In vivo structural characteristics of the femtosecond LASIK-induced opaque bubble layers with ultrahigh-resolution SD-OCT.

In vivo structural characteristics of the femtosecond LASIK-induced opaque bubble layers with ultrahigh-resolution SD-OCT.
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DOI:
10.3928/15428877-20101031-08
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发表时间:
2010-11-01
期刊:
Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye
影响因子:
--
通讯作者:
Culbertson, William W
Culbertson, William W
中科院分区:
其他
文献类型:
--
作者:
Hurmeric, Volkan;Yoo, Sonia H;Culbertson, William W

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作者报告了 3 名患者通过超高分辨率眼前段光学相干断层扫描 (UHR-OCT) 观察到的不透明气泡层的体内形态。两名患者使用 30 kHz IntraLase 飞秒激光(Abbott Medical Optics,雅培公园,伊利诺伊州)进行手术,一名患者使用 500 kHz VisuMax 飞秒激光(Carl Zeiss Meditec,耶拿,德国)进行手术。使用 500 kHz 飞秒激光进行手术的患者的 UHR-OCT 图像显示,不透明气泡层在皮瓣解剖平面之前延伸至鲍曼膜。该患者的板层皮瓣解剖不完整。使用 30 kHz 飞秒激光进行手术的患者体内的不透明气泡层延伸到皮瓣解剖平面的后方,这些患者经历了完整的板层解剖和不复杂的皮瓣提升。 UHR-OCT 成像可用于展示 OBL 的结构特征。它有潜力用于预测具有不透明气泡层的患者的不完整板层皮瓣解剖。
The authors report in vivo morphology of opaque bubble layers with ultrahigh-resolution anterior-segment optical coherence tomography (UHR-OCT) in 3 patients. Two patients were operated on with a 30-kHz IntraLase femtosecond laser (Abbott Medical Optics, Abbott Park, IL) and one patient was operated on with a 500-kHz VisuMax femtosecond laser (Carl Zeiss Meditec, Jena, Germany). UHR-OCT images from the patient operated on with the 500-kHz femtosecond laser revealed that the opaque bubble layer extended anterior to the flap dissection plane up to Bowman's membrane. The lamellar flap dissection was incomplete in this patient. The opaque bubble layer in the patients operated on with the 30-kHz femtosecond laser extended posterior to the flap dissection plane and these patients experienced complete lamellar dissections with uncomplicated flap lifts. UHR-OCT imaging can be used to demonstrate the structural characteristics of OBL. It has the potential to be used to predict incomplete lamellar flap dissections in patients with opaque bubble layers.