Yanan Wu1,2, Yan Wang3,4, Zimiao Zhang5, Xingchen Yu6. 1. Tianjin Eye Institute, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye Hospital, No 4. Gansu Road, He-ping District, Tianjin, 300020, China. 2. Nankai University Affiliated Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China. 3. Tianjin Eye Institute, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye Hospital, No 4. Gansu Road, He-ping District, Tianjin, 300020, China. wangyan7143@vip.sina.com. 4. Nankai University Affiliated Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China. wangyan7143@vip.sina.com. 5. Tianjin Key Laboratory of High Speed Cutting & Precision Machining, Tianjin University of Technology and Education, Tianjin, China. 6. The Second Hospital of Tianjin Medical University, Tianjin, China.
Abstract
PURPOSE: To quantitatively analyze human corneal stromal dehydration and estimate proper corneal stromal exposure time during corneal refractive surgery. METHODS: The central thickness changes over time in 34 pieces of human corneal tissue were measured using a white light interferometer. The corneal stromal tissue was obtained by femtosecond laser small incision lenticule extraction. The thickness-time dehydration fitting curves were drawn, and the determination coefficient R2 was calculated. The differences in the fitting curve equation coefficients were compared between the thin and thick lenticule groups. The optimal stromal exposure time was calculated under various conditions, including different optical zones and allowable refractive errors. RESULTS: A water loss variation model was successfully established. Linear and quadratic fitting curves were drawn, and the determination coefficient R2 values were significantly close to 1. The average values of R2 for quadratic curves and linear phases 1, 2, and 3 were 0.998 ± 0.002, 0.995 ± 0.007, 0.996 ± 0.003, and 0.984 ± 0.035, respectively. The optimal stromal exposure time varied under different optical zones and allowable diopter error conditions. Taking the allowable error of 0.50 D and the optical zone size of 6.5 mm as an example, the optimal time was approximately 24 s. CONCLUSIONS: The dehydration rate of the human corneal stroma is nonlinear, and the quadratic stromal thickness-time dehydration fitting curve is more in line with the actual water loss trend. The length of the stroma exposure time may affect the postoperative refractive accuracy after corneal refractive surgery.
PURPOSE: To quantitatively analyze human corneal stromal dehydration and estimate proper corneal stromal exposure time during corneal refractive surgery. METHODS: The central thickness changes over time in 34 pieces of human corneal tissue were measured using a white light interferometer. The corneal stromal tissue was obtained by femtosecond laser small incision lenticule extraction. The thickness-time dehydration fitting curves were drawn, and the determination coefficient R2 was calculated. The differences in the fitting curve equation coefficients were compared between the thin and thick lenticule groups. The optimal stromal exposure time was calculated under various conditions, including different optical zones and allowable refractive errors. RESULTS: A water loss variation model was successfully established. Linear and quadratic fitting curves were drawn, and the determination coefficient R2 values were significantly close to 1. The average values of R2 for quadratic curves and linear phases 1, 2, and 3 were 0.998 ± 0.002, 0.995 ± 0.007, 0.996 ± 0.003, and 0.984 ± 0.035, respectively. The optimal stromal exposure time varied under different optical zones and allowable diopter error conditions. Taking the allowable error of 0.50 D and the optical zone size of 6.5 mm as an example, the optimal time was approximately 24 s. CONCLUSIONS: The dehydration rate of the human corneal stroma is nonlinear, and the quadratic stromal thickness-time dehydration fitting curve is more in line with the actual water loss trend. The length of the stroma exposure time may affect the postoperative refractive accuracy after corneal refractive surgery.
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