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首页> 外文期刊>Journal of refractive surgery >Conductive keratoplasty to treat hyperopic overcorrection after LASIK for myopia.
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Conductive keratoplasty to treat hyperopic overcorrection after LASIK for myopia.

机译:LASIK手术治疗近视眼的远视过度矫正。

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PURPOSE: to investigate the refractive outcomes and stability of conductive keratoplasty (CK) for retreatment of myopic LASIK overcorrection. METHODS: seven eyes (six patients) that were overcorrected after myopic LASIK by +1.00 to +2.75 diopters (D) manifest refraction spherical equivalent (MRSE) were retreated using CK. All eyes had insufficient stromal thickness for LASIK retreatment. LightTouch CK was performed at least 1 year after LASIK. Either 8 or 16 spots were applied at 7- and/or 8-mm zones on the cornea. Uncorrected distance visual acuity, manifest refraction, corrected distance visual acuity (CDVA), and postoperative complications were analyzed. RESULTS: mean MRSE after CK at last follow-up was +0.38 +/- 0.52 D (range: -0.38 to +1.13 D). The change in MRSE ranged from -0.63 to -2.38 D. Mean MRSE after CK changed from -0.60 +/- 2.07 D (range: -3.38 to +1.50 D) at 1 week to +0.45 +/- 0.69 D (range: -0.38 to +1.38 D) at 12 months. Two eyes experienced an initial overcorrection of -2.75 D and -3.38 D, respectively, at 1 week after CK. Cylinder
机译:目的:探讨近视性LASIK过度矫正治疗中传导性角膜移植术(CK)的屈光结果和稳定性。方法:使用CK矫正近视LASIK后过度矫正+1.00至+2.75屈光度(D)表现为屈光球当量(MRSE)的7眼(6例患者)。所有眼睛的基质厚度不足以进行LASIK复治。 LASIK术后至少1年进行LightTouch CK检查。在角膜的7毫米和/或8毫米区域应用8个或16个斑点。分析了未矫正的远视力,明显屈光,矫正的远视力(CDVA)和术后并发症。结果:最后一次随访CK后的平均MRSE为+0.38 +/- 0.52 D(范围:-0.38至+1.13 D)。 MRSE的变化范围为-0.63至-2.38 D.CK后的平均MRSE在1周时从-0.60 +/- 2.07 D(范围:-3.38至+1.50 D)变为+0.45 +/- 0.69 D(范围: -0.38至+1.38 D)在12个月时。在CK后1周,两只眼睛的初始过度矫正分别为-2.75 D和-3.38D。在四只眼中诱发了 0.75 D的圆柱,而一只眼睛的圆柱减少了0.75-D。所有眼睛的CDVA为logMAR 0.10或更高。两只眼睛失去了一根CDVA,没有一只眼睛失去了一根以上。结论:对于过度矫正的近视LASIK进行lighttouch CK复治可以减轻远视,但产生的柱面变化最小,并且可能适合基质组织不足的眼睛进行重复准分子激光手术。早期回归通常发生。

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