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激光白内障手术的视觉和屈光效果。

Visual and refractive outcomes of laser cataract surgery.

机构信息

Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, San Diego, California, USA.

出版信息

Curr Opin Ophthalmol. 2014 Jan;25(1):49-53. doi: 10.1097/ICU.0000000000000019.

DOI:10.1097/ICU.0000000000000019
PMID:24285124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4231136/
Abstract

PURPOSE OF REVIEW

Femtosecond laser is a promising new technology for the field of cataract surgery. Early studies have investigated many factors including visual outcomes, complication rates, and financial overhead costs. This review analyzes the most recent clinical studies of visual and refractive outcomes in laser cataract surgery, including those that make comparisons to outcomes found in conventional phacoemulsification cataract surgery.

RECENT FINDINGS

As femtosecond laser cataract surgery has only emerged recently, there is limited literature available regarding visual outcomes. Most but not all existing studies showed no statistically significant difference in visual acuity and mean absolute refractive error between laser and conventional cataract surgery cases.

SUMMARY

The majority of studies examined found visual acuity or refractive outcomes of femtosecond laser to be statistically equivalent to those of conventional phacoemulsification cataract surgery. However, the learning curve involved with laser use may account for these early results, which could potentially improve as better technology and surgical techniques are developed. Further long-term outcomes studies are necessary to more accurately evaluate the benefits and drawbacks of femtosecond laser cataract surgery.

摘要

目的综述

飞秒激光是白内障手术领域一项很有前途的新技术。早期研究已经调查了许多因素,包括视力结果、并发症发生率和财务开销。这篇综述分析了激光白内障手术中视觉和屈光结果的最新临床研究,包括与传统超声乳化白内障手术结果进行比较的研究。

最近发现

由于飞秒激光白内障手术最近才出现,因此关于视觉结果的文献有限。大多数(但不是全部)现有研究表明,激光和传统白内障手术病例的视力和平均绝对屈光误差没有统计学上的显著差异。

总结

大多数研究发现,飞秒激光的视力或屈光结果在统计学上与传统超声乳化白内障手术相当。然而,激光使用的学习曲线可能导致了这些早期结果,随着更好的技术和手术技术的发展,这些结果可能会有所改善。需要进一步的长期结果研究来更准确地评估飞秒激光白内障手术的利弊。

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本文引用的文献

1
Toward zero effective phacoemulsification time using femtosecond laser pretreatment.采用飞秒激光预处理实现有效超声乳化时间接近零。
Ophthalmology. 2013 May;120(5):942-8. doi: 10.1016/j.ophtha.2012.11.045. Epub 2013 Mar 7.
2
The journey to femtosecond laser-assisted cataract surgery: new beginnings or a false dawn?飞秒激光辅助白内障手术之旅:新的开始还是虚假的曙光?
Eye (Lond). 2013 Apr;27(4):461-73. doi: 10.1038/eye.2012.293. Epub 2013 Feb 1.
3
Outcomes of femtosecond laser cataract surgery with a diffractive multifocal intraocular lens.飞秒激光白内障手术联合衍射型多焦点人工晶状体的疗效。
J Refract Surg. 2012 Dec;28(12):859-64. doi: 10.3928/1081597X-20121115-02.
4
Surgical outcomes and safety of femtosecond laser cataract surgery: a prospective study of 1500 consecutive cases.飞秒激光白内障手术的手术效果和安全性:1500 例连续病例的前瞻性研究。
Ophthalmology. 2013 Feb;120(2):227-33. doi: 10.1016/j.ophtha.2012.10.026. Epub 2012 Dec 6.
5
Femtosecond cataract surgery: transitioning to laser cataract.飞秒白内障手术:向激光白内障手术的转变。
Curr Opin Ophthalmol. 2013 Jan;24(1):3-8. doi: 10.1097/ICU.0b013e32835a936b.
6
Comparison of long-term visual outcome and IOL position with a single-optic accommodating IOL After 5.5- or 6.0-mm Femtosecond laser capsulotomy.5.5-或 6.0mm 飞秒激光囊切开术后单光学调节型人工晶状体的长期视力结果和 IOL 位置比较。
J Refract Surg. 2012 Sep;28(9):609-13. doi: 10.3928/1081597X-20120815-04.
7
Femtosecond laser cataract surgery: technology and clinical practice.飞秒激光白内障手术:技术与临床实践。
Clin Exp Ophthalmol. 2013 Mar;41(2):180-6. doi: 10.1111/j.1442-9071.2012.02851.x. Epub 2012 Sep 17.
8
Comparison of IOL power calculation and refractive outcome after laser refractive cataract surgery with a femtosecond laser versus conventional phacoemulsification.飞秒激光辅助白内障手术与传统超声乳化白内障吸除术后人工晶状体度数计算和屈光结果的比较。
J Refract Surg. 2012 Aug;28(8):540-4. doi: 10.3928/1081597X-20120703-04. Epub 2012 Jul 13.
9
Central corneal volume and endothelial cell count following femtosecond laser-assisted refractive cataract surgery compared to conventional phacoemulsification.飞秒激光辅助的屈光性白内障手术与传统超声乳化白内障吸除术后中央角膜体积和内皮细胞计数的比较。
J Refract Surg. 2012 Jun;28(6):387-91. doi: 10.3928/1081597X-20120508-02. Epub 2012 May 16.
10
Intraocular lens tilt and decentration measured by Scheimpflug camera following manual or femtosecond laser-created continuous circular capsulotomy.应用 Scheimpflug 相机测量手动或飞秒激光制作的连续环形撕囊术后人工晶状体倾斜和偏心。
J Refract Surg. 2012 Apr;28(4):259-63. doi: 10.3928/1081597X-20120309-01.