角膜ジストロフィのレーザー角膜切除術（PTK）と白内障手術の視力向上への有効性の検討

沼 慎一郎

doi:10.2342/ymj.61.23

書誌事項

タイトル別名

Examination of the Effectiveness to Eyesight Improvement of Phototherapeutic Keratectomy (PTK) and the Cataract Surgery
カクマクジストロフィノレーザーカクマクセツジョジュツ PTK トハクナイショウシュジュツノシリョクコウジョウエノユウコウセイノケントウ

この論文をさがす

説明

Purpose:We examined the visual acuity after phototherapeutic keratectomy(PTK)for the treatment of corneal dystrophies and assessed its implications for cataract surgery.Patients and methods:50 eyes in 32 patients with corneal dystrophies were treated with PTK . Cataract surgeries were performed after PTK in case of 32 eyes of 21 patients. The primary outcome measures were best-corrected visual acuity.Results:18 eyes of 14 patients were performed only PTK. The mean visual acuity of 18 eyes improved from 0.31 to 0.67(p<0.01).Visual acuity improved in 14 eyes out of 18 eyes(77.8%).32 eyes of 21 patients were performed cataract surgery after PTK. The mean visual acuity of 32 eyes improved from 0.26 to 0.58(p<0.01).Visual acuity improved in 26 eyes out of 32 eyes(81.3%).Mean time between PTK and cataract surgery was 4.4±2.6 months.Conclusion:PTK is effective for improving vision in patients with corneal dystrophies, as evaluated at more than 1-year follow-up examination. Cataract surgeries after PTK in those patients were further benefical for improvement of vision and may be useful to perform cataract surgery safely.

収録刊行物

山口医学

山口医学 61 (1+2), 23-29, 2012

山口大学医学会

キーワード

詳細情報詳細情報について

書き出し

問題の指摘