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[眼科诊断中的波前分析]

[Wavefront analysis in ophthalmologic diagnostics].

作者信息

Sanchez M J, Mannsfeld A, Borkenstein A F M, Ehmer A, Limberger I-J, Holzer M P, Auffarth G U

机构信息

International Vision Correction Research Centre (IVCRC), Universitäts-Augenklinik Heidelberg, Ruprecht Karls-Universität Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Deutschland.

出版信息

Ophthalmologe. 2008 Sep;105(9):818-24. doi: 10.1007/s00347-008-1822-z.

DOI:10.1007/s00347-008-1822-z
PMID:18758787
Abstract

Modern aberrometry measures standard and so-called higher-order refractory aberrations. Ophthalmology and optometry use Zernike polynomials to describe aberrations of the retina and lens causing refractory errors. Aberrations of a higher order sometimes follow successful laser surgery, causing reduced vision and inducing patient dissatisfaction; enhanced wavefront data can help to avoid this. Aberrometry is used also for objective measurement of refractory changes. Wavefront techniques and their clinical application enable many options for understanding the delicate balance of eye optics. The future of refractive surgery lies in increasingly individualized treatment to suppress higher degrees of aberration and thus improve clinical results. Patients will continue placing greater demand on individualized intraocular lenses that correct higher-order aberrations.

摘要

现代像差仪可测量标准像差以及所谓的高阶屈光像差。眼科和验光领域使用泽尼克多项式来描述导致屈光不正的视网膜和晶状体像差。高阶像差有时会在成功的激光手术后出现,导致视力下降并引起患者不满;增强的波前数据有助于避免这种情况。像差仪还用于客观测量屈光变化。波前技术及其临床应用为理解眼屈光的微妙平衡提供了多种选择。屈光手术的未来在于越来越个性化的治疗,以抑制更高程度的像差,从而改善临床效果。患者将继续对能够矫正高阶像差的个性化人工晶状体提出更高要求。

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引用本文的文献

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Int J Ophthalmol. 2015 Aug 18;8(4):736-41. doi: 10.3980/j.issn.2222-3959.2015.04.17. eCollection 2015.

本文引用的文献

1
Relationship between preoperative aberrations and postoperative refractive error in enhancement of previous laser in situ keratomileusis with the LADARVision system.使用LADARVision系统对既往准分子原位角膜磨镶术进行增效手术时术前像差与术后屈光不正的关系。
J Cataract Refract Surg. 2008 Aug;34(8):1267-72. doi: 10.1016/j.jcrs.2008.04.019.
2
Wavefront-guided laser in situ keratomileusis retreatment for consecutive hyperopia and compound hyperopic astigmatism.波前像差引导的准分子原位角膜磨镶术再次治疗连续性远视和复合性远视散光
J Cataract Refract Surg. 2008 Aug;34(8):1260-6. doi: 10.1016/j.jcrs.2008.04.026.
3
Posterior corneal aberrations and their compensation effects on anterior corneal aberrations in keratoconic eyes.
圆锥角膜眼的后表面角膜像差及其对前表面角膜像差的补偿作用。
Invest Ophthalmol Vis Sci. 2008 Dec;49(12):5645-52. doi: 10.1167/iovs.08-1874. Epub 2008 Jul 18.
4
Wavefront-guided LASIK for the correction of primary myopia and astigmatism a report by the American Academy of Ophthalmology.波前像差引导的准分子激光原位角膜磨镶术治疗原发性近视和散光:美国眼科学会报告
Ophthalmology. 2008 Jul;115(7):1249-61. doi: 10.1016/j.ophtha.2008.04.010.
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Comparison of Zernike and Fourier wavefront reconstruction algorithms in representing corneal aberration of normal and abnormal eyes.泽尼克和傅里叶波前重建算法在表示正常和异常眼睛角膜像差方面的比较。
J Refract Surg. 2008 Jun;24(6):582-90. doi: 10.3928/1081597X-20080601-06.
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Effect of flap thickness on higher order wavefront aberrations induced by LASIK: a bilateral study.
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Comparison of higher-order aberrations after LASIK using disposable microkeratome 130 and 90 micron heads.
Eur J Ophthalmol. 2008 May-Jun;18(3):332-7. doi: 10.1177/112067210801800302.
8
Comparison of corneal aberration changes after laser in situ keratomileusis performed with mechanical microkeratome and IntraLase femtosecond laser: 1-year follow-up.使用机械微型角膜刀和飞秒激光制瓣的准分子原位角膜磨镶术术后角膜像差变化的比较:1年随访
Cornea. 2008 Feb;27(2):174-9. doi: 10.1097/ICO.0b013e31815a50bf.
9
Evaluation of internal refraction with the optical path difference scan.通过光程差扫描评估内折射。
Ophthalmology. 2008 Jan;115(1):57-66. doi: 10.1016/j.ophtha.2007.02.022.
10
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.