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Treatment of corneal opacity by planned lamellar keratectomy using the femtosecond laser.

机译:使用飞秒激光通过计划的层状角膜切除术治疗角膜混浊。

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PURPOSE: To report successful vision restoration after lamellar keratectomy using a femtosecond (FS) laser in a patient with superficial corneal opacity that developed after an episode of epidemic keratoconjunctivitis. METHODS: A 19-year-old girl with corneal opacity in the left eye was referred to our department for treatment. The opacity was principally located within the superficial anterior cornea. To remove the opacity with minimization of change in the keratometric value, we performed lamellar keratectomy with the aim of creating a 100-mum-thick flap, using an FS laser (IntraLase FS; AMO, Irvine, CA). RESULTS: Postoperatively, corneal opacity was removed and vision improved. Six months after surgery, the corneal surface was stable and smooth, and no corneal haze was observed. The keratometric value measured by corneal topography and manifest refraction showed no hyperopic shift postoperatively. CONCLUSIONS: This report indicates that the FS laser may be an effective surgical tool for the treatment of patients with corneal opacity and that hyperopic shift is not of concern.
机译:目的:报道在流行性角膜结膜炎发作后出现浅表角膜混浊的患者中,使用飞秒(FS)激光进行层状角膜切除术后成功恢复视力。方法:一名19岁左眼角膜混浊的女孩被转诊至我科治疗。不透明度主要位于浅表角膜前。为了消除角膜测量值变化的不透明性,我们进行了层状角膜切除术,目的是使用FS激光(IntraLase FS; AMO,Irvine,CA)创建厚度为100微米的皮瓣。结果:术后角膜混浊得以消除,视力得到改善。术后六个月,角膜表面稳定且光滑,未观察到角膜混浊。角膜地形图测量的角膜曲率值和明显的屈光术后无远视移位。结论:该报告表明,FS激光可能是治疗角膜混浊患者的有效手术工具,远视移位并不重要。

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