PMID- 9156634 OWN - NLM STAT- MEDLINE DCOM- 19970521 LR - 20191024 IS - 0941-293X (Print) IS - 0941-293X (Linking) VI - 94 IP - 2 DP - 1997 Feb TI - [Biomechanical study of corneal stability after photorefractive keratectomy]. PG - 109-13 AB - BACKGROUND: Photorefraktive keratectomy (PRK) is the most frequent refractive surgical procedure worldwide. The central corneal thickness is reduced due to removal of the anterior stroma, including Bowman's layer, with a laser beam. This procedure results in considerable alterations of the corneal structure. What does this mean for the mechanical properties of the cornea? METHODS: Intraocular pressure was increased via a 180 degrees tilt. Before and during this procedure, corneal topography was measured by photokeratoscopy. We examined 26 patients after PRK and 25 controls who had not undergone any surgical procedure. RESULTS: The corneal center flattened by 0.038 +/- 0.05 dpt (P > 0.05) in the PRK patients and by 0.187 +/- 0.045 dpt (P < 0.05) in the control group. PRK patients within 1 year after operation showed a minimal central corneal steepening, whereas PRK patients after more than 1 year showed a reaction similar to that in normal corneas (P < 0.05). CONCLUSION: Corneal stability is altered after PRK. After 1 year corneal stability seems to normalize due to stromal remodelling. FAU - Bohm, A AU - Bohm A AD - Universitats-Augenklinik, Hamburg Eppendorf. FAU - Kohlhaas, M AU - Kohlhaas M FAU - Lerche, R C AU - Lerche RC FAU - Hjortdal, J O AU - Hjortdal JO FAU - Ehlers, N AU - Ehlers N FAU - Draeger, J AU - Draeger J LA - ger PT - English Abstract PT - Journal Article TT - Biomechanische Untersuchung der Hornhautstabilitat nach photorefraktiver Keratektomie. PL - Germany TA - Ophthalmologe JT - Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft JID - 9206148 SB - IM MH - Adult MH - Biomechanical Phenomena MH - Cornea/*physiopathology MH - Female MH - Humans MH - Intraocular Pressure/physiology MH - Lasers, Excimer MH - Male MH - Middle Aged MH - *Photorefractive Keratectomy MH - Postoperative Complications/*physiopathology MH - Reference Values MH - Refraction, Ocular EDAT- 1997/02/01 00:00 MHDA- 1997/02/01 00:01 CRDT- 1997/02/01 00:00 PHST- 1997/02/01 00:00 [pubmed] PHST- 1997/02/01 00:01 [medline] PHST- 1997/02/01 00:00 [entrez] AID - 10.1007/s003470050090 [doi] PST - ppublish SO - Ophthalmologe. 1997 Feb;94(2):109-13. doi: 10.1007/s003470050090.