准分子激光视力矫正近视散光患者角膜缘血流参数的血管学光学相干断层成像评估

V. D. Antonuk, O. Kuranova, T. S. Kuznetsova
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摘要

目的。目的:应用Nidek RS-3000 AngioScan光学相干层析仪评价准分子激光视力矫正前后近视和近视散光患者角膜缘区的血流状况。材料和方法。对22例18 ~ 37岁不同程度近视和近视散光行准分子激光视力矫正的患者进行了检查。此外,在术前和术后早期,使用Nidek RS-3000 AngioScan光学相干断层摄影仪,使用一个扫描眼睛前段的模块,研究角膜缘区域的血流。结果。准分子激光视力矫正后1小时,所有分析的4个部位(上、下、颞、鼻)角膜缘区血流减少,1天后血流指标增加,趋于术前水平。我们无法确定血液流动程度对角膜瓣形成方法的依赖性。结论。使用OCT血管成像可以评估肢体血流状况。在激光视力矫正后1小时内,4个研究区血流参数均有变化,且有下降趋势,术后1天恢复到术前水平。关键词:角膜缘区光学相干血管造影,准分子激光视力矫正,飞靶激光视力矫正,近视,近视散光
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Assessment of blood flow parameters of the limbal area using an angioregime optical coherence tomograph in patients with myopia and myopic astigmatism who underwent excimer laser vision correction
Purpose. To assess the state of blood flow in the limbal area in patients with myopia and myopic astigmatism before and after excimer laser vision correction using the Nidek RS-3000 AngioScan optical coherence tomograph. Material and methods. A total of 22 patients aged 18 to 37 with different degrees of myopia and myopic astigmatism who underwent excimer laser vision correction were examined. Additionally, the blood flow of the limbal area was studied in the preoperative and early postoperative periods using the Nidek RS-3000 AngioScan optical coherence tomograph using a module for scanning the anterior segment of the eye. Results. One hour after excimer laser vision correction, there is a decrease in blood flow of the limbal area in all 4 analyzed sectors (upper, lower, temporal, nasal), after 1 day there is an increase in blood flow indicators, tending to preoperative values. We were unable to identify the dependence of the degree of blood flow on the method of formation of the corneal flap. Conclusion. Using OCT angioregime it is possible to assess the condition of limb blood flow. In the first hour after laser vision correction blood flow parameters change in all 4 studied sectors, with a tendency to decrease, and recover to preoperative values 1 day after the surgery. Key words: optical coherent angiography of the limbal area, excimer laser vision correction, femtolaser vision correction, myopia, myopic astigmatism.
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