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波前引导消融术:与传统消融术相比的疗效证据。

Wavefront-guided ablation: evidence for efficacy compared to traditional ablation.

作者信息

Netto Marcelo V, Dupps William, Wilson Steven E

机构信息

The Cole Eye Institute, The Cleveland Clinic Foundation, Cleveland, Ohio, USA, and Department of Ophthalmology, University of São Paulo, São Paulo, Brazil.

出版信息

Am J Ophthalmol. 2006 Feb;141(2):360-368. doi: 10.1016/j.ajo.2005.08.034.

DOI:10.1016/j.ajo.2005.08.034
PMID:16458697
Abstract

PURPOSE

To provide an evidence-based overview of wavefront-guided refractive surgery outcomes, benefits, and limitations.

DESIGN

Literature review.

METHODS

Review of FDA study reports and indexed, peer-reviewed literature.

RESULTS

More than 400 reports investigating wavefront applications in refractive surgery exist, but studies comparing the outcomes of wavefront-guided treatment with conventional treatment are few in number. Available studies do not overwhelmingly demonstrate superior visual results attributable to a wavefront-guided approach.

CONCLUSIONS

While wavefront-guided refractive surgery provides excellent results, evidence is limited that it outperforms conventional laser in situ keratomileusis that incorporates broad ablation zones, smoothing to the periphery, eye-trackers, and other technological refinements. However, it is evident that wavefront-customized ablation holds a promising future and merits ongoing investigation.

摘要

目的

提供基于证据的波前引导屈光手术的结果、益处及局限性概述。

设计

文献综述。

方法

查阅美国食品药品监督管理局(FDA)研究报告及索引的同行评审文献。

结果

有400多篇关于波前技术在屈光手术中应用的研究报告,但比较波前引导治疗与传统治疗结果的研究数量较少。现有研究并未压倒性地证明波前引导方法能带来更优的视觉效果。

结论

虽然波前引导屈光手术效果良好,但证据有限,表明其并不优于结合了宽消融区、周边平滑、眼球跟踪器及其他技术改进的传统准分子原位角膜磨镶术。然而,波前定制消融显然前景广阔,值得持续研究。

相似文献

1
Wavefront-guided ablation: evidence for efficacy compared to traditional ablation.波前引导消融术:与传统消融术相比的疗效证据。
Am J Ophthalmol. 2006 Feb;141(2):360-368. doi: 10.1016/j.ajo.2005.08.034.
2
Q-factor customized ablation profile for the correction of myopic astigmatism.用于矫正近视散光的Q值定制消融轮廓。
J Cataract Refract Surg. 2006 Apr;32(4):584-9. doi: 10.1016/j.jcrs.2006.01.049.
3
Visual outcomes of wavefront-guided laser in situ keratomileusis in eyes with moderate or high myopia and compound myopic astigmatism.波前像差引导的准分子原位角膜磨镶术治疗中高度近视合并复合性近视散光的视觉效果。
J Cataract Refract Surg. 2008 Jan;34(1):21-7. doi: 10.1016/j.jcrs.2007.08.032.
4
Wavefront-guided retreatment after primary wavefront-guided laser in situ keratomileusis in myopes and hyperopes: long-term follow-up.近视和远视患者接受初次波前像差引导的准分子原位角膜磨镶术后的波前像差引导再治疗:长期随访
Am J Ophthalmol. 2009 Mar;147(3):417-423.e2. doi: 10.1016/j.ajo.2008.09.017. Epub 2008 Dec 3.
5
Wavefront-guided customized corneal ablation.波前引导的个性化角膜切削术。
Curr Opin Ophthalmol. 2008 Jul;19(4):314-20. doi: 10.1097/ICU.0b013e328302ccae.
6
Improved contrast sensitivity and visual acuity after wavefront-guided laser in situ keratomileusis: in-depth statistical analysis.波前引导准分子原位角膜磨镶术后对比敏感度和视力的改善:深入统计学分析
J Cataract Refract Surg. 2006 Feb;32(2):215-20. doi: 10.1016/j.jcrs.2005.07.045.
7
Does dilated wavefront aberration measurement provide better postoperative outcome after custom LASIK?在定制准分子激光原位角膜磨镶术(custom LASIK)后,扩大的波前像差测量能否提供更好的术后效果?
Ophthalmology. 2006 Oct;113(10):1813-7. doi: 10.1016/j.ophtha.2006.05.018. Epub 2006 Aug 4.
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Wavefront-guided versus wavefront-optimized laser in situ keratomileusis: contralateral comparative study.波前引导与波前优化准分子原位角膜磨镶术:对侧对比研究
J Cataract Refract Surg. 2008 Mar;34(3):389-97. doi: 10.1016/j.jcrs.2007.10.028.
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Visual experience and patient satisfaction with wavefront-guided laser in situ keratomileusis.视觉体验与患者对波前像差引导的准分子原位角膜磨镶术的满意度
J Cataract Refract Surg. 2006 Apr;32(4):577-83. doi: 10.1016/j.jcrs.2006.01.002.
10
Iris registration in wavefront-guided LASIK to correct mixed astigmatism.波前引导准分子激光原位角膜磨镶术中虹膜定位矫正混合性散光。
J Cataract Refract Surg. 2009 Mar;35(3):433-7. doi: 10.1016/j.jcrs.2008.11.039.

引用本文的文献

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Topography-guided treatment in regular and irregular corneas. topography-guided 治疗在规则和不规则角膜中。
Indian J Ophthalmol. 2020 Dec;68(12):2699-2704. doi: 10.4103/ijo.IJO_2119_20.
2
Anatomical and Visual Outcomes after LASIK Performed in Myopic Eyes with the WaveLight® Refractive Suite (Alcon® Laboratories Inc., USA).使用威视®屈光手术系统(美国爱尔康公司)对近视患者实施准分子原位角膜磨镶术后的解剖学和视觉效果
J Ophthalmol. 2020 Oct 3;2020:7296412. doi: 10.1155/2020/7296412. eCollection 2020.
3
Effect of Iris registration on visual outcome in wavefront-guided LASEK for myopic astigmatism.
虹膜定位对波前引导的准分子激光上皮下角膜磨镶术治疗近视散光视觉效果的影响。
Int Ophthalmol. 2018 Apr;38(2):513-525. doi: 10.1007/s10792-017-0486-6. Epub 2017 Mar 11.
4
Efficacy of Wavefront-guided Photorefractive Keratectomy with Iris Registration for Management of Moderate to High Astigmatism by Advanced Personalized Treatment Nomogram.采用先进个性化治疗方案的波前引导准分子原位角膜磨镶术联合虹膜定位治疗中高度散光的疗效
J Ophthalmic Vis Res. 2016 Apr-Jun;11(2):136-40. doi: 10.4103/2008-322X.183913.
5
Wavefront-guided versus non-wavefront-guided photorefractive keratectomy for myopia: meta-analysis of randomized controlled trials.波前引导与非波前引导的准分子激光原位角膜磨镶术治疗近视:随机对照试验的荟萃分析
PLoS One. 2014 Jul 29;9(7):e103605. doi: 10.1371/journal.pone.0103605. eCollection 2014.
6
Wavefront-guided laser in situ keratomileusis (Lasik) versus wavefront-guided photorefractive keratectomy (Prk): a prospective randomized eye-to-eye comparison (an American Ophthalmological Society thesis).波前像差引导的准分子原位角膜磨镶术(LASIK)与波前像差引导的准分子激光角膜切削术(PRK):一项前瞻性随机双眼对照研究(美国眼科学会论文)
Trans Am Ophthalmol Soc. 2011 Dec;109:201-20.
7
The SCHWIND AMARIS Total-Tech Laser as An All-Rounder in Refractive Surgery.施温德阿玛莉丝全技术激光:屈光手术中的全能选手
Middle East Afr J Ophthalmol. 2009 Jan;16(1):46-53. doi: 10.4103/0974-9233.48868.
8
[Application of wavefront analysis in clinical and scientific settings. From irregular astigmatism to aberrations of a higher order--Part II: examples].[波前分析在临床和科研中的应用。从不规则散光到高阶像差——第二部分:实例]
Ophthalmologe. 2007 Nov;104(11):991-1006; quiz 1007-8. doi: 10.1007/s00347-007-1648-0.