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Visual outcomes and management after corneal refractive surgery: A review

机译:角膜屈光手术后的视觉效果和处理:综述

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Corneal refractive surgery procedures are widely performed to permanently correct refractive errors. Overall, refractive surgeries are safe, predictable and present high rates of satisfaction. Nevertheless, the induced epithelial, stromal and nerve damage alters corneal integrity and function, triggering a regenerative response. Complications that arise from corneal wound healing process might directly impact on visual outcomes of keratorefractive procedures. Most of these complications can be prevented or effectively treated with minimal consequences and minor impact on optical quality. Nevertheless, it is crucial to accurately and timely identify these corneal regeneration-related complications for successful counseling and management. Optometrists, as primary eye care providers, play an essential role in detecting anatomic and functional alterations in vision. It is therefore of great interest for optometrists to be familiar with the principal postoperative complications derived from alterations in regenerative process after corneal laser refractive surgeries. This review aims to provide a basis for optometrists to better understand, identify and manage the main wound healing-related complications after refractive surgery.
机译:广泛执行角膜屈光手术程序以永久纠正屈光不正。总体而言,屈光手术是安全,可预测的,并且满意度很高。然而,诱导的上皮,基质和神经损伤改变了角膜的完整性和功能,触发了再生反应。由角膜伤口愈合过程引起的并发症可能直接影响角膜屈光手术的视觉效果。可以预防或有效治疗这些并发症中的大多数,其后果很小,对光学质量的影响也很小。然而,准确,及时地确定这些与角膜再生相关的并发症对于成功的咨询和管理至关重要。验光师作为主要的眼保健服务提供者,在检测视力的解剖和功能改变方面起着至关重要的作用。因此,对于验光师来说,熟悉由角膜激光屈光手术后再生过程改变而引起的主要术后并发症非常感兴趣。这篇综述旨在为验光师更好地了解,识别和管理屈光手术后与伤口愈合相关的主要并发症提供基础。

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