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[角膜屈光手术发展中的问题与挑战]

[Problems and challenges in the development of corneal refractive surgery].

作者信息

Wang Y, Li J

机构信息

Tianjin Eye Hospital and Institute, Clinical College of Ophthalmology of Tianjin Medical University, Tianjin Key Laboratory of Ophthalmology and Vision Science, Tianjin 300020, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2018 Jan 11;54(1):3-6. doi: 10.3760/cma.j.issn.0412-4081.2018.01.002.

DOI:10.3760/cma.j.issn.0412-4081.2018.01.002
PMID:29429282
Abstract

Corneal refractive surgery, as one of the common visual correction methods, has been increasingly accepted in China. There are a large number of people in China who undergo the corneal refractive surgery due to the high incidence of myopia in the country. It is essential that the safest and most effective surgery should be used to correct refractive errors in the cases involved with relatively normal eyes and corneas. In recent years, corneal refractive surgery has been rapidly developing with new technologies and techniques emerging all the time, such as SMILE (small incision lenticule extraction) surgery, which has been extensively applied in China since five years ago when it was approved by FDA. However, little known are these new technologies and techniques, and the clinical and basic researches need further investigations by various approaches including histopathology and molecular biology, combined with mathematics, computer science, physics, chemistry and corneal biomechanics. To achieve minimal tissue damage and optimal clinical outcomes on visual quality by corneal refractive surgery requires the multidisciplinary partnerships of medical practitioners and researchers. .

摘要

角膜屈光手术作为常见的视力矫正方法之一,在中国已越来越被接受。由于中国近视发病率高,有大量人群接受角膜屈光手术。对于眼睛和角膜相对正常的病例,使用最安全、最有效的手术来矫正屈光不正至关重要。近年来,角膜屈光手术发展迅速,新技术和新术式不断涌现,如全飞秒激光微小切口基质透镜切除术(SMILE),自五年前获美国食品药品监督管理局(FDA)批准后已在中国广泛应用。然而,这些新技术和新术式鲜为人知,临床和基础研究需要通过组织病理学、分子生物学等多种方法,并结合数学、计算机科学、物理学、化学以及角膜生物力学进行进一步研究。要通过角膜屈光手术实现最小的组织损伤和最佳的视觉质量临床效果,需要医学从业者和研究人员的多学科合作。

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2
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