Corneal tissue ablation depth and the Munnerlyn formula.

作者: Austin W. Chang , Alexander C. Tsang , Janice E. Contreras , Paul D. Huynh , Christopher J. Calvano

DOI: 10.1016/S0886-3350(02)01918-1

关键词: Corneal edemaResidualFourth powerRadiusKeratomileusisAblationIn patientRefractive surgeryOptics

摘要: Abstract Purpose To determine whether the error in ablation depth produced by approximations inherent Munnerlyn formula are clinically significant when estimating residual corneal stromal for evaluation before refractive surgery. Setting Department of Ophthalmology, University Texas Medical Branch, Galveston, Texas, USA. Methods Using identical geometric assumptions, exact was calculated and compared to approximate predicted formula. An adjustment factor then derived large optical zones corrections. Results The is always larger than Munnerlyn’s Analysis found varied as fourth power zone linearly with correction. initial radius had little effect on difference. could be reasonably approximated adding an Conclusions In patients zones, it may preferable calculate tissue using Alternately, can used added.

参考文章(13)
Timothy T. McMahon, Nicholas C. Caro, Stephen D. McLeod, Timothy A. Kisla, Iatrogenic Keratoconus: Corneal Ectasia Following Laser In Situ Keratomileusis for Myopia Archives of Ophthalmology. ,vol. 118, pp. 282- 284 ,(2000)
Thanh Hoang-Xuan, Damien Gatinel, Dimitri T. Azar, Dimitri T. Azar, Determination of Corneal Asphericity after Myopia Surgery with the Excimer Laser: A Mathematical Model Investigative Ophthalmology & Visual Science. ,vol. 42, pp. 1736- 1742 ,(2001)
Konstantina Koufala, Gernot Richter, Theo Seiler, Iatrogenic keratectasia after laser in situ keratomileusis. Journal of Refractive Surgery. ,vol. 14, pp. 312- 317 ,(1998) , 10.3928/1081-597X-19980501-15
Spencer P. Thornton, A guide to ultrasonic pachymeters Journal of Cataract & Refractive Surgery. ,vol. 12, pp. 416- 419 ,(1986) , 10.1016/S0886-3350(86)80111-0
Theo Seiler, Andreas W. Quurke, Iatrogenic keratectasia after LASIK in a case of forme fruste keratoconus Journal of Cataract and Refractive Surgery. ,vol. 24, pp. 1007- 1009 ,(1998) , 10.1016/S0886-3350(98)80057-6
Vikram D Durairaj, Jennifer Balentine, Gregory Kouyoumdjian, Janet A Tooze, David Young, Lawrence Spivack, Michael J Taravella, The predictability of corneal flap thickness and tissue laser ablation in laser in situ keratomileusis Ophthalmology. ,vol. 107, pp. 2140- 2143 ,(2000) , 10.1016/S0161-6420(00)00407-3
Percy S. Amoils, Mark B. Deist, Petrus Gous, Philippa M. Amoils, Iatrogenic keratectasia after laser in situ keratomileusis for less than -4.0 to -7.0 diopters of myopia. Journal of Cataract and Refractive Surgery. ,vol. 26, pp. 967- 977 ,(2000) , 10.1016/S0886-3350(00)00434-X
Choun-Ki Joo, Tae-Gyung Kim, Corneal ectasia detected after laser in situ keratomileusis for correction of less than -12 diopters of myopia. Journal of Cataract and Refractive Surgery. ,vol. 26, pp. 292- 295 ,(2000) , 10.1016/S0886-3350(99)00340-5
King-yu Liu, Dennis S.C Lam, Direct measurement of microkeratome gap width by electron microscopy. Journal of Cataract and Refractive Surgery. ,vol. 27, pp. 924- 927 ,(2001) , 10.1016/S0886-3350(01)00767-2
Charles R. Munnerlyn, Stephen J. Koons, John Marshall, Photorefractive keratectomy: A technique for laser refractive surgery Journal of Cataract and Refractive Surgery. ,vol. 14, pp. 46- 52 ,(1988) , 10.1016/S0886-3350(88)80063-4