CAJ | 학술논문

飞秒激光代表了目前屈光手术领域的最新技术,其新型扫描模式的屈光效应正在探索中.飞秒激光以其扫描的高精确度及安全性,已从单纯角膜屈光矫正向全方位治疗性应用方向转变,已被应用于穿透角膜移植、板层角膜移植、基质环隧道的制作以及辅助角膜胶原交联以治疗圆锥角膜,此外其在角膜缘移植和角膜活组织检查中的应用分别为眼表重建及角膜病理学诊断提供了新的手段,而飞秒激光辅助白内障手术及经晶状体矫正老视等方面的应用尚处于实验探索阶段.随着相关技术的日趋完善,飞秒激光的临床应用将更加广阔.就飞秒激光在治疗性角膜手术及晶状体手术中的应用进行综述.
비초격광대표료목전굴광수술영역적최신기술,기신형소묘모식적굴광효응정재탐색중.비초격광이기소묘적고정학도급안전성,이종단순각막굴광교정향전방위치료성응용방향전변,이피응용우천투각막이식、판층각막이식、기질배수도적제작이급보조각막효원교련이치료원추각막,차외기재각막연이식화각막활조직검사중적응용분별위안표중건급각막병이학진단제공료신적수단,이비초격광보조백내장수술급경정상체교정로시등방면적응용상처우실험탐색계단.수착상관기술적일추완선,비초격광적림상응용장경가엄활.취비초격광재치료성각막수술급정상체수술중적응용진행종술.
Femtosecond laser represents the frontier technique in the field of refractive surgery,and its novel scanning mode is under investigation.It has transformed from simple refractive correction to multifield therapy for the advantages in accuracy and safety.Such technique has been employed in the treatment of keratoconus,penetrating and lamellar corneal transplantation,the completion of channel for intrastromal corneal ring segments implantation and achievement of collagen cross-linking.Femtosecond laser can achieve better outcomes in keratolimbal allograft and corneal biopsy for ocular surface reconstruction and histopathologic diagnosis.Also,femtosecond laser has been applied in the treatment of presbyopia and cataract.With improvement in related technique,femtosecond laser might be utilized more frequently in clinical practice.This paper focus on its novel application in therapeutic corneal surgeiries.