山东大学耳鼻喉眼学报 ›› 2021, Vol. 35 ›› Issue (6): 7-12.doi: 10.6040/j.issn.1673-3770.0.2021.328

• 研究进展 • 上一篇    下一篇

全飞秒角膜基质透镜在远视屈光矫正手术中的应用

王力翔1,李莹2,邓应平1   

  1. 1. 四川大学华西医院 眼科, 四川 成都 610041;
    2. 中国医学科学院/北京协和医院 眼科, 北京 100730
  • 发布日期:2021-12-10
  • 通讯作者: 邓应平. E-mail:dyp558@163.com
  • 基金资助:
    四川大学华西医院专职博士后研发基金(2020HXBH044)

The application of corneal stromal lenticules extracted from small incision lenticule extraction surgery for hyperopia correction

WANG Lixiang1,LI Ying2, DENG Yingping1   

  1. 1. Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu 610041, Sichuan, China;
    2. Department of Ophthalmology, Peking Union Medical College Hospital/Chinese Academy of Medical Sciences, Beijing 100730, China
  • Published:2021-12-10

摘要: 随着飞秒激光小切口角膜基质透镜取出术(SMILE)的广泛开展,如何合理应用术中取出的角膜基质透镜材料逐渐成为近年来的研究热点之一。由于角膜基质透镜具有低免疫源性、低病原感染风险及高组织相容性等优点,因而可作为角膜修补、角膜移植及屈光矫正的良好材料。近年来,角膜基质透镜被初步应用于远视的矫正手术之中,相比于传统的“减法”手术具有独特优点,包括减少对自身角膜组织的切削、更强的角膜生物力学特征及更广泛的适应人群,尤其适用于存在角膜过薄、超高度远视等减法手术难以处理的患者。就近年来全飞秒角膜基质透镜在远视矫正中的手术效果及存在的问题展开讨论。

关键词: 角膜基质透镜, 远视矫正, 屈光不正, 角膜屈光手术

Abstract: With the development and extensive application of small incision lenticule extraction(SMILE)surgeries, the possible use of extracted corneal stromal lenticules from patients has recently received increasing attention. Due to their low immunogenicity, low risk of cross-transmission, and high tissue compatibility, corneal stromal lenticules are good materials for corneal repair and transplantation, and refractive power correction. Recently, corneal stromal lenticules have been primarily applied for hyperopia correction. Compared to conventional subtraction surgeries, implantation of corneal stromal lenticules to correct hyperopia has some unique advantages, including reduced corneal tissue ablation, stronger corneal biomechanical properties, and broader indications, making it suitable specifically for hyperopic patients with thin corneas or extremely high hyperopia who are not indicated for subtraction surgeries. This review introduces recent applications of corneal stromal lenticule implantation for hyperopia correction, and discusses the remaining research problems of this surgical approach.

Key words: Corneal stromal lenticule, Hyperopia correction, Ametropia, Corneal refractive surgery

中图分类号: 

  • R779.63
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