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ENGLISH ABSTRACT
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
作者及单位信息
·
DOI： 10.3760/cma.j.issn.1673-5803.2022.06.004
Refractive stability and the effectiveness of visual quality after corneal refractive surgery
Han Yu
Zhang Fengju
Authors Info & Affiliations
Han Yu
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100730, China
Zhang Fengju
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100730, China
·
DOI： 10.3760/cma.j.issn.1673-5803.2022.06.004
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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)

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)

femtosecond laser assisted laser in situkeratomileusis;small incision lenticule extraction;stability;visual quality
Zhang Fengju, Email: mocdef.6ab21621jfgnahz
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引用本文

韩钰,张丰菊. 角膜屈光术后屈光稳定性及视觉质量效果评价[J]. 国际眼科纵览,2022,46(06)：497-501.

DOI:10.3760/cma.j.issn.1673-5803.2022.06.004

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除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。

我国是角膜屈光手术开展最为广泛的国家之一，随着人民生活质量的提高和对高视觉质量的需求，手术人数仍不断增加[ 1 , 2 ]。目前飞秒激光辅助的准分子激光原位角膜磨镶术(femtosecond laser assisted 1aser in situkeratomileusis，FS－LASIK)和飞秒激光小切口基质透镜取出术(small incision lenticule extraction，SMILE)是主流的两种角膜屈光手术方式，其有效性、安全性和可预测性也得到研究证实[ 3 , 4 , 5 ]。然而在临床上有不少患者，即使获得了较好视力仍有视觉疲劳、光学干扰等抱怨，仅以视力评价角膜屈光手术效果忽略了患者的主观感受及客观生物物理表现是远远不够的。屈光手术不仅应为患者带来视力提升，更应着眼于提高术后视觉质量，后者可以更综合地反应成像质量、光学干扰大小等，也是评价屈光手术的综合指标，临床医生应提高对术后视觉质量的认识，在保证手术安全性的前提下，为患者带来清晰、舒适的视觉质量，提升患者的满意度和提高生活质量[ 6 ]。
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备注信息
A
张丰菊，Email：mocdef.6ab21621jfgnahz
B
所有作者均声明不存在利益冲突
C
首都临床诊疗技术研究及转化应用 (Z201100005520043)
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