FORTNIGHTLY REVIEW - TREATING MYOPIA WITH THE EXCIMER-LASER - THE PRESENT POSITION

被引:25
作者
GARTRY, DS
机构
[1] Moorfields Eye Hospital
关键词
D O I
10.1136/bmj.310.6985.979
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Excimer laser photorefractive keratectomy is the latest in a long line of surgical treatments for myopia (short sightedness) Around 50 centres (including three research centres) in the United Kingdom offer this treatment and tens of thousands of patients have been treated worldwide Considerable individual variation in corneal wound healing exists following photorefractive keratectomy, and this limits the predictability of the procedure Predictability of refractive outcome is much better for lower amounts of myopia (up to around - 6.00 dioptres) Important side effects exist which are all more common in people with higher myopia (regression, corneal haze, loss of best corrected visual acuity) Overall patient satisfaction is high and around 85% of patients are pleased with the outcome even if this is a partial correction only Careful patient selection and counselling are vitally important, and all patients must be fully informed of possible side effects. © 1995, BMJ Publishing Group Ltd. All rights reserved.
引用
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页码:979 / 985
页数:7
相关论文
共 53 条
  • [1] BORES LD, 1981, ANN OPHTHALMOL, V13, P941
  • [2] ONE-YEAR RESULTS OF EXCIMER-LASER PHOTOREFRACTIVE KERATECTOMY FOR LOW TO MODERATE MYOPIA
    DUTT, S
    STEINERT, RF
    RAIZMAN, MB
    PULIAFITO, CA
    [J]. ARCHIVES OF OPHTHALMOLOGY, 1994, 112 (11) : 1427 - 1436
  • [3] EPSTEIN D, 1994, OPHTHALMOLOGY, V101, P1558
  • [4] EXCIMER-LASER PHOTOREFRACTIVE KERATECTOMY FOR MYOPIA - 12 MONTH FOLLOW-UP
    FICKER, LA
    BATES, AK
    STEELE, ADM
    LYONS, CJ
    MILLIKEN, AB
    ASTIN, C
    SLATTERY, K
    KIRKNESS, CM
    [J]. EYE, 1993, 7 : 617 - 624
  • [5] FYODOROV SN, 1979, ANNOPHTHALMOL, V11, P1185
  • [6] EXCIMER LASER TREATMENT OF CORNEAL SURFACE PATHOLOGY - A LABORATORY AND CLINICAL-STUDY
    GARTRY, D
    MUIR, MK
    MARSHALL, J
    [J]. BRITISH JOURNAL OF OPHTHALMOLOGY, 1991, 75 (05) : 258 - 269
  • [7] Gartry D S, 1991, Refract Corneal Surg, V7, P420
  • [8] THE EFFECT OF TOPICAL CORTICOSTEROIDS ON REFRACTIVE OUTCOME AND CORNEAL HAZE AFTER PHOTOREFRACTIVE KERATECTOMY - A PROSPECTIVE, RANDOMIZED, DOUBLE-BLIND TRIAL
    GARTRY, DS
    MUIR, MGK
    LOHMANN, CP
    MARSHALL, J
    [J]. ARCHIVES OF OPHTHALMOLOGY, 1992, 110 (07) : 944 - 952
  • [9] THE EFFECT OF TOPICAL CORTICOSTEROIDS ON REFRACTION AND CORNEAL HAZE FOLLOWING EXCIMER-LASER TREATMENT OF MYOPIA - AN UPDATE - A PROSPECTIVE, RANDOMIZED, DOUBLE-MASKED STUDY
    GARTRY, DS
    MUIR, MGK
    MARSHALL, J
    [J]. EYE, 1993, 7 : 584 - 590
  • [10] GARTRY DS, 1992, OPHTHALMOLOGY, V99, P1209