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[摘要]
角膜胶原交联术(corneal collagen cross-linking,CXL)是一种治疗原发或继发性圆锥角膜、感染性角膜炎及大泡性角膜病变等角膜疾病的新疗法。它利用光化学原理来增加角膜强度,阻止角膜病变进展,现已被广泛应用于临床。目前临床上普遍采用的方法多为经典去上皮角膜交联(dresden protocol),但经典方法耗时较长,可能存在角膜上皮愈合不良、感染等术后并发症。近年来多项研究对经典方式进行了改良,例如核黄素液浸入角膜的多种方式选择,增加紫外光照射能量以缩短照射时间的加速交联以及跨上皮角膜交联等。本文就非经典角膜胶原交联术在治疗圆锥角膜的研究作一综述。
[Key word]
[Abstract]
Corneal collagen cross-linking(CXL)is a new treatment for corneal diseases such as primary or secondary keratoconus, infectious keratitis and bullous keratopathy. CXL is used to increase the biomechanical stability of the stromal tissue and prevent the progression of keratopathy based on Laws of Photochemistry, which is widely used in clinical practice at present. Currently, commonly used method in clinical practice is the traditional “epithelium-off” corneal cross-linking method(dresden protocol), but the classical method takes a long time, and there may be postoperative complications such as poor healing of the corneal epithelium and infection. In recent years, a number of studies have improved the classical method, such as the choice of riboflavin solution immersed in the cornea, increasing the energy of ultraviolet light to shorten the accelerated cross-linking time of irradiation and cross-epithelial CXL. Thus, this paper reviews clinical and basic researches of the current use of non-classical CXL in the treatment of keratoconus.
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