重视飞秒激光技术在白内障手术中利与弊的评估  

Paying attentions to advantages and disadvantages of intraocular femtosecond laser in cataract surgery

作　　者：叶剑 耿钊 Ye Jian;Geng Zhao(Department of Ophthalmology,Army Special Medical Center (Daping hospital)

机构地区：[1]陆军特色医学中心(大坪医院)眼科

出　　处：《中华实验眼科杂志》2019年第4期241-244,共4页Chinese Journal Of Experimental Ophthalmology

摘　　要：目前白内障摘出手术由单纯复明手术逐渐发展为个性化的屈光手术。飞秒激光辅助白内障手术由于其切口的精准性、截囊的准确性以及碎核的高效性受到临床医生的广泛关注。目前常用的飞秒激光辅助白内障手术操作平台有LenSx、Catalys、LenSAR和Victus,不同的操作系统在患者接触界面设计、成像系统设计和手术床设计方面有所不同,其工作原理和特点也有许多不同,临床应用过程中应引起注意。临床医生应了解不同飞秒激光辅助白内障手术操作平台的特点,并认真评估术眼的临床表现和症状,同时重视飞秒激光切口的精准性、截囊的准确性、碎核的高效性,尽量避免术中和术后并发症的发生。Requirements for cataract surgery have gradually increased from the original rehabilitation procedure to personalized refraction surgery.Femtosecond laser-assisted cataract surgery is being widely used because of its precision of incision,accuracy of capsule cutting and high efficiency of nuclear fracturing in recent year.Currently some operating systems of femtosecond laser-assisted cataract surgery include LenSx,Catalys,LenSAR and Victus,and they are different in the design of contact interfaces,video and operating bed and therefore present different working methods.Ophthalmologists should be aware of the differences of these operating systems and accurate assess the clinical findings of patients in order to consider the preciseness,accuracy,efficiency of incision,capsulorhexis and nucleus fragmentation to avoid the intraoperative and postoperative complications.

关 键 词：白内障摘出术/方法 准分子激光/治疗用途 激光疗法/仪器 超声乳化/方法 

分 类 号：R779.66[医药卫生—眼科]