飞秒激光角膜弧形切开术矫正白内障合并角膜散光的研究进展  

The research progress of femtosecond laser-assisted arcuate keratotomy for correction of corneal astigmatism in cataract surgery

作　　者：钟舒婷 张哲 刘欣华[1] Zhong Shuting;Zhang Zhe;Liu Xinhua(The Second Clinical Medical College of Jinan University,Shenzhen Eye Hospital,Shenzhen 518020,China;Shenzhen Eye Hospital,Jinan University,Shenzhen 518040,China)

机构地区：[1]暨南大学第二临床医学院深圳市眼科医院,深圳518020 [2]深圳市眼科医院,深圳518040

出　　处：《中华眼科杂志》2024年第2期200-205,共6页Chinese Journal of Ophthalmology

基　　金：深圳市科技计划(JCYJ20220530153604010)。

摘　　要：飞秒激光角膜弧形切开术是一种有效、长期稳定且安全的散光矫正手术,在白内障手术以及合并角膜散光矫正中的应用日益广泛。除了在白内障手术的关键步骤中得到应用外,国内外的研究结果还表明,引入飞秒激光技术提高了角膜弧形切开术的切口参数精确度,降低了术中或术后并发症的风险,为矫正白内障患者术前低至中度散光做出了重要的贡献,但其效果依赖于更准确地获取切口参数和更完善的手术规划。本文对飞秒激光角膜弧形切开术的矫正效果、局限性和术前规划等方面进行了综述。Femtosecond laser-assisted arcuate keratotomy(FSAK)is an effective,long-term stable,and safe surgical procedure for astigmatism correction.Its application in cataract surgery and the correction of astigmatism combined with cataracts is becoming increasingly widespread.Apart from its application in key steps of cataract surgery,both domestic and international research indicates that the introduction of femtosecond laser technology has enhanced the precision of arcuate incisions in keratotomy,reducing the risk of intraoperative or postoperative complications.This has significantly contributed to correcting low to moderate astigmatism in patients undergoing cataract surgery.However,the effectiveness of FSAK relies on obtaining more accurate incision parameters and refining surgical planning.This article provides a comprehensive review of the corrective effects,limitations,and preoperative planning aspects of femtosecond laser-assisted arcuate keratotomy.

关 键 词：白内障 散光 角膜外科手术 激光 激光 飞秒 

分 类 号：R779.63[医药卫生—眼科]