眼科 ›› 2025, Vol. 34 ›› Issue (4): 294-301.doi: 10.13281/j.cnki.issn.1004-4469.2025.04.008

• 论著 • 上一篇    下一篇

基于文献计量学的激光角膜屈光手术演进趋势及热点分析

温水茜  曹开伟  李景超  李崇义  刘莛   

  1. 解放军陆军特色医学中心(大坪医院)眼科,重庆400042
  • 收稿日期:2025-03-14 出版日期:2025-07-25 发布日期:2025-07-13
  • 通讯作者: 刘莛,Email:tingliu1597@126.com
  • 基金资助:
    重庆市中青年医学高端人才项目(YXGD202412);重庆市临床重点专科建设项目(渝财社2023-47号)

Evolution trends and hotspots in international laser corneal refractive surgery based on bibliometrics

Wen Shuiqian, Cao Kaiwei, Li Jingchao, Li Chongyi, Liu Ting   

  1. Department of Ophthalmology, Army Medical Center of PLA (Daping Hospital), Chongqing 400042, China
  • Received:2025-03-14 Online:2025-07-25 Published:2025-07-13
  • Contact: Liu Ting, Email: tingliu1597@126.com
  • Supported by:
     Chongqing High-End Medical Talents Project for Middle-Aged and Young People (YXGD202412); Chongqing Key Clinical Specialties Construction Project (YuCaiShe 2023-47)

摘要:  目的  了解国际激光角膜屈光手术的研究现状,探讨研究热点和该领域的发展演进趋势。设计  文献计量学。研究对象  以Web of Science核心合集作为数据来源,检索1999-2024年激光角膜屈光手术相关的期刊论文。方法  数据去重后,对发表时间、发文机构、作者、期刊来源、关键词等进行规范化处理和文献计量学分析,采用VOSviewer、CiteSpace和Bibliometrix R软件包绘制可视化分析图谱。主要指标  发文量、作者、发表期刊及国家和地区、机构的分布,关键词主题地图,热点趋势。结果  最终纳入12171篇文献,国际激光角膜屈光手术发文量以线性的趋势逐年递增,美国(2626篇)、中国(2239篇)及一些欧洲国家发表了全球激光角膜屈光手术领域的绝大多数论文。近年来我国学术影响力逐渐提升,其中复旦大学周行涛团队在该领域发文(145篇)居国内领先水平。《Journal of Cataract and Refractive Surgery》(被引52177次)、《Ophthalmology》(被引22217次)是该领域的重要期刊。准分子激光原位角膜磨镶术(LASIK)、准分子激光屈光性角膜切削术(PRK)、飞秒激光(femtosecond laser)、飞秒激光小切口角膜基质透镜取出(SMILE)是该领域的核心及学术热点,其中,LASIK总体出现频率最高(1446/5794,24.96%),SMILE近5年的出现频率最大(505/745,67.79%)。结论  近25年来,全球激光角膜屈光手术稳步发展,总体呈上升趋势,未来研究主要集中在术后并发症治疗、视觉质量的提升及人工智能深度学习等方面,总体上SMILE手术在当前领域较新,而LASIK手术更为成熟和普及。

关键词: 激光角膜屈光手术, 文献计量学

Abstract: Objective  To understand the current research status of international laser corneal refractive surgery, and explore research hotspots and developmental trends in this field. Design  Bibliometrics. Participants  Journal articles related to laser corneal refractive surgery from 1999 to 2024, retrieved from the Web of Science Core Collection as the data source. Methods  After data deduplication, standardized processing and bibliometric analysis were conducted on publication time, institutions, authors, journal sources, keywords, etc. Visualization analysis maps were generated using VOSviewer, CiteSpace, and the Bibliometrix R package. Main Outcome Measures  Publication volume, authors, distribution of journals, countries/regions, and institutions, keyword thematic maps, hotspot trends. Results  A total of 12,171 articles were included. The publication volume of international laser corneal refractive surgery showed a linear increasing trend year by year. The United States(2626 articles), China(2239 articles), and several European countries contributed the majority of global publications in this field. In recent years, China's academic influence has gradually increased, with Zhou Xingtao's team (145 articles) from Fudan University leading domestic research in this area. Journal of Cataract and Refractive Surgery (cited 52177 times) and Ophthalmology (cited 22217 times) are key journals in this field. Laser-assisted in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), femtosecond laser, and small incision lenticule extraction (SMILE) are core topics and academic hotspots in laser corneal refractive surgery. Among them, the term “LASIK” has the highest overall frequency of occurrence (1446 out of 5794, 24.96%), while the term “SMILE” has the largest proportion of occurrences in the past five years (505 out of 745, 67.79%). Conclusion  Over the past 25 years, global laser corneal refractive surgery has developed steadily, showing an overall upward trend. Future research trends are expected to focus on the treatment of postoperative complications, improvement of visual quality, and the application of artificial intelligence and deep learning. Overall, the SMILE procedure is relatively newer in the field, while the LASIK procedure is more mature and widely adopted. 

Key words: Laser corneal refractive surgery, Bibliometrics