中华眼科医学杂志(电子版)
中華眼科醫學雜誌(電子版)
중화안과의학잡지(전자판)
CHINESE JOURNAL OF OPHTHALMOLOGIC MEDICINE(ELECTRONIC EDITION)
2013年
3期
131-135
,共5页
激光疗法%白内障%超声乳化白内障吸除术
激光療法%白內障%超聲乳化白內障吸除術
격광요법%백내장%초성유화백내장흡제술
Laser therapy%Cataract%Phacoemulsification
近年来,飞秒激光( FS)被引入白内障手术,展现了其许多潜在的优势。 FS实现了精准角膜切口、前囊膜切开及晶状体碎核的自动化操作,可获得更准确、有效的人工晶状体( IOL )位置和稳定的屈光状态。由于该领域研究起步不久,其安全性和有效性有待进一步研究,其效果是否显著优于超声乳化白内障吸除术有待长期的前瞻性临床研究进行验证。笔者就FS辅助白内障手术的优势、局限性、注意事项及未来发展方向进行述评,以利于临床实践中缩短学习曲线,使屈光性白内障手术日趋完美。
近年來,飛秒激光( FS)被引入白內障手術,展現瞭其許多潛在的優勢。 FS實現瞭精準角膜切口、前囊膜切開及晶狀體碎覈的自動化操作,可穫得更準確、有效的人工晶狀體( IOL )位置和穩定的屈光狀態。由于該領域研究起步不久,其安全性和有效性有待進一步研究,其效果是否顯著優于超聲乳化白內障吸除術有待長期的前瞻性臨床研究進行驗證。筆者就FS輔助白內障手術的優勢、跼限性、註意事項及未來髮展方嚮進行述評,以利于臨床實踐中縮短學習麯線,使屈光性白內障手術日趨完美。
근년래,비초격광( FS)피인입백내장수술,전현료기허다잠재적우세。 FS실현료정준각막절구、전낭막절개급정상체쇄핵적자동화조작,가획득경준학、유효적인공정상체( IOL )위치화은정적굴광상태。유우해영역연구기보불구,기안전성화유효성유대진일보연구,기효과시부현저우우초성유화백내장흡제술유대장기적전첨성림상연구진행험증。필자취FS보조백내장수술적우세、국한성、주의사항급미래발전방향진행술평,이리우림상실천중축단학습곡선,사굴광성백내장수술일추완미。
The introduction of the femtosecond laser to the field of cataract surgery take many potential benefits.The femtosecond laser is able to perform automaticly and precisely operation in cataract surgery,which include toreing the anterior capsule,breaking lens,cutting corneal and more committed step. We have been able to obtain that more accurate and effective position of IOL and Stable refraction.Research in this field has just started, the long-term prospective clinical studies were needed to verify whether its safety and efficacy is significantly better than phacoemulsification.In this paper, the femtosecond laser-assisted cataract surgery carried out the advantages,limitations,and should pay attention to the key issues and the future direction of development in areas such as analysis and commentary,to facilitate the clinical practice shorten the learning curve,leading refractive cataract surgery becoming more perfect.