CAJ | 학술논문

飞秒激光白内障手术系统投入临床应用已经4年,目前飞秒激光主要应用于手术的三个关键步骤:环形撕囊、晶状体核劈开和角膜切口.近年来研究者的目光越来越多聚焦在它的安全性及新的应用上来,如飞秒激光与传统超声乳化对比,术后角膜内皮丢失及角膜厚度的改变,术后房闪、视网膜增厚情况等,有学者运用飞秒激光白内障手术系统植入成年人BIL (bag-in-the-lens)型人工晶状体,或将飞秒激光及纳秒激光手术系统联合,使得整个白内障手术过程实现完全“无刀”.本文介绍并比较了四种设备的特点,并就飞秒激光白内障手术系统临床应用的安全性、有效性、局限性以及其学习曲线和最新的临床应用进展进行综述.
비초격광백내장수술계통투입림상응용이경4년,목전비초격광주요응용우수술적삼개관건보취:배형시낭、정상체핵벽개화각막절구.근년래연구자적목광월래월다취초재타적안전성급신적응용상래,여비초격광여전통초성유화대비,술후각막내피주실급각막후도적개변,술후방섬、시망막증후정황등,유학자운용비초격광백내장수술계통식입성년인BIL (bag-in-the-lens)형인공정상체,혹장비초격광급납초격광수술계통연합,사득정개백내장수술과정실현완전“무도”.본문개소병비교료사충설비적특점,병취비초격광백내장수술계통림상응용적안전성、유효성、국한성이급기학습곡선화최신적림상응용진전진행종술.
Femtosecond laser-assisted cataract surgery system has been put into clinical application for four years.It has been mainly performed in three key steps:capsulotomy,lens fragmentation,and corneal incisions.Recently,the researchers'attention has been focused on its safety and new applications,such as the postoperative corneal endothelial cell loss and the change of corneal thickness,postoperative anterior flare,retinal thickness changes when using the femtosecond laser compared with conventional phacoemulsification.The femtosecond laser system has been used in implanting adult BIL (bag-in-the-lens) intraocular lens by some scholars,and it also has been combined with nanosecond laser surgery system,making the whole process of cataract surgery in completely "bladeless".This article compares the four systems and reviews the safety,effectivity,shortness,learning curve and latest applications of femtosecond laser-assisted cataract surgery system.