Morphometric Analysis of Corneal Nerves Condition after Laser Keratorefractive Surgery

Purpose: to conduct a morphometric assessment of the corneal nerves state after laser keratorefractive surgery using laser confocal microscopy and the software Liner 1.2S. Patients and methods. 40 eyes of 20 patients received LASIK to correct a mean refractive error of –4.5 ± 1.9 diopters (range, –2...

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Main Authors: S. E. Avetisov, A. A. Tyurina, Z. V. Surnina, O. M. Dovgileva, E. V. Sukhanova
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2019-04-01
Series:Oftalʹmologiâ
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Online Access:https://www.ophthalmojournal.com/opht/article/view/893
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author S. E. Avetisov
A. A. Tyurina
Z. V. Surnina
O. M. Dovgileva
E. V. Sukhanova
author_facet S. E. Avetisov
A. A. Tyurina
Z. V. Surnina
O. M. Dovgileva
E. V. Sukhanova
author_sort S. E. Avetisov
collection DOAJ
description Purpose: to conduct a morphometric assessment of the corneal nerves state after laser keratorefractive surgery using laser confocal microscopy and the software Liner 1.2S. Patients and methods. 40 eyes of 20 patients received LASIK to correct a mean refractive error of –4.5 ± 1.9 diopters (range, –2.25 to –8.25 diopters). The stroma was ablated with a Teneo Technolas 317P excimer laser. Corneas were examined by laser corneal confocal microscopy (HRT III with Rostock Cornea Module) before and in 1, 3, and 6 months after LASIK. Images were analyzed with software that automatically computes coefficients of anisotropy and orientation symmetry of corneal nerves. Result. At 1 and 3 months after surgery, the center corneal nerves were completely absent. At 1, 3 and 6 months after surgery, the paracentral corneal nerves were detected and the coefficient of anisotropy were statistically significantly reduced compared with the preoperative rates. At 6 months after surgery, both central and peripheral corneal nerves were detected and the coefficient of anisotropy were statistically significantly reduced compared with the preoperative rates. Conclusion. As a result of the study, the central corneal nerves were first detected at 6 months after surgery, whereas the paracentral cornea nerves were detected already after 1 month. At 6 months after surgery, the coefficient of anisotropy in the central of cornea statistically significant decreased compared to the preoperative rates. At all stages of the study after surgery, the anisotropy coefficient in the cornea paracentral statistically significant decreased compared with preoperative.
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spelling doaj-art-e64d92f81d104d58a3f36e91c0bb77d62025-08-04T14:32:20ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452019-04-01161S273210.18008/1816-5095-2019-1S-27-32509Morphometric Analysis of Corneal Nerves Condition after Laser Keratorefractive SurgeryS. E. Avetisov0A. A. Tyurina1Z. V. Surnina2O. M. Dovgileva3E. V. Sukhanova4Research Institute of Eye Diseases I.M. Sechenov First Moscow State Medical UniversityResearch Institute of Eye DiseasesResearch Institute of Eye DiseasesRussian Railways Medical Hospital Named After N.A. Semashko in Lublino Station OAO «RZD»Research Institute of Eye DiseasesPurpose: to conduct a morphometric assessment of the corneal nerves state after laser keratorefractive surgery using laser confocal microscopy and the software Liner 1.2S. Patients and methods. 40 eyes of 20 patients received LASIK to correct a mean refractive error of –4.5 ± 1.9 diopters (range, –2.25 to –8.25 diopters). The stroma was ablated with a Teneo Technolas 317P excimer laser. Corneas were examined by laser corneal confocal microscopy (HRT III with Rostock Cornea Module) before and in 1, 3, and 6 months after LASIK. Images were analyzed with software that automatically computes coefficients of anisotropy and orientation symmetry of corneal nerves. Result. At 1 and 3 months after surgery, the center corneal nerves were completely absent. At 1, 3 and 6 months after surgery, the paracentral corneal nerves were detected and the coefficient of anisotropy were statistically significantly reduced compared with the preoperative rates. At 6 months after surgery, both central and peripheral corneal nerves were detected and the coefficient of anisotropy were statistically significantly reduced compared with the preoperative rates. Conclusion. As a result of the study, the central corneal nerves were first detected at 6 months after surgery, whereas the paracentral cornea nerves were detected already after 1 month. At 6 months after surgery, the coefficient of anisotropy in the central of cornea statistically significant decreased compared to the preoperative rates. At all stages of the study after surgery, the anisotropy coefficient in the cornea paracentral statistically significant decreased compared with preoperative.https://www.ophthalmojournal.com/opht/article/view/893laser keratorefractive surgerymyopiacorneal nervesconfocal microscopymorphometric analysis
spellingShingle S. E. Avetisov
A. A. Tyurina
Z. V. Surnina
O. M. Dovgileva
E. V. Sukhanova
Morphometric Analysis of Corneal Nerves Condition after Laser Keratorefractive Surgery
Oftalʹmologiâ
laser keratorefractive surgery
myopia
corneal nerves
confocal microscopy
morphometric analysis
title Morphometric Analysis of Corneal Nerves Condition after Laser Keratorefractive Surgery
title_full Morphometric Analysis of Corneal Nerves Condition after Laser Keratorefractive Surgery
title_fullStr Morphometric Analysis of Corneal Nerves Condition after Laser Keratorefractive Surgery
title_full_unstemmed Morphometric Analysis of Corneal Nerves Condition after Laser Keratorefractive Surgery
title_short Morphometric Analysis of Corneal Nerves Condition after Laser Keratorefractive Surgery
title_sort morphometric analysis of corneal nerves condition after laser keratorefractive surgery
topic laser keratorefractive surgery
myopia
corneal nerves
confocal microscopy
morphometric analysis
url https://www.ophthalmojournal.com/opht/article/view/893
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AT aatyurina morphometricanalysisofcornealnervesconditionafterlaserkeratorefractivesurgery
AT zvsurnina morphometricanalysisofcornealnervesconditionafterlaserkeratorefractivesurgery
AT omdovgileva morphometricanalysisofcornealnervesconditionafterlaserkeratorefractivesurgery
AT evsukhanova morphometricanalysisofcornealnervesconditionafterlaserkeratorefractivesurgery