Nima Koosha, Mir-Siamak Riazi, Parisa Janfaza, Iman Mohammadbeigy, Alireza Rahimi, Mehri Khoshali, Mohsen Pourazizi, Alireza Peyman
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引用次数: 0
摘要
激光矫正曾接受过放射状角膜切开术（RK）的患者的残余屈光不正是一项具有挑战性的任务。人们采用了不同的技术，结果也各不相同。本研究旨在系统回顾在 PubMed、Scopus 和 Web of Science 上搜索到的有关 RK 术后患者屈光手术的已发表手稿。最终分析包括 35 项研究，共描述了 888 只眼睛。我们的系统综述和荟萃分析表明，光屈光性角膜切除术、地形图引导的角膜屈光手术（PRK）、波前引导的角膜屈光手术（PRK）和飞秒激光辅助原位角膜磨镶术（LASIK）可显著提高未矫正远视力（UDVA），而机械微角膜切削术（LASIK）则无明显改善。此外，我们的研究结果表明，RK 术后远视患者的 UDVA 有明显改善，而近视患者则没有这种改善。
Laser vision correction after radial keratotomy: systematic review and meta-analysis.
Laser vision correction for residual refractive errors in patients with previous radial keratotomy (RK) presents a challenging task. Different techniques have been used with varying outcomes. This study aimed to systematically review published articles on refractive surgeries in post-RK patients by conducting a search on PubMed, Scopus, and Web of Science. The final analysis included 35 studies that described a total of 888 eyes. Our systematic review and meta-analysis demonstrated a significant improvement in uncorrected distance visual acuity (UDVA) for photorefractive keratectomy (PRK), topography-guided PRK, wavefront-guided PRK, and femtosecond laser-assisted in situ keratomileusis (LASIK) while mechanical microkeratome LASIK did not yield such significant improvements. Moreover, our results suggest that post-RK patients with hyperopia had a significant improvement in UDVA, whereas no such improvement was observed in patients with myopia.
期刊介绍：
The Journal of Cataract & Refractive Surgery (JCRS), a preeminent peer-reviewed monthly ophthalmology publication, is the official journal of the American Society of Cataract and Refractive Surgery (ASCRS) and the European Society of Cataract and Refractive Surgeons (ESCRS).
JCRS publishes high quality articles on all aspects of anterior segment surgery. In addition to original clinical studies, the journal features a consultation section, practical techniques, important cases, and reviews as well as basic science articles.
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