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New surgical strategy for corneal tattooing using a femtosecond laser.

机译:使用飞秒激光进行角膜纹身的新手术策略。

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PURPOSE: The purpose of this study was to describe a new method of femtosecond (FS) laser-assisted corneal tattooing and to report the results of this method in a case series. METHODS: The study involved 6 eyes of 6 patients with total or partial corneal opacity. An FS laser was used for lamellar dissection and to make a side cut with a hinge, creating a corneal flap. Laser parameters were adjusted depending on ocular condition and the location of the corneal opacity. After lifting the corneal flap, further lamellar dissection with a diamond blade was performed up to the periphery of the limbal area. Using a cannula, dye was injected into the lamellar stromal bed and the space of the lamellar dissected pocket in the limbus, after which the flap was repositioned. RESULTS: The design and application of the FS laser for dissection and flap creation were successful in all cases. There were no significant complications other than an incomplete cut under band keratopathy in 1 eye. The cosmetic effects were satisfactory in all cases. No patient complained of pain for more than 1 day after surgery. CONCLUSIONS: The advantages of the FS laser-assisted corneal tattooing include a customized design, speed, decreased pain, reduced risk of perforation, and good wound healing. This procedure provides improvements over current corneal tattooing techniques, although it is relatively expensive.
机译:目的:本研究的目的是描述飞秒(FS)激光辅助角膜纹身的新方法,并在一系列病例中报告该方法的结果。方法:该研究涉及6例完全或部分角膜混浊的6只眼。 FS激光用于层状解剖并用铰链进行侧面切割,形成角膜瓣。根据眼部状况和角膜混浊的位置调整激光参数。提起角膜瓣后,用钻石刀片进一步进行层状剥离直至边缘区的外围。使用套管,将染料注入层状基质床和角膜缘中解剖的层状囊袋的空间中,然后将皮瓣重新定位。结果:在所有情况下,FS激光的解剖和皮瓣产生的设计和应用均成功。除带状角膜病1只眼的切口不完全外,没有其他明显的并发症。在所有情况下,美容效果均令人满意。术后超过1天没有患者抱怨疼痛。结论:FS激光辅助角膜纹身的优点包括定制设计,速度快,疼痛减轻,穿孔风险降低以及伤口愈合良好。尽管相对昂贵,但是该方法提供了对当前角膜纹身技术的改进。

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