飞秒激光辅助白内障手术联合同轴超声乳化白内障吸除术或微切口白内障手术：差异与优势。
Femtosecond laser assisted cataract surgery followed by coaxial phacoemulsification or microincisional cataract surgery: differences and advantages.
机构信息
aVissum Corporación Oftalmológica, Instituto Oftalmológico de Alicante bDivision of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain cInstituto de la Visión, Hospital La Carlota, Montemorelos, México dOphthalmology Department, AUH, Egypt.
出版信息
Curr Opin Ophthalmol. 2014 Jan;25(1):81-8. doi: 10.1097/ICU.0000000000000017.
PURPOSE OF REVIEW
This review outlines the advantages and the differences of femtosecond laser-assisted cataract surgery (FLACS) following a coaxial or microincision cataract surgery phacoemulsification in the surgical outcome and greater control of cataract surgery.
RECENT FINDINGS
FLACS offers minimal tissue damage and extreme precision during corneal incision creation, continuous circular capsulorhexis (CCC) and nuclear fragmentation. It also allows diminishing the mean average ultrasound power to emulsify the nucleus followed by a coaxial or a biaxial procedure. The impact of reduced phacoemulsification energy on the corneal endothelium is an interesting topic that is being investigated. Despite its benefits, this technology has relevant financial issues and a high learning curve.
SUMMARY
FemtoMICS appears to be surgically and statistically more efficient than the FemtoCoaxial technique and Femtoincisions prove to be stable and do not change the corneal high order aberration significantly with favorable results of the triplanar configuration.
目的综述
本文概述了飞秒激光辅助白内障手术（FLACS）在同轴或微切口白内障超声乳化手术后手术效果和更好地控制白内障手术方面的优势和差异。
最新发现
FLACS 在角膜切口创建、连续环形撕囊（CCC）和核碎裂时可实现最小的组织损伤和极高的精度。它还可以降低乳化核所需的平均超声能量，然后进行同轴或双轴手术。减少白内障乳化能量对角膜内皮的影响是一个正在研究的有趣课题。尽管有这些好处，但这项技术存在相关的财务问题和较高的学习曲线。
总结
FemtoMICS 在手术和统计学上似乎比 FemtoCoaxial 技术更有效，而 Femtoincisions 被证明是稳定的，不会显著改变角膜高阶像差，并且具有有利的三平面配置结果。
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