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角膜屈光透镜切除术 - KLEx

Keratorefractive Lenticule Extraction - KLEx.

作者信息

Blum Marcus, Khoramnia Ramin, Sekundo Walter

机构信息

Augenklinik, HELIOS Klinikum Erfurt, Germany.

Augenklinik, Technische Universität Dresden, Germany.

出版信息

Klin Monbl Augenheilkd. 2025 Aug;242(8):795-802. doi: 10.1055/a-2650-7508. Epub 2025 Aug 21.

DOI:10.1055/a-2650-7508
PMID:40840455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12370370/
Abstract

The clinical use of femtosecond lasers has led to significant progress in a number of surgical procedures in ophthalmology. In the field of corneal refractive surgery, a one-step intrastromal laser procedure without a flap has been established for the first time. This review follows the development of this surgical procedure.

摘要

飞秒激光的临床应用已在眼科的一些外科手术中取得了显著进展。在角膜屈光手术领域，首次建立了一种无需制作角膜瓣的一步式基质内激光手术。本综述追踪了该外科手术的发展历程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/e365bf585f60/10-1055-a-2650-7508-i3218kl04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/3328c701f93f/10-1055-a-2650-7508-i3218kl01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/8bcdd2b83506/10-1055-a-2650-7508-i3218kl02aj.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/0c210037d2a5/10-1055-a-2650-7508-i3218kl03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/e365bf585f60/10-1055-a-2650-7508-i3218kl04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/3328c701f93f/10-1055-a-2650-7508-i3218kl01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/8bcdd2b83506/10-1055-a-2650-7508-i3218kl02aj.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/0c210037d2a5/10-1055-a-2650-7508-i3218kl03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/e365bf585f60/10-1055-a-2650-7508-i3218kl04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/3328c701f93f/10-1055-a-2650-7508-i3218kl01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/8bcdd2b83506/10-1055-a-2650-7508-i3218kl02aj.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/0c210037d2a5/10-1055-a-2650-7508-i3218kl03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/e365bf585f60/10-1055-a-2650-7508-i3218kl04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/3328c701f93f/10-1055-a-2650-7508-i3218kl01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/8bcdd2b83506/10-1055-a-2650-7508-i3218kl02aj.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/0c210037d2a5/10-1055-a-2650-7508-i3218kl03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc6/12370370/e365bf585f60/10-1055-a-2650-7508-i3218kl04.jpg

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本文引用的文献

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J Refract Surg. 2025 Mar;41(3):e264-e271. doi: 10.3928/1081597X-20250204-03. Epub 2025 Mar 1.
2
Corneal Stromal Lenticule Rotation for High Astigmatism Correction.角膜基质透镜旋转术用于高度散光矫正
J Refract Surg. 2025 Jan;41(1):e5-e13. doi: 10.3928/1081597X-20241030-02. Epub 2025 Jan 1.
3
Comparison of Clinical Outcomes and Patient Satisfaction Following SMILE Performed With the VisuMax 800 in One Eye and VisuMax 500 in the Contralateral Eye.
在一只眼睛使用VisuMax 800而对侧眼睛使用VisuMax 500进行全飞秒激光微小切口基质透镜切除术（SMILE）后的临床结果与患者满意度比较。
J Refract Surg. 2025 Jan;41(1):e14-e21. doi: 10.3928/1081597X-20241113-02. Epub 2025 Jan 1.
4
Correction of High Astigmatism by Autologous Astigmatic Lenticule Reshaping and Rotation.自体散光晶状体重塑和旋转矫正高度散光。
J Refract Surg. 2024 Aug;40(8):e554-e561. doi: 10.3928/1081597X-20240701-01. Epub 2024 Aug 1.
5
Evaluation of Higher-Order Aberrations After the Smooth Incision Lenticular Keratomileusis (SILK) Procedure Using the ELITA Femtosecond Platform for Correction of Myopic and Astigmatic Refractive Errors.使用ELITA飞秒平台进行平滑切口晶状体角膜磨镶术（SILK）矫正近视和散光屈光不正后高阶像差的评估。
Clin Ophthalmol. 2024 Jul 24;18:2155-2166. doi: 10.2147/OPTH.S466932. eCollection 2024.
6
Safety and Effectiveness of Smooth Incision Lenticular Keratomileusis (SILK) Using the ELITA Femtosecond Laser System for Correction of Myopic and Astigmatic Refractive Errors.使用ELITA飞秒激光系统进行平滑切口晶状体角膜磨镶术（SILK）矫正近视和散光屈光不正的安全性和有效性。
Clin Ophthalmol. 2023 Dec 8;17:3761-3773. doi: 10.2147/OPTH.S432459. eCollection 2023.
7
Scientific nomenclature for keratorefractive lenticule extraction (KLEx) procedures: a joint editorial statement.角膜屈光透镜切除术（KLEx）手术的科学命名：联合编辑声明
J Cataract Refract Surg. 2023 Nov 1;49(11):1085. doi: 10.1097/j.jcrs.0000000000001328.
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First European results of a new refractive lenticular extraction procedure-SmartSight by SCHWIND eye-tech-solutions.新型折射晶状体提取程序 SmartSight 的首个欧洲研究成果-SCHWIND eye-tech-solutions 出品。
Eye (Lond). 2023 Dec;37(18):3768-3775. doi: 10.1038/s41433-023-02601-0. Epub 2023 Jun 5.
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SMILE for Hyperopia With and Without Astigmatism: Results of a Prospective Multicenter 12-Month Study.SMILE 治疗远视伴或不伴散光：一项前瞻性多中心 12 个月研究的结果。
J Refract Surg. 2022 Dec;38(12):760-769. doi: 10.3928/1081597X-20221102-02. Epub 2022 Dec 1.
10
Corneal Lenticule Creation Using a New Solid-State Femtosecond Laser Measured by Spectral Domain OCT in a Porcine Eye Model.新型固态飞秒激光在猪眼模型中经光谱域 OCT 测量的角膜微透镜制作。
Transl Vis Sci Technol. 2022 Jun 1;11(6):20. doi: 10.1167/tvst.11.6.20.