Our population-based cohort study supports an association between corneal ulcer and atopic keratoconjunctivitis. It suggests that all patients with atopic keratoconjunctivitis should be advised of the risk of developing a corneal ulcer. Wide-field optical coherence tomography sublayer pachymetry showed favourable reliability in pellucid marginal degeneration and may be clinically helpful to differentiate the disease from the often confused diagnosis keratoconus. In treatment of acute corneal hydrops in keratoconus, compression sutures with intracameral air injection results in superior clinical outcomes to thermokeratoplasty.Lamellar keratoplasty may not be feasible following recent thermokeratoplasty. Over the first decade following modified microkeratome-assisted LK, most eyes maintain satisfactory visual and refractive outcomes, with low rates of immune rejection, graft failure and no recurrence of ectasia. Both LASIK flaps and SMILE caps show postoperative re-thickening. SMILE-treated corneas present higher optical densities than LASIK corneas in the early postoperative period, with significant decrease thereafter and up to 3-months, …

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本期亮点

我们基于人群的队列研究支持角膜溃疡和特应性角结膜炎之间存在关联。它建议所有特应性角结膜炎患者都应该被告知发生角膜溃疡的风险。宽视野光学相干断层扫描亚层厚度测量在透明边缘变性方面显示出良好的可靠性，并且可能在临床上有助于区分该疾病与经常混淆的圆锥角膜的诊断。在治疗圆锥角膜的急性角膜水肿时，前房内空气注射加压缝合的临床结果优于热角膜移植术。在最近的热角膜移植术之后，板层角膜移植术可能不可行。在改良的微型角膜刀辅助 LK 后的第一个十年中，大多数眼睛保持令人满意的视觉和屈光效果，免疫排斥率低，移植失败率低，扩张不复发。LASIK 瓣和 SMILE 帽均显示术后重新增厚。在术后早期，SMILE 处理的角膜呈现出比 LASIK 角膜更高的光密度，此后和长达 3 个月显着降低，……