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中华眼科医学杂志(电子版) ›› 2021, Vol. 11 ›› Issue (04) : 247 -251. doi: 10.3877/cma.j.issn.2095-2007.2021.04.010

综述

飞秒激光小切口角膜基质透镜取出术适应证、禁忌证及术式优劣势的研究进展
尹奕秀1, 刘新泉1,†()   
  1. 1. 200032　上海中医药大学附属龙华医院眼科
  • 收稿日期:2020-12-29 出版日期:2021-08-28
  • 通信作者: 刘新泉
  • 基金资助:
    国家中医药管理局中医药循证能力建设项目(2019XZZX-YK011)

Advance on indications, contraindications, advantages and disadvantages of small incision corneal stromal lens extraction

Yixiu Yin1, Xinquan Liu1,†()   

  1. 1. Department of Ophthalmology, Longhua Hospital affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
  • Received:2020-12-29 Published:2021-08-28
  • Corresponding author: Xinquan Liu
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尹奕秀, 刘新泉. 飞秒激光小切口角膜基质透镜取出术适应证、禁忌证及术式优劣势的研究进展[J]. 中华眼科医学杂志(电子版), 2021, 11(04): 247-251.

Yixiu Yin, Xinquan Liu. Advance on indications, contraindications, advantages and disadvantages of small incision corneal stromal lens extraction[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2021, 11(04): 247-251.

飞秒激光小切口角膜基质透镜取出术(SMILE)是当前最先进的角膜屈光手术。它的有效性、精准性和安全性推动着近视屈光手术迈上一个新台阶。SMILE无需制瓣，微创，具有术后角膜反应轻、切口愈合快、视觉质量理想及并发症少且轻等特点。然而，SMLIE也有特有的适应证、禁忌证、并发症、二次手术受限、操作难度高及价格昂贵等劣势。本文中笔者就SMILE的适应证、禁忌证及术式优劣势的研究现状进行综述。

关键词: 飞秒激光, 小切口角膜基质透镜取出术, 适应证, 禁忌证, 优势, 劣势

Small incision corneal stromal lens extraction (SMILE) is the most advanced corneal refractive surgery at present. Its effectiveness, precision and safety make myopia correction work step up to a new level again. There is no need for flap making and minimally invasive surgery for SMILE; its postoperative corneal reaction is light, the incision healing is fast, the visual quality is ideal, and the complication is few but light. However, SMLIE also has some limitations, such as specific indications, contraindications, and complications for surgery, limited secondary surgery, high operation difficulty, and high price. In this paper, the research progress of indications, contraindications, the advantages and disadvantages for femtosecond laser SMILE were reviewed.

Key words: Femtosecond laser, Small incision corneal stromal lens extraction, Indications, Contraindications, Advantages, Disadvantages
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