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Progress of corneal morphological examination combined with biomechanical examination in preoperative screening for keratorefractive surgery

Although corneal refractive surgery has been proven to be excellent in terms of safety and effectiveness, the reduction of postoperative corneal ectasia remains one of the most concerned topics for surgeons. Forme fruste keratoconus (FFKC) is the most important factor that leads to postoperative cor...

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Autores principales: Gui, Yujia, Wang, Shurong, He, Yuxi, Zhang, Shuangqing, Zhang, Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10417961/
https://www.ncbi.nlm.nih.gov/pubmed/37322646
http://dx.doi.org/10.4103/ijo.IJO_1377_22
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author Gui, Yujia
Wang, Shurong
He, Yuxi
Zhang, Shuangqing
Zhang, Yan
author_facet Gui, Yujia
Wang, Shurong
He, Yuxi
Zhang, Shuangqing
Zhang, Yan
author_sort Gui, Yujia
collection PubMed
description Although corneal refractive surgery has been proven to be excellent in terms of safety and effectiveness, the reduction of postoperative corneal ectasia remains one of the most concerned topics for surgeons. Forme fruste keratoconus (FFKC) is the most important factor that leads to postoperative corneal ectasia, and common preoperative screenings of the condition include corneal morphology examination and corneal biomechanical examination. However, there are limitations to the single morphological examination or biomechanical examination, and the advantages of the combination of the two have been gradually emerging. The combined examination is more accurate in the diagnosis of FFKC and can provide a basis for determining suspected keratoconus. It allows one to measure the true intraocular pressure (IOP) before and after surgery and is recommended for older patients and those with allergic conjunctivitis. This article aims to discuss the application, advantages, and disadvantages of single examination and combined examination in the preoperative screening of refractive surgery, so as to provide a certain reference value for choosing suitable patients for surgery, improving surgical safety, and reducing the risk of postoperative ectasia.
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spelling pubmed-104179612023-08-12 Progress of corneal morphological examination combined with biomechanical examination in preoperative screening for keratorefractive surgery Gui, Yujia Wang, Shurong He, Yuxi Zhang, Shuangqing Zhang, Yan Indian J Ophthalmol Review Article Although corneal refractive surgery has been proven to be excellent in terms of safety and effectiveness, the reduction of postoperative corneal ectasia remains one of the most concerned topics for surgeons. Forme fruste keratoconus (FFKC) is the most important factor that leads to postoperative corneal ectasia, and common preoperative screenings of the condition include corneal morphology examination and corneal biomechanical examination. However, there are limitations to the single morphological examination or biomechanical examination, and the advantages of the combination of the two have been gradually emerging. The combined examination is more accurate in the diagnosis of FFKC and can provide a basis for determining suspected keratoconus. It allows one to measure the true intraocular pressure (IOP) before and after surgery and is recommended for older patients and those with allergic conjunctivitis. This article aims to discuss the application, advantages, and disadvantages of single examination and combined examination in the preoperative screening of refractive surgery, so as to provide a certain reference value for choosing suitable patients for surgery, improving surgical safety, and reducing the risk of postoperative ectasia. Wolters Kluwer - Medknow 2023-06 2023-06-14 /pmc/articles/PMC10417961/ /pubmed/37322646 http://dx.doi.org/10.4103/ijo.IJO_1377_22 Text en Copyright: © 2023 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Gui, Yujia
Wang, Shurong
He, Yuxi
Zhang, Shuangqing
Zhang, Yan
Progress of corneal morphological examination combined with biomechanical examination in preoperative screening for keratorefractive surgery
title Progress of corneal morphological examination combined with biomechanical examination in preoperative screening for keratorefractive surgery
title_full Progress of corneal morphological examination combined with biomechanical examination in preoperative screening for keratorefractive surgery
title_fullStr Progress of corneal morphological examination combined with biomechanical examination in preoperative screening for keratorefractive surgery
title_full_unstemmed Progress of corneal morphological examination combined with biomechanical examination in preoperative screening for keratorefractive surgery
title_short Progress of corneal morphological examination combined with biomechanical examination in preoperative screening for keratorefractive surgery
title_sort progress of corneal morphological examination combined with biomechanical examination in preoperative screening for keratorefractive surgery
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10417961/
https://www.ncbi.nlm.nih.gov/pubmed/37322646
http://dx.doi.org/10.4103/ijo.IJO_1377_22
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