Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA.
Department of Ophthalmology, Ruhr University Eye Clinic, Bochum, Germany.
Surv Ophthalmol. 2016 Mar-Apr;61(2):103-31. doi: 10.1016/j.survophthal.2015.09.002. Epub 2015 Sep 26.
Femtosecond laser-assisted cataract surgery (FLACS) putatively offers several advantages over conventional phacoemulsification. We review the current status of FLACS and discuss the evolution of femtosecond lasers in cataract surgery and the currently available femtosecond laser platforms. We summarize the outcomes of FLACS for corneal wound creation, limbal relaxing incisions, capsulotomy, and lens fragmentation. We discuss surgical planning, preoperative considerations, clinical experiences including the learning curve and postoperative outcomes with FLACS, and also the cost effectiveness of FLACS. We present the intraoperative complications and management of challenging cases where FLACS offers an advantage and also speculate on the future directions with FLACS. Further advancements in laser technology to refine its efficacy, advancement in intraocular lens design to harness the potential benefits of FLACS, and a reduction in cost are needed to establish a clear superiority over conventional phacoemulsification.
飞秒激光辅助白内障手术（FLACS）据称相对于传统的超声乳化术具有多项优势。我们将回顾 FLACS 的现状，讨论飞秒激光在白内障手术中的发展以及目前可用的飞秒激光平台。我们总结了 FLACS 在角膜切口、缘松解切口、囊切开和晶状体碎块方面的结果。我们讨论了手术计划、术前考虑、包括学习曲线和术后结果在内的临床经验，以及 FLACS 的成本效益。我们介绍了术中并发症和具有挑战性病例的处理，在这些病例中，FLACS 具有优势，并推测了 FLACS 的未来发展方向。需要进一步改进激光技术以提高其疗效，改进人工晶状体设计以利用 FLACS 的潜在优势，以及降低成本，才能确立其相对于传统超声乳化术的明显优势。
