Eye Contact Lens:在激光原位角膜磨镶手术后佩戴角膜巩膜隐形眼镜对角膜生物力学参数影响!

2017-10-09 cuiguizhong MedSci原创

西班牙巴伦西亚布哈索特瓦伦西亚大学物理学院光学与视觉科学系系的Montalt JC近日在Eye Contact Lens杂志上发表了他们近期的一项工作,他们在激光原位角膜磨镶术(LASIK)后患有不规则角膜的患者中研究了其佩戴角膜巩膜隐形眼镜(CScL)的角膜生物力学参数。

西班牙巴伦西亚布哈索特瓦伦西亚大学物理学院光学与视觉科学系系的Montalt JC近日在Eye Contact Lens杂志上发表了他们近期的一项工作,他们在激光原位角膜磨镶术(LASIK)后患有不规则角膜的患者中研究了其佩戴角膜巩膜隐形眼镜(CScL)的角膜生物力学参数。

他们进行病例研究,经过两名眼科临床医生筛选,对进行过复杂的激光原位角膜磨镶术(LASIK)手术,并由于角膜表面不规则而佩戴角膜巩膜隐形眼镜(CScL)的患者的资料进行分析。在CScL佩戴1年前后,角膜滞后(CH)、角膜阻力因子(CRF)、角膜补偿眼压(IOPcc)和中心角膜厚度等参数进行分析。此外,调查分析视力、主观舒适度和CScL的穿戴时间。

他们总共研究了27例眼睛。在最佳眼镜校正视力和佩戴角膜巩膜隐形眼镜(CScL)矫正后,视力有明显的差异[平均值±SD,最小分辨角度对数(logMAR)为0.16±0.03)和0.01±0.06 logMAR; P <0.001]。此外,患者反馈的主观舒适度较高,有22例眼睛为舒适或非常舒适。相比来说,使用时间延长(平均值±SD,每天连续穿戴12.67±1.98小时)。角膜阻力因子(CRF)在佩戴角膜巩膜隐形眼镜(CScL)开始时和佩戴1年后具有显着性的差异(平均值±SD,7.57±0.87和7.68±0.84 mm Hg,P = 0.015)。中心角膜厚度,角膜滞后(CH)和角膜补偿眼压(IOPcc)在佩戴角膜巩膜隐形眼镜(CScL)1年前后差异不大,分别为1.78μm,0.04和0.21 mm Hg。

因此,他们认为,在佩戴角膜巩膜隐形眼镜(CScL)1年后,虽然角膜阻力因子(CRF)具有显着差异,但总体来说角膜生物力学参数变化不大,仅略有增加。这表明,激光原位角膜磨镶术(LASIK)后导致的不规则眼角膜病症对患者没有明显的临床影响。

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    2018-05-19 grace5700
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    2017-10-11 oliver169
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    2017-10-11 hb2008ye
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