EyeWorld China March 2019 Issue

2019年3月 53 EWAP ಀ݂ ĸ뻟 ξŘĪਮ͠뻟ŴĀƶޯĄϵ ƙ%:.뻟Džψɺ ŭ뻟ćҨছ౪ɍ ݷ ʾĈ౧ ޕ Ɇɕ+1.ƥǡনзਮ ͠ĀԴ੾Ş֜ʏ뺯 ξŘĘਮ͠뻟 ŴĜđ̂ĈŞ֜ʏlsưׅФԴ੾ Āळǭȡ뻟ʙ˩ψɺ ŭŘĘĈƁ ơై෗lsư뻟ƔŶƷĜҨছ౪ɍ ݷ ʾĈ౧ ޕ Ɇɕ+1.ɘDŽቚȢ뺯 Դ੾จ˚Āɘ֐ŢƋ׷ֶŀ Ā˞Պ̊ ژ ʼnę뺯ŢȆǡࠦᩕԴ ੾ɘ֐ǭʔԶѤĀ ތࠕ ġ뻟& T 2TCMCUJ˓ЬąȻ͔ӣǘՖʹҲ ˄ ؼ ŊĈɘ֐Āȶđȡ뺯ŴĀ ࠕ ތ ગɍ ૼਮ͠ ŮࠦᩕԴ ੾ɕ뻟ƙą5KTKWU 5EJGKORHNWI Ş֜ʏ %51 (NQTGPEG +VCN[ নз뺯 &T 2TCMCUJζгĀԇૼ ތࠕ ġ뻟Ŵॏ௞ą ξ ޣڽ ਮ͠౪ɍ ݷ ʾĈ౧ ޕ Ɇɕ+ 1.ĀŖČls ư뻟Ώਲ਼ψɺ ŭ뻟ਮ͠ĀԴ੾ ࠦᩕăćġ೚ͱԴ੾จ˚ळǭ ŭ뻟ŠŦȏɘDŽȡԴ੾จ˚Āਮ ͠ɘDŽȤև뺯 qࠦᩕԴ੾ĀԴ੾֜ ޕ Ĝ̊ ژ ାʾ ޕ я뻟r&T 2TCMCUJ̛ࣹ ė뺯qԴ੾ɿă קܪ 뻟Ŗ މ ቚȢ ˰˸ƺ $5%8# ɿ ו 뻟Դ੾ࠦᩕ ɿʞǘġ೚뻟$5%8#ģɿ ו 뺯Ƨ ưਮ͠ਗɕ࠴ĈʼnČĀ˸ƺ뻟ࠦ ᩕԴ੾ɕ౪ɍ ݷ ʾĈ౧ ޕ Ɇɕ +1.ďĩѿȌīČĀlsư뺯ۚ ק 뻟 ˸ƺϑ ړ ǂđȿјǘ̖ກˈਝ࠴ Ā׮ՏŠ༤ԜŰ ߧ 뻟rŴĸ뺯 එḲ␗͕༏ໝᏛАᗣ ,2/ ڳ ᗣ␗ᖓშℋ &T 2TCMCUJ̛ࣹė뻟ࠦᩕԴ੾ਮ ̹͠ů̖ກˈਝ࠴Ĵ뻟ˈਝ࠴Ā ˭ǯιʆǚŪħǡାʾǚ뺯ࠦᩕ Դ੾ɕԴ੾ă קܪ ȡLjȀ뻟ˈ ਝ࠴ĀвˆďLjȀ뻟Ȃħˈਝ࠴ ĻŘϥ פ Ȫǚă קܪ ȡ뻟٣๥Ƒ Ȣ˩ĀԴ੾֜ ޕ 뺯ࢫȡˈਝ࠴Ļ Řqक ߔ rࠦᩕԴ੾ĀȪǚ뻟ĕƟ ďĻŘƑČŞů1%6ɘDŽҍ৑뻟 Ŵĸ뺯 ȚĄ뻟౪ɍɕʭ౧ ޕ ɆĀв ˆ뻟ԵĈăǜĀାʾвˆ뻟ƑȀҫ ކ ȧŘଦʔ뺯qȉƥăǜĀĄ뻟ɕ ʭ౪ɍ౧ ޕ ɆŶ뻟ďɏĄ˦˸ɕ ࠴ćɕʭƻࡡƛƑȀˈ˦౦ž뺯 ĆńđҨছιʆǚ뻟Ȃˤ뻟Ă ݎ ׷ ǡਗɕ࠴вưČĀਮ͠뻟౪ɍ౧ ޕ Ɇ׷ŶвưģĜČ뻟rŴĸ뺯 Ĉ౧ ޕ Ɇɕ+1.ĀାʾቚȢ ˆ˽ّՄǘŦȏਗ࠴ቚȢČĀԇ ૼ뻟Դ੾จ˚ळǭĀ뻟ŘӍǂƴ ԥʾĻȶҫĻԥըĀਮ͠뺯& T 2TCMCUJđ̂ਗɕ࠴ŶĈdžׅĀ ǂƴ˸ƺ͎Ƭ뻟$5%8# ਗ࠴ У ė ͱȮ7&8#ė $5%8#뻟 ˸ƺψɺ͎Ƭ DŽ뺯 q׷ǡ뻟ăđɈʏƙĢƛԥ ʾ뺯ĕȏਮ͠뻟āĶđƙǂƴԥ ʾ뻟rŴĸ뺯qĻȶҫĀǂƴԥʾ lsưĄŖ މ ϱϓ뺯ǜƟ뻟׷Ŷା ʾϝԶˆ˽ѳǭħΜʇ˦˸뻟Ȃ ħ˰˸lsưʙ˩ă̗Ͳखɩ뺯ǜ ƟđгƢਮ͠뻟āĶĀϝԶĄ׎ ɺਗ࠴뻟ƦăĄăਗ࠴뺯r +1.౪ɍʼnҺ˱뻟ީĂĀ ࡋו ĄԴᢘ੾Оˍđ ߔ ę뻟Ŵĸ뺯ǭ ʞԶʥʼnȱਢ뺯qāĶϙůജᎈ ࠉ ħ׼ໆĀԶʥ뻟Ȃħ̋Ķĩѿ ٣๥ԥʾʞٝ뻟rŴĸ뺯qăđĿ ʇůྀঐཾฒ֦ǡӮ뻟Ȃˤ౪ɍ ŶăđƙƖĠშͩ뺯׷Ŷ뻟˸ƺ lsưČĀȪƍĄ ċʃŠ ċʃĀ ԥʾlsư뺯ƧưĈ̀đ뻟ĻŘ̹ ů૲Ĵȡɕ࠴ɘDŽቚȢ뺯ŮĈŜ ƍׅōĀणң ݷ ʾƷ̀đɘDŽЬ ђ뻮ɺʔ ݷ ʾăĄɝʚ뺯ࠦᩕԴ ੾ਮ͠౪ɍŶӮĈ౧ ޕ Ɇɕ+1. ౪ɍ̀đœϳʹۗ뻟đखķ뻟Դ ੾̀đळǭ뻟ਗɕ࠴ĩѿĈǂ ƴĀϑ ړ 뺯ŶӮĈ౧ ޕ Ɇɕ+1. ౪ɍŊĈƽǻͱɕˌ˄şग़뻟r Ŵĸ뺯 EWAP 参考文献 1. Antonios R, et al. Safety and visual outcome of Visian toric ICL implantation after corneal collagen crosslinking in keratoconus: up to 2 years of follow-up. J Ophthalmol. 2015:514834. 2. Dirani A, et al. Visian toric ICL implantation after intracorneal ring segments implantation and corneal collagen crosslinking in keratoconus. Eur J Ophthalmol. 2014;24:338–44. 3. Prakash G, et al. Evaluation of the robustness of current quantitative criteria for keratoconus progression and corneal crosslinking. J Refract Surg. 2016;32:465–72. ່઎ۡ땻'U 3UDNDVK юѪϡࢍ ܦ е ϭՐզӍവ ݢ ๋զ ۮ 땾 联系方式 Prakash: drgauravprakash@gmail.com Kimiya SHIMIZU, MD Sanno Eye Center 8-10-16 Akasaka, Minato-ku, Tokyo, 107-0052 Japan kimiyas@iuhw.ac.jp Τࣛḝጝ ʸ ˄Ƭʇ˦˸Š ݷ ʾĀࠦᩕԴ੾ɕ뻟Ώŏඑԇɘ֐뻟ă ܪ ݷק ʾģĜş֐뻟Ŝƍ˸βĩ͔֚뺯Řϰ뻟ೲਗࢫȡˈਝ ࠴ *%. ĩȌīŖ މ ାʾቚȢ뻟ȚĄĈȏਮ͠ăĩѿೲਗ *%.뻟ȂħԴ੾֜ ޕ ă קܪ 뻟ĕȏਮ͠ʼnȧȌīାʾቚȢ뺯Դ੾ାʾƋ ׷ŢǘԴ੾ ࠃށ ĀࠦᩕԴ੾ਮ͠Ą૚૶Ā뻟ĕƟĈ౧ ޕ Ɇɕĉʕ౧ ޕ Ɇ R +1. ďŪħީĂĻDŽĀାʾƋ׷˞Պą뺯 ݷ ʾĻ౪ɍК%QNNCOGT .GPU VQTKE +%.뻟56##4 UWTIKECN뻟/QPTQXKC뻟 %CNKHQTPKC ůǘࠦᩕԴ੾ਮ͠뻟ĈĿϿĠŪβĀζ֢뻟׼ǘĠƞȂٌ뻟 ĕƞƶʒπ˩ҒʸࠦᩕԴ੾ɕ뺯 ljĂ뻟ŶԴ੾ ݷ ʾĩܱӣɽԴ੾ ݷ ʾ뺯Ă ݎ 뻟ࠦᩕԴ੾ɕĀǡԴ੾ ݷ ʾĄ ևȶĀ ܪ؋ 964 ݷ ʾ뻟ȚĄǴ ٯ ǨĈĀŶԴ੾ ݷ ʾĝĄಅ # ܪ 64 뻮 Ȃˤ뻟ǡŶȪǚ ݷ ʾϰϰĩѿࢃϥ뻟ܱӣɽĀ ݷ ʾʇ̾뺯Ȃˤ뻟ȢƧ &T 2TCMCUJǨĸ뻟ԏʔѤ ک ĀǂƴԥʾҲ뻟ʹΚȢ ک Ā+%.ʇ̾뻟π˩ ȶđ뺯 ljȕ뻟ĕȏɕʅĈĀ˦˸ʇ̾ևƬ뻟ĕNj͸ŏԴ੾ƑˋǡቆŜ֜Ūևͣ ĀǡӮ뻮ĕƟƋ׷ďĩȫƽҺ˱ŞȥŪ뺯 ljƁ뻟ĕƞƋ׷ĄĻಅĀ뺯Ȃˤ뻟̣̹ࠦᩕԴ੾Ƒdžׅ뻟ԥʾlsưĈȻ͔뻟 ౧ ޕ ɆģĻŘɘDŽٝҕ뺯āĂˢƈࠦᩕԴ੾ɕ౪ɍ ݷ ʾ+%.뻟Ȍīąπ˩ ƬĀ͟Njʇ뻟ȂħĕƞƋ׷ăّّĩ͎Ƭಬɕ˸ƺ뻟ģϥ פ ąɕˌăҒ뺯 ȢƧ &T 2TCMCUJ Ǩĸ뻟ਮ͠Ā˞Պπ˩ȶđ뻟ȚĄπɘ֐ʿ뺮ਗ࠴ቚ Ȣ˸ƺČĀਮ͠ĀƋ׷lsưƑČ뺯ćūǕ뻟ҒʸĕƞࠦᩕԴ੾ɕĀƋ׷ ĀԶѤĄ뻭ቚȢ˰˸ƺ %&8# ͱŘĘ뻟ġ೚Դ੾ۜdž뻟ǡӮͣ ʇ ≥ OO뻟ŭ੒ ≥ ξ뻟Դ੾ ߁ف Šԥʾlsưळǭψɺ ŭ Դ੾Ŗę ف ߁ =- ? LjȀăɸĿ &뻟ჾ࠴ʇ̾LjȀăɸĿ & 뺯 ĕƞƋ׷ԓʸԴ ੾ιԓ %:. ŢǘŭΜਮ͠뻟ȝĎԇŰĜɘ֐Āਮ͠뻟ˆ˽ģʼnĈв뺯 参考文献 1. Kamiya K, et al. Three-year follow-up of posterior chamber toric phakic intraocular lens implantation for the correction of high myopic astigmatism in eyes with keratoconus. Br J Ophthalmol. 2015 Feb;99(2):177-83. ৠ٧ͩ뻭&T 5JKOK\WĄ56##4 5WTIKECNܷɝ뺯