DETERMINATION OF CORNEAL POWER AFTER REFRACTIVE SURGERY WITH EXCIMER LASER: A CONCISE REVIEW.

Q4 Medicine
Ceska a Slovenska Oftalmologie Pub Date : 2023-01-01
V Galvis, A Tello, V Otoya, S Arba-Mosquera, Villamizar, A Translateur, R Morales
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引用次数: 0

Abstract

Refractive surgery with excimer laser has been a very common surgical procedure worldwide during the last decades. Currently, patients who underwent refractive surgery years ago are older, with a growing number of them now needing cataract surgery. To establish the power of the intraocular lens to be implanted in these patients, it is essential to define the true corneal power. However, since the refractive surgery modified the anterior, but not the posterior surface of the cornea, the determination of the corneal power in this group of patients is challenging. This article reviews the different sources of error in finding the true corneal power in these cases, and comments on several approaches, including the clinical history method as described originally by Holladay, and a modified version of it, as well as new alternatives based on corneal tomography, using devices that are able to measure the actual anterior and posterior corneal curvatures, which have emerged in recent years to address this issue.

准分子激光屈光手术后角膜功率的测定:简要回顾。
近几十年来,准分子激光屈光手术在世界范围内已成为一种非常普遍的手术方法。目前,几年前接受过屈光手术的患者年龄较大,现在需要白内障手术的患者越来越多。为了确定这些患者需要植入的人工晶状体的度数,有必要确定角膜的真实度数。然而,由于屈光手术改变的是角膜的前表面,而不是角膜的后表面,因此确定这组患者的角膜功率是具有挑战性的。本文回顾了在这些病例中发现真实角膜力量的不同误差来源,并对几种方法进行了评论,包括Holladay最初描述的临床病史方法及其修改版本,以及基于角膜断层扫描的新替代方法,使用能够测量实际角膜前和后曲率的设备,近年来出现了解决这一问题的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ceska a Slovenska Oftalmologie
Ceska a Slovenska Oftalmologie Medicine-Ophthalmology
CiteScore
0.80
自引率
0.00%
发文量
0
期刊介绍: - Redakce přijímá pouze práce vyhovující po odborné stránce, které jsou na odpovídající profesionální a formální úrovni. - Uveřejněná práce se stává majetkem časopisu, přetisknout její část nebo obrázek lze jen s citací původu. - Rukopis zasílejte v originále a dobře čitelné kopii (je nutná také kopie tabulek, legend, podle možnosti i obrázků). - Listy číslujte v pravém horním rohu a spojujte svorkou, nesešívejte. Přijímáme práce psané na jedné straně kvalitního bílého nelesklého papíru formátu A4 (neprůklepový) na psacím stroji nebo počítači s obvyklými typy.
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