使用固态激光装置矫正近视的第一个临床和功能结果

Q4 Medicine Oftalmologiya Pub Date : 2023-09-30 DOI:10.18008/1816-5095-2023-3-444-450
N. V. Maychuk, A. V. Tikhov, Kh. P. Takhchidi, N. Sh. Sarkhadov, I. S. Malyshev
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引用次数: 0

摘要

的相关性。现代角膜屈光手术(CRS)是一个高科技的眼科领域,旨在解决各种问题,纠正广泛的屈光不正。提高RFI的安全性是优先考虑的领域之一。分析“Olimp™-2000”固态激光系统在CRS中应用浅层下激光角膜消融方法的临床和功能结果,并为患者的治疗管理提出建议。材料和方法。检查53例(106眼),平均年龄28.5±2.4岁。纳入标准为中度近视和无结直肠癌禁忌症。如果足够,考虑到安全标准,则通过层下角膜消融进行CRS,如果不够,则进行浅表角膜消融。在这两种情况下,消融都是使用国产固体激光器进行的。观察期3个月。所有病例的药物支持都是标准的,用于FCMMG“YourMed”患者的管理。结果。使用固态激光设备对CRS的临床和功能结果进行分析,结果显示完全符合美国食品和药物管理局(FDA)制定的标准。在±0.5屈光度范围内命中目标的精度为99.2%;在3个月的观察中,所有病例的屈光结果均未出现倒退。任何情况下均无线损,术后BCVA与术前BCVA相当或超过1-2线。在进行浅表角膜消融手术时,有两例患者发现由于早期上皮下纤维增生,NCVA 1号线缺失,这需要药物支持的纠正。结论。使用“Olimp™-2000”固态激光设备矫正中度近视的临床和功能结果分析显示,尽管在临床实践中使用固态消融的经验很少,但在效率、安全性和可预测性方面具有很高的效率。使用Floas Mono®在所有病例中均未产生副作用,并有助于术后早期的顺利进行。因此,该药在术后有效,可推荐用于结直肠癌后患者。利用现代固体器件产生紫外辐射以矫正屈光不正是CRS研究的一个有前途的方向。
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The First Clinical and Functional Results of Myopia Correction Using a Solid-State Laser Unit
Relevance. Modern keratorefractive surgery (CRS) is a high-tech field of ophthalmology aimed at solving various problems of correcting a wide range of ametropias. Increasing the security of the RFI is one of the priority areas Purpose. To analyze the clinical and functional results of the use of the “Olimp™-2000” solid-state laser system during CRS using the method of superficial and sublamellar laser keratoablation and formulate recommendations for the therapeutic management of patients. Materials and methods. 53 patients (106 eyes) were examined, the average age was 28.5 ± 2.4 years. The inclusion criterion was moderate myopia and the absence of contraindications to CRC. If sufficient, taking into account safety criteria, CRS was performed by sublamellar keratoablation, if insufficient, superficial keratoablation was performed. In both cases, ablation was performed using a domestic solid-state laser machine. The observation period was 3 months. Pharmacological support in all cases was standard, adopted for the management of patients in FCMMG “YourMed”. Results. An analysis of the clinical and functional results of CRS using a solid-state laser device showed full compliance with the criteria set by the Food and Drug Administration (FDA). The accuracy of hitting the target refraction in the range of ± 0.5 diopters was 99.2 %; in 3 months of observation, no regression of the obtained refractive result was observed in any case. There was no loss of lines in any case, the BCVA after the operation corresponded to or exceeded by 1–2 lines the BCVA before the operation. When performing superficial keratoablation, in two cases, the loss of line 1 of the NCVA was noted due to the development of early subepithelial fibroplasia, which required correction of the pharmacological support. Conclusion. The analysis of the clinical and functional results of the correction of moderate myopia using the “Olimp™-2000” solid-state laser device showed high efficiency in terms of efficiency, safety, and predictability, despite little experience in using solid-state ablation in clinical practice. The use of Floas Mono® did not cause side effects in all cases and contributed to the smooth course of the early postoperative period. Thus, this drug is effective in the postoperative period and can be recommended for use in patients after CRC. The generation of ultraviolet radiation by modern solid-state devices for the purpose of correcting ametropia is a promising direction in CRS.
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来源期刊
Oftalmologiya
Oftalmologiya Medicine-Ophthalmology
CiteScore
0.60
自引率
0.00%
发文量
93
审稿时长
8 weeks
期刊介绍: The scientific journal Oftalmologiya is included in the Scopus database. Publisher country is RU. The main subject areas of published articles are Ophthalmology, Физиология, Клиническая медицина, Профилактическая медицина, Медико-биологические науки, Фармацевтические науки. Before sending a scientific article, we recommend you to read the section For authors. This will allow you to prepare an article better for publication, to make it more interesting for the readers and useful for the scientific community. By following these steps, you will greatly increase the likelihood of your scientific article publishing in journals included in international citation systems (e.g., Scopus). Then you may choose a different journal, select the journal included to list of SAC Russia journal list, or send your scientific work for review and publication.
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