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首页> 外文期刊>Investigative ophthalmology & visual science >Biomechanical Differences Between Femtosecond Lenticule Extraction (FLEx) and Small Incision Lenticule Extraction (SmILE) Tested by 2D-Extensometry in Ex Vivo Porcine Eyes
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Biomechanical Differences Between Femtosecond Lenticule Extraction (FLEx) and Small Incision Lenticule Extraction (SmILE) Tested by 2D-Extensometry in Ex Vivo Porcine Eyes

机译:在体外猪眼中通过二维引伸法测试飞秒小孔提取(FLEx)和小切口小孔提取(SmILE)之间的生物力学差异

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Purpose: To evaluate the biomechanical stability of ex vivo porcine corneas after femtosecond lenticule extraction (FLEx) and small incision lenticule extraction (SmILE) refractive surgeries. Methods: Forty-five porcine eyes were equally divided into three groups: Groups 1 and 2 were treated with FLEx and SmILE procedure, respectively. Group 3 served as control. A refractive correction of a??14 diopters (D) with a 7-mm zone using either a 160-??m flap (FLEx) or a 160-??m cap (SmILE) was performed. For two-dimensional (2D) elastic and viscoelastic biomechanical characterization, two testing cycles (preconditioning stressa??strain curve from 1.27 to 12.5 N, stressa??relaxation at 12.5 N during 120 seconds) were conducted. Young's modulus and Prony constants were calculated. Results: At 0.8% of strain, FLEx (370 ?± 36 kPa) could resist a significantly lower stress than SmILE (392 ?± 19 kPa, P = 0.046) and the control group (402 ?± 30 kPa, P = 0.013). Also, FLEx (46.1 ?± 4.5 MPa) had a significantly lower Young's modulus than the control group (50.2 ?± 3.4 MPa, P = 0.008). The Young's modulus of SmILE (48.6 ?± 2.5 MPa) had values situated between untreated corneas and FLEx-treated corneas. When compared to untreated controls, the stress resistance decreased by 8.0% with FLEx and 2.5% with SmILE; Young's modulus decreased by 5.1% with FLEx and 1.04% with SmILE. With a cap-based procedure, both anterior cap and stromal bed carry the intraocular pressure, while in a flap-based procedure, only the stromal bed does. Conclusions: Compared to flap-based procedures like FLEx, the cap-based technique SmILE can be considered superior in terms of biomechanical stability, when measured experimentally in ex vivo porcine corneas.
机译:目的:评估飞秒小透镜摘除术(FEx)和小切口小透镜摘除术(SmILE)屈光手术后离体猪角膜的生物力学稳定性。方法:将45只猪眼平均分为三组:第1组和第2组分别用FLEx和SmILE程序治疗。第3组作为对照。使用160?m的襟翼(FLEx)或160?m的帽盖(SmILE)对7mm的a ?? 14屈光度(D)进行屈光矫正。为了进行二维(2D)弹性和粘弹性生物力学表征,进行了两个测试循环(从1.27到12.5 N的预处理应力-应变曲线,在120秒内12.5 N处的应力-松弛)。计算杨氏模量和Prony常数。结果:当应变为0.8%时,FLEx(370±±36 kPa)可以承受的应力明显低于SmILE(392±±19 kPa,P = 0.046)和对照组(402±±30 kPa,P = 0.013) 。另外,FLEx(46.1≤±4.5MPa)的杨氏模量显着低于对照组(50.2≤±3.4MPa,P = 0.008)。 SmILE的杨氏模量(48.6Ω±2.5MPa)的值介于未处理的角膜和FLEx处理的角膜之间。与未处理的对照组相比,FLEx和SmILE的抗逆性分别降低了8.0%和2.5%。使用FLEx的杨氏模量下降5.1%,使用SmILE的杨氏模量下降1.04%。对于基于帽的手术,前帽和基质床均承担眼内压,而在基于皮瓣的手术中,仅基质床起作用。结论:与基于襟翼的手术如FLEx相比,基于帽的技术SmILE在离体猪角膜中进行实验测量时,在生物力学稳定性方面被认为是优越的。

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