Clinical observation of excimer laser phototherapeutic keratectomy in the treatment of corneal anterior diseases
10.3980/j.issn.1672-5123.2015.5.53
- VernacularTitle:准分子激光治疗性角膜切削术治疗角膜浅层病变的临床观察
- Author:
Wei, MAO
;
Zhe, ZHANG
;
Bin, LU
;
Qin-Bo, LI
- Publication Type:Journal Article
- Keywords:
corneal anterior;
excimer laser phototherapeutic keratectomy;
optical coherence tomography
- From:
International Eye Science
2015;(5):928-930
- CountryChina
- Language:Chinese
-
Abstract:
?AlM: To evaluate the clinical effects of excimer laser phototherapeutic keratectomy ( PTK) assisted by anterior segment optical coherence tomography ( OCT ) in the treatment of corneal anterior diseases.
?METHODS:There were 28 eyes of 15 patients who were diagnosed as corneal anterior diseases, on which excimer laser phototherapeutic keratectomy was performed from September 2012 to September 2013. The patients were checked up by anterior segment OCT before operation forauxiliarily judging types and depths of the disease to direct setting parameters such as cutting depths and diameters etc. in PTK. Follow-up of 6mo were included in this study. They were observed cornea condition, uncorrected visual acuity, spherical equivalent and haze at 6, 15d, and 1, 2, 3 and 6mo post-operatively.
?RESULTS: At postoperation, corneal condition of all patients were impoved more or less, that is, the outbreak was under control, or seizure frequency decreased obviously. There were no statistic differences between preoperation and postoperation on the changes of uncorrected visual acuity, spherical equivalent and haze (P>0. 05).
? CONCLUSlON: ln patients with corneal anterior diseases, excimer laser phototherapeutic keratectomy assisted by anterior segment OCT in the treatment of corneal anterior diseases can get rid of the lesion effectively and accurately and receive better treatment effect. But it is necessary to control the cutting depth avoiding postoperative hyperopia.
