比较飞秒激光辅助白内障手术与传统超声乳化白内障吸除术的术中并发症发生率。
Comparing the intraoperative complication rate of femtosecond laser-assisted cataract surgery to traditional phacoemulsification.
作者信息
Chen Ming, Swinney Christian, Chen Mindy
机构信息
University of Hawaii School of Medicine, Honolulu, HI 96813, USA.
A.T. Still School of Medicine, Mesa, AZ 85206, USA.
出版信息
Int J Ophthalmol. 2015 Feb 18;8(1):201-3. doi: 10.3980/j.issn.2222-3959.2015.01.34. eCollection 2015.
AIM
To compare the complication rate of femtosecond laser-assisted cataract surgery (FLACS) and traditional phacoemulsification for the first 18mo of FLACS use at a private surgical center in Hawaii.
METHODS
A retrospective chart review was conducted from January 2012 to June 2013. The first 273 consecutive eyes receiving FLACS and 553 eyes receiving traditional phacoemulsification were examined. All surgeries were performed at a single surgical center in Hawaii. The presence of intraoperative complications was used as the main outcome measure. Approval was obtained from the institutional review board of the University of Hawaii.
RESULTS
The overall complication rate for FLACS was 1.8%, while that of the traditional procedure was 5.8% (P<0.05). A majority of the surgeons (80%) had a lower complication rate while using FLACS.
CONCLUSION
FLACS is comparable in safety, if not safer, than traditional cataract surgery when performed by qualified cataract surgeons on carefully selected patients.
目的
在夏威夷一家私立手术中心，比较飞秒激光辅助白内障手术（FLACS）和传统超声乳化白内障吸除术在FLACS应用的前18个月的并发症发生率。
方法
对2012年1月至2013年6月进行回顾性病历审查。检查了连续接受FLACS的前273只眼和接受传统超声乳化白内障吸除术的553只眼。所有手术均在夏威夷的一个手术中心进行。术中并发症的发生情况作为主要观察指标。获得了夏威夷大学机构审查委员会的批准。
结果
FLACS的总体并发症发生率为1.8%，而传统手术为5.8%（P<0.05）。大多数外科医生（80%）在使用FLACS时并发症发生率较低。
结论
由合格的白内障外科医生对精心挑选的患者进行手术时，FLACS即使不比传统白内障手术更安全，其安全性也是相当的。
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