维生素B_2/长波紫外线(UVA)光交联:治疗LASIK术后角膜膨出的一种新法

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:zjflxj
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Background: Keratectasia is one of the most severe complications after refract ive laser surgery. Usually penetrating keratoplasty is the treatment of choice t o achieve an optical rehabilitation in such cases. Patients and Methods: We repo rt on a female patient who developed keratectasia in both eyes 4 weeks after LAS IK. Due to a severe keratectasia 10 months after LASIK, a treatment with ribofla vin/UVA cross-linking was performed. Results: Due to the induced collagen cross linking the biomechanical status of the cornea was stabilized and a progression of the keratectasia was prevented. The postoperative refraction and corneal topo graphy have been stable for 18 months. Conclusion: Collagen cross-linking leads to a stiffening of the anterior parts of the corneal stroma. The increase of bi omechanical stability can stop the progression of a keratectasia after LASIK by means of a simple procedure. Regular: Keratectasia is one of the most severe complications after refract ive laser surgery. 普通 penetrating keratoplasty is the treatment of choice to achieve an optical rehabilitation in such cases. Patients and Methods: We repo rt on a female patient who developed keratectasia in both eyes 4 weeks after LAS IK. Due to a severe keratectasia 10 months after LASIK, a treatment with ribofla vin / UVA cross-linking was performed. Results: Due to the induced collagen cross linking the biomechanical status of the cornea was stabilized and a progression of the keratectasia was prevented. The postoperative refraction and corneal topo graphy have been stable for 18 months. Conclusion: Collagen cross-linking leads to a stiffening of the anterior parts of the corneal stroma. The increase of biomechanical stability can stop the progression of a keratectasia after LASIK by means of a simple procedure.
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