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屈光手术的最新进展:综述

Recent Advances in Refractive Surgery: An Overview.

作者信息

Gurnani Bharat, Kaur Kirandeep

机构信息

Department of Cataract, Cornea and Refractive Surgery, Gomabai Netralaya and Research Centre, Neemuch, Madhya Pradesh, India.

Department of Cataract, Pediatric Ophthalmology and Strabismus, Gomabai Netralaya and Research Centre, Neemuch, Madhya Pradesh, India.

出版信息

Clin Ophthalmol. 2024 Sep 2;18:2467-2472. doi: 10.2147/OPTH.S481421. eCollection 2024.

Abstract

Refractive surgery has experienced substantial advancements over the past few years, driven by innovative techniques and continuous technological progress aimed at enhancing visual outcomes and patient satisfaction. Refractive errors such as myopia, hyperopia, and astigmatism affect a significant portion of the global population, impacting quality of life and productivity. Recent advancements have been fueled by a deeper understanding of ocular biomechanics and visual optics, leading to more precise and effective treatments. Traditional methods such as LASIK and PRK have been refined, and new procedures like SMILE (Small Incision Lenticule Extraction) have been introduced, expanding the range of treatable refractive errors and improving safety and predictability. Customized treatments, such as wavefront-guided LASIK and topography-guided PRK, allow for individualized plans tailored to each patient's unique corneal characteristics, enhancing visual acuity and reducing higher-order aberrations. The use of femtosecond lasers in procedures like Femto-LASIK and femtosecond laser-assisted cataract surgery (FLACS) offers unparalleled precision, reducing surgical risks and improving outcomes. Implantable Collamer Lenses (ICLs) and corneal crosslinking (CXL) have emerged as effective options for specific patient groups. Advanced diagnostic tools like optical coherence tomography (OCT) and Scheimpflug imaging have improved surgical planning and complication management. As research and technology continue to evolve, these advancements promise even greater improvements in refractive surgery, addressing the visual needs of the global population.

摘要

在过去几年中,屈光手术取得了显著进展,这得益于创新技术和持续的技术进步,旨在提高视觉效果和患者满意度。近视、远视和散光等屈光不正影响着全球很大一部分人口,对生活质量和生产力产生影响。对眼生物力学和视觉光学的更深入理解推动了最近的进展,从而带来了更精确、有效的治疗方法。传统方法如LASIK和PRK得到了改进,像SMILE(小切口基质透镜切除术)这样的新手术也已引入,扩大了可治疗的屈光不正范围,提高了安全性和可预测性。定制治疗,如波前引导的LASIK和地形图引导的PRK,允许根据每个患者独特的角膜特征制定个性化方案,提高视力并减少高阶像差。飞秒激光在飞秒LASIK和飞秒激光辅助白内障手术(FLACS)等手术中的应用提供了无与伦比的精度,降低了手术风险并改善了手术效果。可植入式Collamer晶状体(ICL)和角膜交联(CXL)已成为特定患者群体的有效选择。光学相干断层扫描(OCT)和Scheimpflug成像等先进诊断工具改善了手术规划和并发症管理。随着研究和技术的不断发展,这些进展有望在屈光手术中带来更大的改善,满足全球人口的视觉需求。

相似文献

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Recent Advances in Refractive Surgery: An Overview.屈光手术的最新进展:综述
Clin Ophthalmol. 2024 Sep 2;18:2467-2472. doi: 10.2147/OPTH.S481421. eCollection 2024.

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Refractive error and vision related quality of life.屈光不正与视觉相关生活质量。
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