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Analysis of the clinical effect of making corneal flaps with sub-Bowman′s keratomileusis using a modified oval ring |
XU Yan,LI Ting,ZHANG Feng-ju,LIU Jing,ZHANG Qiu-lu,ZHENG Yan,ZHANG Jing |
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Abstract Objective To analyze the clinical characteristics and effects of making thin corneal flaps using a modified oval ring in sub-Bowman′s keratomileusis (SBK). Methods In this prospective case-series study, 36 patients (71 eyes) undergoing SBK had corneal flaps created with a modified oval ring and One Use-Plus (OUP) automatic microkeratome. The transverse diameter, longitudinal diameter, and pedicle width of the corneal flaps were recorded in surgery. Measurements of corneal flap thickness and stromal bed thickness were conducted after surgery using anterior segment optical coherence tomography (OCT), recording intraoperative and postoperative complications. Data were analyzed with a paired samples t test and Pearson correlation. Results The average transverse diameters and vertical diameters of the flap were (8.78±0.26)mm and (8.58±0.28)mm (t=-4.635, P<0.01), respectively. The average pedicle width was (4.11±0.35)mm and the average corneal flap thickness was (111.1±7.6)μm. There were no significant differences between the two eyes of each patient. The corneal flaps were all made successfully on the first attempt and there was no bleeding or serious intraoperative or postoperative complications. All corneal flaps were in good alignment. Conclusion A modified oval ring makes a cross-oval flap and reduces the incidence of bleeding from laser in situ keratomileusis. It is effective for correcting with-the-rule astigmatism, and has proven to be secure and stable.
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Received: 18 December 2011
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[1] |
Azar DT, Ghanem RC, de la Cruz J, et al. Thin-flap (sub-Bowman keratomileusis) versus thick-flap laser in situ keratomileusis for moderate to high myopia: case-control analysis. J Cataract Refr Surg,2008,34:2073-2078.
|
[2] |
Du S, Lian J, Zhang L, et al. Flap thickness variation with 3 types of microkeratome heads. J Cataract Refr Surg,2011,37:144-148.
|
[3] |
廉井财,张士胜,叶盛,等. MORIA SBK、90、110刀头切削角膜瓣的厚度变化及相关因素分析. 眼科研究,2010,28:1158-1161.
|
[4] |
王勤美. 屈光手术学. 北京:人民卫生出版社,2011:5.
|
[5] |
陆文秀. 准分子激光屈光性角膜手术学. 北京:科学技术文献出版社,2000:137.
|
[6] |
MacRae S, Macaluso DC, Rich LF. Sterile interface keratitis associated with micropannus hemorrhage after laser in situ keratomileusis. J Cataract Refr Surg,1999,25:1679-1681.
|
[7] |
Vajpayee RB, Balasubramanya R, Rani A, et al. Visual performance after interface haemorrhage during laser in situ keratomileusis. Br J Ophthalmol,2003,87:717-719.
|
[8] |
Chan WK, Weissman BA. Corneal pannus associated with contact lens wear. Am J Ophthalmol,1996,121:540-546.
|
[1] |
. [J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2023, 25(8): 0-. |
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