天津眼科医院 飞秒激光角膜屈光手术的临床研究进展.pdf

垦区璺挝丛堕!!!!生!旦筮!!鲞笠!塑!堕曼!!QB!尘堂坐!!：』!些：!!!!：!塑：!!：堕!：! ．综述． 飞秒激光角膜屈光手术的临床研究进展 吴文静王雁 【摘要】 目前飞秒激光已广泛应用于激光角膜屈光手术中。激光角膜屈光手术根据飞秒激光 的应用可分为两大类：飞秒激光辅助的准分子激光角膜原位磨镶术(FS．LASIK)以及全飞秒激光角膜 屈光术，即屈光性透镜取出术(ReLEx)。ReLEx又可分为飞秒激光透镜取出术(ReLEx—flex，FLEx)和 飞秒激光小切口透镜取出术(ReLEx—smile，SMILE)。本文回顾了FS—LASIK手术中瓣的侧切角、厚 度、直径、形状等参数的设置，SMILE术中切口大小、位置，以及飞秒激光能量、点间距等参数的最新设 置；并对三种手术的预测性、安全性、有效性，对角膜知觉的影响及其优点和不足进行综述。f国际眼 科纵览，2013，37：205-209) 【关键词】 飞秒激光；屈光性透镜取出术；飞秒激光辅助的准分子激光角膜原位磨镶术；飞秒激 光透镜取出术；飞秒激光小切口透镜取出术 Clinicalresearch ofthe offemtosecondlaserinthelasercornealrefractivesur- progressappncation andI亿ual gery形U KeyLaboratoryof Science，TianjinEye Wen-ying，WANGYan．Tianjin Ophthalmology Medical Institute，TianfinEyeHospital，UinalCollegeofOphthalmology，TianjinUniversity，Tianfin 300020，China author：WANG Corresponding Yan，Email：wangyan7143@口咖．sina．corn laserhas Femtosecondbecome usedinthelaserCOiTlealrefractive 【Abstract】 commonly surgery． The hasbeenclassifiedthe offemtosecondlaserintotwomain femtosecond surgery by application groups，the laserassistedlaserinsitu refractivelenticule all-in— keratomileusis(FS—LASIK)andextraction(ReLEx)or refractive canbedividedintofemtosecondlaserlenticuleextraction onefemtosecondlaser surgery．ReLEx femtosecondsmallincisionlenticule ar- (ReLEx—flex，FLEx)and extraction(ReLEx—smile，SMILE)．This ticlereviewsthenewest of di· flapparametersincludingsidecut，thickness，diameter，shapeFS—LASIK，the ameterand of thelatest intermsof distanceand offemtosecondla— inci