J Refract Surg. 2014 May;30(5):326-9. doi: 10.3928/1081597X-20140416-06.
To evaluate the outcomes from using real-time optical coherence tomography (OCT)-guided femtosecond laser technology for pocket creation for KAMRA inlay (Acufocus, Inc., Irvine, CA) implantation surgery.
One hundred fifty-one eyes underwent KAMRA inlay implantation using the real-time OCT-guided femtosecond laser for pocket creation. All patients had a history of prior LASIK. Uncorrected distance visual acuity, corrected distance visual acuity, uncorrected near visual acuity, corrected near visual acuity, and manifest refraction spherical equivalent were evaluated preoperatively and postoperatively. The follow-up period was 3 months.
Mean manifest refraction spherical equivalent, uncorrected distance visual acuity, and uncorrected near visual acuity changed from -0.18 ± 0.33 to -0.95 ± 0.64, 20/16 to 20/20, and J8 to J2, respectively. Corrected distance visual acuity and corrected near visual acuity remained stable before and after KAMRA inlay implantation, 20/12 and J1, respectively.
Using real-time OCT-guided femtosecond laser technology increases the safety and accuracy of corneal KAMRA inlay implantation surgery with a history of prior LASIK with excellent visual and refractive outcomes.
评估实时光学相干断层扫描（OCT）引导飞秒激光技术用于 KAMRA 植入术（Acufocus，Inc.，Irvine，CA）中口袋创建的结果。
151 只眼采用实时 OCT 引导飞秒激光进行口袋创建，行 KAMRA 植入术。所有患者均有 LASIK 手术史。术前和术后评估未矫正远视力、矫正远视力、未矫正近视力、矫正近视力和显式屈光等效球镜。随访时间为 3 个月。
平均显式屈光等效球镜、未矫正远视力和未矫正近视力分别从-0.18 ± 0.33 变为-0.95 ± 0.64、20/16 变为 20/20 和 J8 变为 J2。KAMRA 植入术前和术后矫正远视力和矫正近视力保持稳定，分别为 20/12 和 J1。
对于有 LASIK 手术史的患者，使用实时 OCT 引导飞秒激光技术可提高角膜 KAMRA 植入术的安全性和准确性，具有良好的视觉和屈光效果。
