Mirshahi Alireza, Latz Catharina
Augenklinik Dardenne, Friedrich-Ebert-Str. 23-25, 53177, Bonn, Deutschland.
Ophthalmologe. 2020 May;117(5):415-423. doi: 10.1007/s00347-020-01058-w.
For more than 100 years keratotomy has been in the focus of ophthalmology as a treatment option for correction of astigmatism. Femtosecond laser technology provides a new level of precision, standardization and control as well as completely new options, such as purely intrastromal incisions.
The current literature is summarized with respect to femtosecond laser-assisted astigmatic keratotomy (FSAK) in combination with cataract surgery, where less astigmatic correction is necessary as well as after corneal surgery, such as perforating keratoplasty, where higher astigmatic errors need to be corrected.
The FSAK provides a safe treatment option for both scenarios although larger studies with longer follow-up are needed to improve currently available nomograms.
100多年来，角膜切开术一直是眼科领域矫正散光的治疗选择焦点。飞秒激光技术提供了新的精准度、标准化和控制水平，以及全新的选择，如纯粹的基质内切口。
总结了当前关于飞秒激光辅助散光性角膜切开术（FSAK）与白内障手术联合应用的文献，在白内障手术中需要较少的散光矫正，以及在角膜手术如穿透性角膜移植术后，需要矫正较高的散光误差。
FSAK为这两种情况都提供了一种安全的治疗选择，尽管需要进行更大规模、更长随访时间的研究来改进目前可用的列线图。
