Clinical outcomes of double continuous suture in femtosecond laser-assisted lamellar keratoplasty for keratoconus
Clinical outcomes of double continuous suture in femtosecond laser-assisted lamellar keratoplasty for keratoconus
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双连续缝合飞秒激光辅助板层角膜移植术治疗圆锥角膜的临床效果
DOI：
10.1007/s10103-020-03114-y
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发表时间：
2020-08
影响因子：
2.1
通讯作者：
Gao Hua
中科院分区：
文献类型：
--
作者：
Jia Yanni;Qi Xiaolin;Zhang Ting;Liu Mingna;Shi Weiyun;Gao Hua
为评价双连续缝合飞秒激光辅助圆锥角膜板层角膜移植术的手术效果，对山东眼科医院行飞秒激光辅助圆锥角膜板层角膜移植术的中晚期圆锥角膜患者100例（102眼）进行了研究。圆锥角膜治疗中，50例（52眼）采用双连续缝合，50例（50眼）采用间断缝合。随访时间为1年。最佳矫正视力（BCVA）、角膜散光、美容结果和手术并发症作为结果指标进行测量。双连续缝合组和间断缝合组上皮愈合时间分别为3±2天和4±2天（P < 0.05）。术后6个月，平均视力为20/125、20/100 (P> 0.05)，平均BCVA分别为20/32、20/40 （P> 0.05）。术后1年平均视力为20/63、20/80 (P> 0.05)，平均BCVA分别为20/32、20/25 (P> 0.05)；平均曲率分别为43.24±5.15 D和43.31±5.58 D (P< 0.05)，平均散光分别为3.21±1.74 D和5.35±1.37 D （P< 0.05）。两组患者缝线松动分别为2例和15例（P< 0.05）。随访期间两组均未发生术后感染或免疫排斥反应。与间断缝合相比，连续缝合在飞秒激光辅助圆锥角膜板层角膜移植术中缝合线松动程度明显降低，角膜散光较小，术后视觉质量较好。
To assess the surgical outcomes in patients who underwent femtosecond laser-assisted lamellar keratoplasty with double continuous suture for keratoconus, 100 patients (102 eyes) with keratoconus in advanced stages undergoing femtosecond laser-assisted lamellar keratoplasty in Shandong Eye Hospital were studied. In the management of keratoconus, 50 patients (52 eyes) received double continuous suture, and 50 patients (50 eyes) underwent interrupted suture. The follow-up duration was 1 year. Best-corrected visual acuity (BCVA), corneal astigmatism, cosmetic outcomes, and surgical complications were measured as outcome indicators. The epithelium healed at 3 ± 2 days and 4 ± 2 days in the double continuous suture group and the interrupted suture groups, respectively (P> 0.05). At 6 months after surgery, the average visual acuity was 20/125 and 20/100 (P> 0.05), and the average BCVA was 20/32 and 20/40 (P> 0.05), respectively. At 1 year after surgery, the average visual acuity was 20/63 and 20/80 (P> 0.05), and the average BCVA was 20/32 and 20/25 (P> 0.05), respectively; the mean curvature was 43.24 ± 5.15 D and 43.31 ± 5.58 D (P> 0.05), the mean astigmatism was 3.21 ± 1.74 D and 5.35 ± 1.37 D (P< 0.05).The looseness of sutures were found in 2 patients and 15 patients in both groups, respectively (P< 0.05). No postoperative infection or immune rejection occurred in either group during the follow-up. Comparing with the interrupted suture, using the continuous suture in femtosecond laser-assisted lamellar keratoplasty for keratoconus markedly limited the looseness of sutures with lesser corneal astigmatism and better visual quality postoperative.
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影响因子：
0.8
作者：
F. Hoffmann
通讯作者：
F. Hoffmann
影响因子：
3.1
作者：
Shivanna Y;Nagaraja H;Kugar T;Shetty R
通讯作者：
Shetty R
影响因子：
4.2
作者：
FILATOV, V;STEINERT, RF;TALAMO, JH
通讯作者：
TALAMO, JH
影响因子：
2.6
作者：
N. Pakrou;S. Fung;D. Selva;Mark Chehade;I. Leibovitch
通讯作者：
N. Pakrou;S. Fung;D. Selva;Mark Chehade;I. Leibovitch
影响因子：
2.8
作者：
M. Javadi;S. Feizi;Firooz Mirbabaee;A. Rastegarpour
通讯作者：
M. Javadi;S. Feizi;Firooz Mirbabaee;A. Rastegarpour