Dick H Burkhard, Schultz Tim
University Eye Hospital, In der Schornau 23-25, 44892, Bochum, Germany.
Ophthalmol Ther. 2017 Jun;6(1):7-18. doi: 10.1007/s40123-017-0080-z. Epub 2017 Feb 10.
The use of femtosecond laser surgery improves the precision and reproducibility of corneal incisions and the capsular opening; it also reduces the amount of ultrasound energy required for lens nucleus work-up. The rate of complications reported so far appears to be low. There are a number of contraindications such as a history of cornea and/or glaucoma surgery and certain anatomical features like deep-set eyes, kyphosis, tremor, and obesity. Visual recovery and refractive results of both techniques are excellent. Comparing laser cataract surgery (LCS) with manual cataract surgery (conventional phacoemulsification) based on meta-analysis currently reveals slight differences in refractive and visual outcome. Both methods are extremely successful and safe. LCS is a technique still on the rise, with its full potential not yet tapped.
飞秒激光手术的应用提高了角膜切口和囊膜切开的精度及可重复性；它还减少了晶状体核处理所需的超声能量。目前报道的并发症发生率似乎较低。存在一些禁忌症，如角膜和/或青光眼手术史以及某些解剖特征，如深陷眼、脊柱后凸、震颤和肥胖。两种技术的视力恢复和屈光结果都很好。基于荟萃分析将激光白内障手术（LCS）与手动白内障手术（传统超声乳化术）进行比较，目前在屈光和视觉结果方面显示出细微差异。两种方法都极其成功且安全。LCS是一种仍在兴起的技术，其全部潜力尚未得到挖掘。
