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首页> 外文期刊>Journal of cataract and refractive surgery >Combined transepithelial phototherapeutic keratectomy and conventional photorefractive keratectomy followed simultaneously by corneal crosslinking for keratoconus: Cretan protocol plus
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Combined transepithelial phototherapeutic keratectomy and conventional photorefractive keratectomy followed simultaneously by corneal crosslinking for keratoconus: Cretan protocol plus

机译:组合的Transepithelial光疗角膜切除术和常规的光折变形术,然后通过角膜交联同时进行角膜外结节:CRETAN协议加

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摘要

Purpose To evaluate the visual, refractive, and topographic outcomes after combined transepithelial phototherapeutic keratectomy (PTK) and conventional photorefractive keratectomy (PRK) followed simultaneously by corneal crosslinking (CXL) for keratoconus. Setting Vardinoyiannion Eye Institute of Crete, Faculty of Medicine, University of Crete, Heraklion, Crete, Greece. Design Prospective case series. Methods Patients with progressive keratoconus had simultaneous conventional PRK followed by CXL; the corneal epithelium was removed using transepithelial PTK (Cretan protocol plus). The visual, refractive, and topographic outcomes and the endothelial cell density (ECD) were evaluated preoperatively and 1, 3, 6, and 12/months postoperatively. Results Forty-three patients (55 eyes) were enrolled. The mean uncorrected and corrected distance visual acuities improved significantly from 0.98牨?.63 (SD) logarithm of minimum angle of resolution (logMAR) and 0.20/?0.23 logMAR preoperatively to 0.39/?0.35 logMAR ( P / P / P / P / P / P />/.05). Conclusion Combined transepithelial PTK and conventional PRK followed simultaneously by CXL was effective in corneal爏tabilization and vision improvement in keratoconic patients.
机译:目的在于组合的Transepithelial光疗角膜切除术(PTK)和常规光折变角膜切除术(PRK)以同时通过角膜交联(CXL)进行角膜核糖组合的视觉,折射和地形结果。萨尔特,克里特大学,希腊克里特岛,克里特岛,克里特岛大学克里特省克里特省克里特省克里特省克里特岛设计前瞻性案例系列。方法采用渐进式角蛋白的患者具有同时常规PRK,其次是CXL;使用TRANSEPELELIAL PTK(CRETAN协议加)除去角膜上皮。术后和1,3,6和12 /月评估视觉,屈光和地​​形结果和内皮细胞密度(ECD)。结果43名患者(55只眼)注册。平均未经校正和校正的距离视觉抗性从0.98‰的距离显着改善了最小分辨率(logmar)和0.20 /α0.23 logmar的0.98‰Δθ63(SD)对数为0.39 /?0.35 logmar(p / p / p / p / P / P /> 05)。结论结合的Transepithelial PTK和常规PRK在CXL同时在角膜内切片化和角质激素患者视力改善中有效。

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    From the Vardinoyiannion Eye Institute of Crete (Grentzelos Kounis Diakonis Siganos Tsilimbaris;

    From the Vardinoyiannion Eye Institute of Crete (Grentzelos Kounis Diakonis Siganos Tsilimbaris;

    From the Vardinoyiannion Eye Institute of Crete (Grentzelos Kounis Diakonis Siganos Tsilimbaris;

    From the Vardinoyiannion Eye Institute of Crete (Grentzelos Kounis Diakonis Siganos Tsilimbaris;

    From the Vardinoyiannion Eye Institute of Crete (Grentzelos Kounis Diakonis Siganos Tsilimbaris;

    From the Vardinoyiannion Eye Institute of Crete (Grentzelos Kounis Diakonis Siganos Tsilimbaris;

    From the Vardinoyiannion Eye Institute of Crete (Grentzelos Kounis Diakonis Siganos Tsilimbaris;

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  • 正文语种 eng
  • 中图分类 眼科学;
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