Role of the corneal epithelium measurements in keratorefractive surgery

Página do item simplificado
dc.citation.issue4]
dc.citation.volume28]
dc.contributor.authorSalomao, Marcella Q. [UNIFESP]
dc.contributor.authorHofling-Lima, Ana Luisa [UNIFESP]
dc.contributor.authorLopes, Bernardo T. [UNIFESP]
dc.contributor.authorCanedo, Ana Laura C.
dc.contributor.authorDawson, Daniel G.
dc.contributor.authorCarneiro-Freitas, Rui
dc.contributor.authorAmbrosio, Renato, Jr. [UNIFESP]
dc.coveragePhiladelphia
dc.date.accessioned2020-06-26T16:30:33Z
dc.date.available2020-06-26T16:30:33Z
dc.date.issued2017
dc.description.abstractPurpose of review Refractive surgery has stimulated considerable progress in corneal and anterior segment imaging, and optical characterization of the eye. From front surface corneal topography, we evolved to three-dimensional corneal tomography with limbus to limbus characterization of the front and back corneal surfaces and pachymetric mapping. Corneal anatomical evaluation has further evolved to layered or segmental tomography with the ability to characterize corneal epithelial thickness profile and the elevation of stromal front surface. Further characterization of even more specific structures, such as Bowman's layer and Descement's membrane, has been also demonstrated. The applications of such understanding in keratorefractive surgery are reviewed. Recent findings Understanding the corneal epithelial profile is of interest in many areas of ophthalmology, especially in refractive surgery. The most relevant applications include screening candidates at higher risk for complications (i.e. progressive ectasia and tear dysfunction syndrome), planning primary procedures, enhancements, and therapeutic surgery, and also postoperatively understanding the wound healing and clinical outcomes. Summary Corneal epithelial thickness was first available using digital very-high-frequency ultrasound. Advances in anterior segment optical coherence tomography enabled such fundamental evaluation, which accelerated progress. Such knowledge significantly impacts safety and efficacy of refractive surgery, and also allows for significant improvement for therapeutic procedures.en
dc.description.affiliationRio de Janeiro Corneal Tomog & Biomech Study Grp, Rio De Janeiro, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Ophthalmol, Sao Paulo, Brazil
dc.description.affiliationPontific Catholic Univ Rio de Janeiro, Dept Ophthalmol, Rio De Janeiro, Brazil
dc.description.affiliationUniv Florida, Dept Ophthalmol, Gainesville, FL USA
dc.description.affiliationHosp Braga, Dept Ophthalmol, Braga, Portugal
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Ophthalmol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent326-336
dc.identifierhttp://dx.doi.org/10.1097/ICU.0000000000000379]
dc.identifier.citationCurrent Opinion In Ophthalmology. Philadelphia, v. 28, n. 4, p. 326-336, 2017.
dc.identifier.doi10.1097/ICU.0000000000000379
dc.identifier.issn1040-8738
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/53612
dc.identifier.wosWOS:000403232600006
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofCurrent Opinion In Ophthalmology
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectcorneaen
dc.subjectoptical coherence tomographyen
dc.subjectrefractive surgeryen
dc.titleRole of the corneal epithelium measurements in keratorefractive surgeryen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Coleções
EPM - Artigos