Zhong S T, Zhang Z, Liu X H
The Second Clinical Medical College of Jinan University, Shenzhen Eye Hospital, Shenzhen 518020, China.
Shenzhen Eye Hospital, Jinan University, Shenzhen 518040, China.
Zhonghua Yan Ke Za Zhi. 2024 Feb 11;60(2):200-205. doi: 10.3760/cma.j.cn112142-20231010-00127.
Femtosecond laser-assisted arcuate keratotomy (FSAK) is an effective, long-term stable, and safe surgical procedure for astigmatism correction. Its application in cataract surgery and the correction of astigmatism combined with cataracts is becoming increasingly widespread. Apart from its application in key steps of cataract surgery, both domestic and international research indicates that the introduction of femtosecond laser technology has enhanced the precision of arcuate incisions in keratotomy, reducing the risk of intraoperative or postoperative complications. This has significantly contributed to correcting low to moderate astigmatism in patients undergoing cataract surgery. However, the effectiveness of FSAK relies on obtaining more accurate incision parameters and refining surgical planning. This article provides a comprehensive review of the corrective effects, limitations, and preoperative planning aspects of femtosecond laser-assisted arcuate keratotomy.
飞秒激光辅助弧形角膜切开术(FSAK)是一种矫正散光的有效、长期稳定且安全的手术方法。其在白内障手术以及白内障合并散光矫正中的应用越来越广泛。除了在白内障手术关键步骤中的应用外,国内外研究均表明,飞秒激光技术的引入提高了角膜切开术中弧形切口的精度,降低了术中或术后并发症的风险。这对矫正白内障手术患者的中低度散光有显著帮助。然而,FSAK的有效性依赖于获取更精确的切口参数并优化手术规划。本文对飞秒激光辅助弧形角膜切开术的矫正效果、局限性及术前规划方面进行了全面综述。