中华眼视光学与视觉科学杂志
中華眼視光學與視覺科學雜誌
중화안시광학여시각과학잡지
CHINESE JOURNAL OF OPTOMETRY OPHTHALMOLOGY AND VISUAL SCIENCE
2013年
12期
709-712
,共4页
李绍伟%陈铁红%张涛%刘畅%吕芳奇%宁建华%金福录%马圣菲
李紹偉%陳鐵紅%張濤%劉暢%呂芳奇%寧建華%金福錄%馬聖菲
리소위%진철홍%장도%류창%려방기%저건화%금복록%마골비
飞秒激光%角膜移植术,穿透性%圆锥角膜%角膜混浊%大泡性角膜病变
飛秒激光%角膜移植術,穿透性%圓錐角膜%角膜混濁%大泡性角膜病變
비초격광%각막이식술,천투성%원추각막%각막혼탁%대포성각막병변
Femtosecond laser%Keratoplasty,penetrating%Keratoconus%Corneal opacity%Bullous keratopathy
目的 观察应用飞秒激光技术辅助行穿透性角膜移植手术(FS-PKP)的初步临床疗效.方法 回顾性病例研究.分析6例(6眼)行FS-PKP术的患者,术前视力从手动到0.05不等,病变均累及角膜全层.根据病变性质及范围不同,利用飞秒激光制作不同形状的植片和植床,2例患者行Zig-Zag(之字形)切割,1例行Zig-Square(上方之字形,下方方形)切割,1例行蘑菇形切割,2例行礼帽型切割.术后均按常规穿透性角膜移植术进行治疗.结果 随访期间,视力均较术前有不同程度提高,视力达0.5及以上者3例,其中1例患者视力恢复至1.0.术后1年时6例患者散光值在2.25~5.00 D之间.1例Zig-Zag型切割患者术中发生偏中心切割,术后10个月完全拆线后行飞秒激光散光矫正术;1例礼帽型切割角膜移植患者术后早期出现高眼压.余患者未见明显并发症.结论 应用FS-PKP术治疗角膜病变,可操作性强,切削精确,瘢痕轻,术后散光小.
目的 觀察應用飛秒激光技術輔助行穿透性角膜移植手術(FS-PKP)的初步臨床療效.方法 迴顧性病例研究.分析6例(6眼)行FS-PKP術的患者,術前視力從手動到0.05不等,病變均纍及角膜全層.根據病變性質及範圍不同,利用飛秒激光製作不同形狀的植片和植床,2例患者行Zig-Zag(之字形)切割,1例行Zig-Square(上方之字形,下方方形)切割,1例行蘑菇形切割,2例行禮帽型切割.術後均按常規穿透性角膜移植術進行治療.結果 隨訪期間,視力均較術前有不同程度提高,視力達0.5及以上者3例,其中1例患者視力恢複至1.0.術後1年時6例患者散光值在2.25~5.00 D之間.1例Zig-Zag型切割患者術中髮生偏中心切割,術後10箇月完全拆線後行飛秒激光散光矯正術;1例禮帽型切割角膜移植患者術後早期齣現高眼壓.餘患者未見明顯併髮癥.結論 應用FS-PKP術治療角膜病變,可操作性彊,切削精確,瘢痕輕,術後散光小.
목적 관찰응용비초격광기술보조행천투성각막이식수술(FS-PKP)적초보림상료효.방법 회고성병례연구.분석6례(6안)행FS-PKP술적환자,술전시력종수동도0.05불등,병변균루급각막전층.근거병변성질급범위불동,이용비초격광제작불동형상적식편화식상,2례환자행Zig-Zag(지자형)절할,1례행Zig-Square(상방지자형,하방방형)절할,1례행마고형절할,2례행례모형절할.술후균안상규천투성각막이식술진행치료.결과 수방기간,시력균교술전유불동정도제고,시력체0.5급이상자3례,기중1례환자시력회복지1.0.술후1년시6례환자산광치재2.25~5.00 D지간.1례Zig-Zag형절할환자술중발생편중심절할,술후10개월완전탁선후행비초격광산광교정술;1례례모형절할각막이식환자술후조기출현고안압.여환자미견명현병발증.결론 응용FS-PKP술치료각막병변,가조작성강,절삭정학,반흔경,술후산광소.
Objective To report the clinical results of femtosecond laser assisted penetrating keratoplasty (FS-PKP).Methods It was a retrospective case series study.Six eyes of 6 patients who treated with FS-PKP were enrolled in this study.The vision of them were from hand moving to 0.05,and opacities were all from epithelium to endothelium.During the operation,the grafts were prepared to different shapes according to the character of the affections:2 cases with Zig-Zag shape,1 case with Zig-Square,1 case with mushroom,and another 2 cases with hat shape.Results During the follow-up period,the visions of all patients were better than preoperative ones.Three of them were better or equal to 0.5,and one was even to 1.0.The astigmatisms were from 2.25 D to 5.00 D at one year after operation.During the operation of one case with Zig-Zag shape,the meta-central cut were happened.Another patient with hat shape experienced high intraocular pressure early after operation.Conclusion The FS-PKP appears to be a good alternative surgical method for patients of corneal diseases because of the great manipuility and excellent postoperative results.