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屈光手术的基本知识:使用现代手术程序矫正屈光不正。

Basic knowledge of refractive surgery: correction of refractive errors using modern surgical procedures.

机构信息

Klinik für Augenheilkunde der Johann-Wolfgang-Goethe-Universität, Theodor-Stern-Kai 7, Frankfurt am Main, Germany.

出版信息

Dtsch Arztebl Int. 2008 Feb;105(9):163-70; quiz 170-2. doi: 10.3238/arztebl.2008.0163. Epub 2008 Feb 29.

Abstract

INTRODUCTION

Refractive ophthalmic surgery allows refractive errors to be corrected permanently in a safe, effective, and reliable way with few complications.

METHODS

Selective literature review with special reference to the guidelines of the German Commission for Refractive Surgery.

RESULTS

With a total of almost 18 million treatments performed to date, laser in-situ keratomileusis (LASIK) is the most commonly used refractive surgical procedure worldwide. Alternatives to LASIK include surface ablation procedures (PRK, LASEK, Epi-LASIK) and phakic intraocular lens implantation. If ocular accommodation is lost, removal of the crystalline lens and implantation of modern multifocal intraocular lenses (refractive lens exchange) provide an alternative means of correcting myopia, hyperopia and presbyopia.

DISCUSSION

The treatment effect is maximized and complications kept to a minimum if strict inclusion criteria are applied and a high technical standard maintained during the procedure.

摘要

引言

屈光眼科手术可通过安全、有效且可靠的方式永久性矫正屈光不正,且并发症较少。

方法

选择性文献回顾,特别参考德国屈光手术委员会的指南。

结果

迄今为止,已有近 1800 万人接受了激光原位角膜磨镶术(LASIK),这是全球最常用的屈光手术方法。LASIK 的替代方法包括表面消融术(PRK、LASEK、Epi-LASIK)和有晶状体眼人工晶状体植入术。如果眼调节丧失,可通过摘除晶状体并植入现代多焦点人工晶状体(屈光性晶状体置换术)来矫正近视、远视和老视。

讨论

如果严格应用纳入标准,并在手术过程中保持高标准的技术,可最大程度地提高治疗效果并将并发症降至最低。

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