准分子激光表层切削术的最新进展与临床应用

doi:10.6040/j.issn.1673-3770.1.2020.011

摘要/Abstract

摘要： 激光角膜屈光手术广泛开展,准分子激光角膜表层切削术是主要的方式之一,其种类包括准分子激光角膜切削术(PRK)、准分子激光上皮瓣下角膜磨镶术(LASEK)、机械法准分子激光上皮瓣下角膜磨镶术(Epi-LASIK)、经上皮准分子激光角膜切削术(TransPRK)和激光治疗性角膜切削术(PTK)。主要用于矫正各种屈光不正和角膜疾病。从刮除上皮的PRK、乙醇浸泡的LASEK、微型角膜上皮刀的Epi-LASIK到激光消融角膜上皮的TransPRK,均无角膜瓣相关的并发症,角膜损伤小、术后疼痛轻、术后视觉质量好。就目前术式选择、临床应用及准分子激光表层切削术的最新进展等进行综述。

关键词: 屈光不正, 屈光手术, 准分子激光, 角膜, 表层切削术

Abstract: Laser corneal refractive surgery is widely performed, and corneal surface excimer laser ablation surgery is one of the main surgical options. Corneal surface excimer laser ablation surgery includes: photorefractive keratectomy(PRK), laser-assisted subepithelial keratomileusis(LASEK), epipolis laser-assisted in situ keratomileusis(Epi-LASIK), transepithelial photorefractive keratectomy(TransPRK), and phototherapeutic keratectomy(PTK). It is mainly used to correct various refractive errors and corneal disorders. From epithelium-off PRK, alcohol soaking assistant LASEK, microkeratome-associated Epi-LASIK, to laser ablation corneal epithelial TransPRK, all of the procedures have no flap-related complications and they are of less corneal injury, painess and betrer visual quality after surgery. This review summarized the choice of current commonly used surgical options, clinical applications, and recent advances in excimer laser surface ablation surgery.

Key words: Refractive error, Refractive surgery, Excimer laser, Cornea, Surface ablation surgery

中图分类号:

R779.6

朴俊杰,李莹. 准分子激光表层切削术的最新进展与临床应用[J]. 山东大学耳鼻喉眼学报, 2020, 34(2): 79-84.

PIAO JunjieOverview,LI YingGuidance. Recent advances and clinical applications in excimer laser surface ablation surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 79-84.

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