Loughnan M S, Robinson D, Sullivan L
University of Melbourne, Department of Ophthalmology, Victoria, Australia.
Curr Opin Ophthalmol. 1996 Aug;7(4):41-6. doi: 10.1097/00055735-199608000-00008.
The past year has seen considerable advances and debate with regard to several new and some established mechanical means of refractive surgery. Lamellar in situ keratomileusis is gaining increased interest, especially for the treatment of moderate and high myopia, although considerable questions still exist with regard to its safety, predictability, and the possibility of loss of lines of best corrected visual acuity. Mini-radial keratotomy may be of benefit in reducing the risk of traumatic rupture of radial keratotomy incisions, and a refinement of the nomograms for astigmatic keratotomy in the treatment of congenital astigmatism has been proposed. Another report on the use of hexagonal keratotomy for the treatment of hyperopia again raised concerns of its predictability. A blind eye study of intrastromal corneal rings has provided some reassurance with regard to its safety but has also raised doubts over its predictability. Meanwhile, several more reports of the use of both anterior and posterior chamber phakic intraocular lenses for the treatment of myopia have been presented.
在过去的一年里，关于几种新的和一些已有的屈光手术机械方法有了相当大的进展和争论。板层原位角膜磨镶术越来越受到关注，特别是对于中高度近视的治疗，尽管在其安全性、可预测性以及最佳矫正视力丧失的可能性方面仍然存在相当多的问题。微小放射状角膜切开术可能有助于降低放射状角膜切开术切口外伤性破裂的风险，并且有人提出了用于治疗先天性散光的散光角膜切开术列线图的改进方法。另一篇关于使用六角形角膜切开术治疗远视的报告再次引发了对其可预测性的担忧。一项关于基质内角膜环的盲眼研究在其安全性方面提供了一些保证，但也对其可预测性提出了疑问。与此同时，又有几篇关于使用前房和后房型有晶状体眼人工晶状体治疗近视的报告。
