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[飞秒激光辅助白内障手术的当前价值]

[Current value of femtosecond laser-assisted cataract surgery].

作者信息

Boden Karl Thomas, Szurman P

机构信息

Augenklinik Sulzbach, Knappschaftsklinikum Saar, An der Klinik 10, 66280, Sulzbach/Saar, Deutschland.

Klaus Heimann Eye Research Institute (KHERI), An der Klinik 10, 66280, Sulzbach/Saar, Deutschland.

出版信息

Ophthalmologe. 2020 May;117(5):405-414. doi: 10.1007/s00347-020-01065-x.

Abstract

After more than 10 years of experience with the femtosecond laser in cataract surgery, it can be concluded that the safety profile of femtosecond laser-assisted cataract surgery (FLACS) is comparable to that of conventional cataract surgery. This technique offers the possibility to perform incisions with a precision superior to that of any surgeon in the world, based on the connection of preoperative and intraoperative diagnostics. This results in new possibilities to revolutionize the surgical procedure of cataract surgery and to generate new therapeutic approaches for the treatment of cataracts. The combination of keratotomy for correcting astigmatism, intraocular lenses supported by capsulotomy and individually adapted fragmentation patterns is already a component of a personalized cataract surgery.

摘要

在飞秒激光应用于白内障手术已有10多年经验之后,可以得出结论,飞秒激光辅助白内障手术(FLACS)的安全性与传统白内障手术相当。基于术前和术中诊断的关联,这项技术能够实现比世界上任何外科医生都更高的切口精度。这为彻底改变白内障手术的手术过程以及产生治疗白内障的新方法带来了新的可能性。用于矫正散光的角膜切开术、囊切开术支持的人工晶状体以及个性化的碎裂模式的结合,已经成为个性化白内障手术的一个组成部分。

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