国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (6): 497-501.doi: 10.3760/ cma.j.issn.1673-5803.2022.06.004

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角膜屈光术后屈光稳定性及视觉质量效果评价

韩钰  张丰菊   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室 100730
  • 收稿日期:2022-05-12 出版日期:2022-12-22 发布日期:2022-12-22
  • 通讯作者: 张丰菊,Email:zhangfj126@126.com
  • 基金资助:
    首都临床诊疗技术研究及转化应用(Z201100005520043)

Refractive stability and the effectiveness of visual quality after corneal refractive surgery

Han Yu, Zhang Fengju   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University;  Beijing Key Laboratory of Ophthalmology & Visual Sciences,   Beijing 100730, China
  • Received:2022-05-12 Online:2022-12-22 Published:2022-12-22
  • Contact: Zhang Fengju, Email: zhangfj126@126.com
  • Supported by:
    Research and Transformation Application of Capital Clinical Diagnosis and Treatment Technology by Beijing Municipal Commission of Science and Technology (Z201100005520043)

摘要: 飞秒激光辅助的准分子激光原位角膜磨镶术(FS-LASIK)和飞秒激光小切口基质透镜取出术(SMILE)是目前主流的两种角膜屈光手术,已经过大量临床研究显示出满意的效果。FS-LASIK和SMILE两种手术相比,术后短期裸眼及矫正远视力方面均表现良好,其安全指数、有效指数、可预测性在不同研究中略有差别;在客观视觉质量方面,更多研究显示SMILE较FS-LASIK术后引入了更小的像差,且在调制传递函数和散射指数方面表现更好;而术后远期的屈光稳定性和视觉质量仍需更多的临床研究。(国际眼科纵览,2022, 46: 497-501)

关键词: 飞秒激光辅助的准分子激光原位角膜磨镶术, 飞秒激光小切口基质透镜取出术, 稳定性, 视觉质量

Abstract: Femtosecond laser assisted laser in situkeratomileusis (FS-LASIK) and small incision lenticule extraction (SMILE) are becoming more spread and accepted. Abundant clinical data showed these two kinds of surgeries show satisfactory results. The short-term postoperative uncorrected and best corrected distance visual acuity show good results. In various studies, the safety and efficacy index and the predictability show slight differences in FS-LASIK and SMILE procedures. In terms of objective visual quality, SMILE induces less aberrations and presents better modulation transfer function and scattering index than FS-LASIK. More research about long-term postoperative stability and optical quality are required for clinical work. (Int Rev Ophthalmol, 2022, 46: 497-501)

Key words: femtosecond laser assisted laser in situkeratomileusis, small incision lenticule extraction, stability, visual quality