摘要
白内障作为全球首位致盲性眼病其术式经历了巨大的变革，新近发展的飞秒激光技术以其瞬时功率大，聚焦尺寸小，穿透性强，精密度高的特点成功整合于白内障手术。其主要用于术中晶状体前囊膜切开、核裂解、制作透明角膜切口和角膜缘松解切口，相关研究均已表明手术整体的准确性、可预测性和安全性大大提高，最大限度减少了眼内操作和减小对眼组织的损伤。但相对于成熟的超声乳化术式，如何最大限度减少并发症，进行长期随访的大样本临床试验和克服手术衔接、高额费用等问题已成为目前的关注焦点。本文就飞秒激光辅助的白内障手术相对于传统超声乳化术式的优缺点和临床价值作一综述。
As the leading cause of blindness, the type of surgery performed to remove cataracts has evolved from Intracapsular to Extracapsular and to phacoemulsification. Advantages of femtosecond laser include high instantaneous power, strong penetration, short pulse-duration and micro-precision present superior accuracy, predictability and safety to cataract surgery, while also minimizing injury to surrounding ocular tissue. It mainly assists in the procedures of anterior capsulotomy, lens fragmentation, clear corneal incision and limbal relaxing incision creation. However, compared to conventional phacoemulsification, problems such as the minimization of complications and difficulties in conducting peer-reviewed studies with a longer follow-up period and large sample, as well as coverage of added costs remain untracked. The purpose of this review is to outline the advantages and disadvantages as well as clinical value of this evolving technology compared to conventional phacoemulsification.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2013年第5期464-467,共4页
Chinese Journal of Ophthalmology
