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Experimental Study Using Pig Eyes for Realizing Ideal Astigmatic Keratotomy

 

作者: Junsuke Akura,   Kazuki Matsuura,   Shiro Hatta,   Shuzo Kaneda,   Tomohiro Ikeda,  

 

期刊: Cornea  (OVID Available online 2001)
卷期: Volume 20, issue 3  

页码: 325-328

 

ISSN:0277-3740

 

年代: 2001

 

出版商: OVID

 

关键词: Astigmatic keratotomy;Incision depth;Full-arc, depth-dependent astigmatic keratotomy (FDAK);Corneal topography;Animal

 

数据来源: OVID

 

摘要:

Purpose.The effects of varying the incision length and depth were analyzed using pig eyes to acquire information for realizing an ideal method of astigmatic keratotomy (AK).Methods.Single and paired arcuate incisions were made on pig corneas using a diamond knife. Incisions with varying lengths of 40°, 60°, and 90° were made with the incision depth fixed at 90% of corneal thickness. Next, paired incisions with varying incision depth from 20% to 95% of corneal thickness were made with the incision length fixed at 90°. The changes in corneal shape were analyzed using corneal topography and the degrees of astigmatic change were measured using a surgical keratometer.Results.For short single and paired incisions (40° or 60° in length), narrow areas of flattenings occurred, and steepenings were observed on both sides adjacent to the flattened areas. For long paired incisions of 90° length, wide areas of flattenings and steepenings were observed with an approximately 1:1 coupling ratio, and a positive linear relationship between the incision depth and degree of astigmatic change was observed in the range of incision depth between 40% and 80% of corneal thickness.Conclusion.This experimental study suggests that for achieving ideal corneal sphericity after AK, long incisions covering the entire steep areas (paired 90° incisions for regular astigmatism) should be used and the degree of astigmatic correction may be controlled by varying the incision depth.

 

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