屈光手术的最新进展:概述。

Clinical ophthalmology (Auckland, N.Z.) Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI:10.2147/OPTH.S481421
Bharat Gurnani, Kirandeep Kaur
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引用次数: 0

摘要

在创新技术和持续技术进步的推动下,屈光手术在过去几年中取得了长足的进步,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,对生活质量和工作效率造成了影响。对眼部生物力学和视觉光学的深入了解推动了最近的进步,带来了更精确、更有效的治疗方法。LASIK 和 PRK 等传统方法得到了改进,SMILE(小切口皮瓣摘除术)等新手术也被引入,从而扩大了可治疗屈光不正的范围,提高了安全性和可预测性。波前引导的 LASIK 和地形图引导的 PRK 等定制化治疗可根据每位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。飞秒激光在飞秒激光角膜屈光手术(Femto-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确度,降低了手术风险,提高了手术效果。植入式角膜塑形镜(ICL)和角膜交联术(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,这些进步有望进一步改善屈光手术,满足全球人口的视觉需求。
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Recent Advances in Refractive Surgery: An Overview.

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.

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