾向分数匹配 (PSM) 用于控制基线差异.

主要成果:

这两种方案都改善了未经校正和最佳眼镜校正的视力敏度,眼症和最大角质量测量.
特拉维夫议定书显示,球体等价度得到了更大的改善.
雅典议定书导致PSM后最大角质测量和角膜厚度减少得更大.

结论:

特拉维夫和雅典议定书都有效地治疗了角,改善了视觉和地形结果.
特拉维夫议定书显示出优越的视觉效果,而雅典议定书则实现了更显著的角膜平.
特拉维夫协议的减少膜切除使其成为患有较薄角膜的患者潜在的更好的选择.

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