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[德国眼科学会和德国眼科医生专业协会对屈光手术程序的评估与质量保证。现状:2011年5月]

[Evaluation and quality assurance of refractive surgery procedures by the German Ophthalmological Society and the Professional Association of German Ophthalmologists. Status: May 2011].

作者信息

Kohnen T, Neuhann T, Knorz M

机构信息

Klinik für Augenheilkunde, Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland.

出版信息

Ophthalmologe. 2011 Sep;108(9):869-82. doi: 10.1007/s00347-011-2415-9.

Abstract

The Commission of Refractive Surgery (KRC), which is a combined commission of the German Ophthalmological Society (DOG) and the Professional Association of German Ophthalmologists (BVA), has made an up-to-date evaluation of the operative techniques for correction of refraction errors. In the revised guidelines drawn up by the KRC for evaluation and safeguarding the quality of refractive surgical procedures the description, area of application, limitations, side-effects and complications of each procedure are given according to the published scientific literature. By this means a comprehensive explanation for and investigation of patients should be safeguarded, optimal treatment results achieved and complications avoided. In this article all relevant forms of refractive surgery (photorefractive keratectomy, LASEK, EPI-LASIK, LASIK, Femto-LASIK, RELEX, conductive keratoplasty, astigmatic keratotomy, limbal relaxing incisions, intracorneal ring segments, corneal cross-linking, phakic intraocular lenses, refractive lens exchange, corneal presbyopia implants, INTRACOR) are described in detail and quality guidelines are established. Refractive surgical care and additional medical services possibly arising prior to or following this treatment are not basically covered by the statutory health insurance (GKV).

摘要

屈光手术委员会(KRC)是德国眼科学会(DOG)和德国眼科医生专业协会(BVA)的联合委员会,对屈光不正矫正手术技术进行了最新评估。在KRC制定的用于评估和保障屈光手术质量的修订指南中,根据已发表的科学文献给出了每种手术的描述、应用范围、局限性、副作用和并发症。通过这种方式,应保障对患者进行全面的解释和检查,实现最佳治疗效果并避免并发症。本文详细描述了所有相关的屈光手术形式(光性屈光性角膜切削术、准分子上皮下角膜磨镶术、机械法准分子上皮下角膜磨镶术、准分子原位角膜磨镶术、飞秒激光制瓣准分子原位角膜磨镶术、ReLEx、传导性角膜成形术、散光性角膜切开术、角膜缘松解切口、角膜内环片、角膜交联、有晶状体眼人工晶状体植入术、屈光性晶状体置换术、角膜老视植入物、INTRACOR)并制定了质量指南。屈光手术护理以及在此治疗之前或之后可能产生的其他医疗服务基本上不在法定医疗保险(GKV)范围内。

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