CAJ | 학술논문

随着飞秒激光在角膜屈光手术中的优势不断显现,它在白内障手术中的应用也初见成效.近年来的研究表明,它可以在透明角膜的任何位置做出所需要的切口,无论是透明角膜隧道切口,还是松解性角膜切开,都可以在深度及宽度上精益求精,准确无误.飞秒激光白内障手术系统可以通过散大的瞳孔直视整个眼前节结构,进行精确、居中的环形前囊膜切开,并在直视后囊的基础上碎核,提高手术的安全性,减少甚至完全不需使用超声乳化能量.总之,飞秒激光正逐步应用在白内障手术中,从准确的环形撕囊到碎核,越来越减少对手术刀、撕囊镊以及超声能量的依赖.本文对飞秒激光在白内障手术中的应用进展作一综述.
수착비초격광재각막굴광수술중적우세불단현현,타재백내장수술중적응용야초견성효.근년래적연구표명,타가이재투명각막적임하위치주출소수요적절구,무론시투명각막수도절구,환시송해성각막절개,도가이재심도급관도상정익구정,준학무오.비초격광백내장수술계통가이통과산대적동공직시정개안전절결구,진행정학、거중적배형전낭막절개,병재직시후낭적기출상쇄핵,제고수술적안전성,감소심지완전불수사용초성유화능량.총지,비초격광정축보응용재백내장수술중,종준학적배형시낭도쇄핵,월래월감소대수술도、시낭섭이급초성능량적의뢰.본문대비초격광재백내장수술중적응용진전작일종술.
Since the use of femtosecond laser (FSL) in refractive surgery,it has been expanded to other corneal surgeries and most recently has been applied to cataract surgery.The FSL can create clear corneal incisions and limbus relaxing incisions in any space of different shapes,at a desired depth.This has started the application of the technology in the lens:after a clear image is taken of the lens through a previously dilated pupil,circular capsulotomy is done,with precision in shape and diameter,and then photofragmentation of the nucleus is done,without the risk of damaging the posterior capsule,because it is well visualized,to achieve the aspiration of the nuclear material in lower even without applying phaco energy.In summary,FSL is now used at the level of the lens,with the potentiality for very precise circular and adjustable diameter capsulotomies,and the fragmentation of the nuclear material,allowing the less use of forcep and phaco machine.