Moshirfar Majid, McCaughey Michael V, Reinstein Dan Z, Shah Rupal, Santiago-Caban Luis, Fenzl Carlton R
From the Francis I. Proctor Foundation (Moshirfar), University of California San Francisco, San Francisco, California, the University of New Mexico School of Medicine (McCaughey), Albuquerque, New Mexico, and the John A. Moran Eye Center (Fenzl), University of Utah, Salt Lake City, Utah, USA; the London Vision Clinic (Reinstein), London, United Kingdom; the New Vision Laser Centers (Shah), Vadodara, India; the Ophthalmology Department (Santiago-Caban), University of Puerto Rico School of Medicine Ophthalmology Department, San Juan, Puerto Rico.
From the Francis I. Proctor Foundation (Moshirfar), University of California San Francisco, San Francisco, California, the University of New Mexico School of Medicine (McCaughey), Albuquerque, New Mexico, and the John A. Moran Eye Center (Fenzl), University of Utah, Salt Lake City, Utah, USA; the London Vision Clinic (Reinstein), London, United Kingdom; the New Vision Laser Centers (Shah), Vadodara, India; the Ophthalmology Department (Santiago-Caban), University of Puerto Rico School of Medicine Ophthalmology Department, San Juan, Puerto Rico.
J Cataract Refract Surg. 2015 Mar;41(3):652-65. doi: 10.1016/j.jcrs.2015.02.006.
This review looks at the benefits, limitations, complications, and future applications of the small-incision lenticule extraction procedure. Using the search terms small incision lenticule extraction and femtosecond lenticule extraction, we obtained data from 56 articles (omitting German and Chinese articles) from the PubMed database. Small-incision lenticule extraction has shown efficacy, predictability, and safety that are proportionate to those of laser in situ keratomileusis (LASIK), with the additional benefit that it eliminates flap creation and the attendant risks. The potential advantages of the procedure related to improved biomechanical stability, postoperative inflammation, and dry-eye symptoms have not been fully established. Small-incision lenticule extraction-treated eyes have shown a reduced degree of postoperative corneal denervation and higher-order aberrations and an accelerated rate of corneal nerve convalescence relative to LASIK. Future possibilities related to long-term cryogenic storage of extracted lenticules with eventual reimplantation or donation have been investigated with encouraging preliminary results.
Drs. Reinstein and Shah are consultants to Carl Zeiss Meditec AG. No author has a financial or proprietary interest in any material or method mentioned.
本综述探讨了小切口透镜切除术的益处、局限性、并发症及未来应用。通过使用搜索词“小切口透镜切除术”和“飞秒透镜切除术”，我们从PubMed数据库中获取了56篇文章的数据（不包括德语和中文文章）。小切口透镜切除术已显示出与准分子原位角膜磨镶术（LASIK）相当的疗效、可预测性和安全性，此外还消除了制作角膜瓣及其相关风险。该手术在改善生物力学稳定性、术后炎症和干眼症状方面的潜在优势尚未完全确立。与LASIK相比，接受小切口透镜切除术的眼睛术后角膜去神经化程度和高阶像差降低，角膜神经恢复速度加快。已经对提取的透镜进行长期低温保存并最终重新植入或捐赠的未来可能性进行了研究，初步结果令人鼓舞。
莱因斯坦博士和沙阿博士是卡尔蔡司医疗技术股份公司的顾问。没有作者对文中提及的任何材料或方法拥有财务或专利权益。
