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中华眼科医学杂志(电子版)

中华眼科医学杂志(电子版) ›› 2026, Vol. 16 ›› Issue (03) : 129 -133. doi: 10.3877/cma.j.issn.2095-2007.2026.03.001

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了解飞秒激光辅助白内障手术的应用现状与挑战
孙楚桓1, 穆建成1, 杨宁1, 郭婉月1, 彭柏森1, 邓立行1, 项俊涵1, 李学民2, 范玮1,†()   
  1. 1610041　成都，四川大学华西医院眼科
    2100191　北京大学第三医院眼科
  • 收稿日期:2026-02-03 出版日期:2026-06-28
  • 通信作者: 范玮
  • 基金资助:
    北京市自然科学基金项目(L254043)

Understand the current application status and challenges of femtosecond laser assisted cataract surgery

Chuhuan Sun1, Jiancheng Mu1, Ning Yang1, Wanyue Guo1, Bosen Peng1, Lixing Deng1, Junhan Xiang1, Xuemin Li2, Wei Fan1,†()   

  1. 1Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu 610041, China
    2Department of Ophthalmology, Peking University Third Hospital, Beijing 100191, China
  • Received:2026-02-03 Published:2026-06-28
  • Corresponding author: Wei Fan
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孙楚桓, 穆建成, 杨宁, 郭婉月, 彭柏森, 邓立行, 项俊涵, 李学民, 范玮. 了解飞秒激光辅助白内障手术的应用现状与挑战[J/OL]. 中华眼科医学杂志(电子版), 2026, 16(03): 129-133.

Chuhuan Sun, Jiancheng Mu, Ning Yang, Wanyue Guo, Bosen Peng, Lixing Deng, Junhan Xiang, Xuemin Li, Wei Fan. Understand the current application status and challenges of femtosecond laser assisted cataract surgery[J/OL]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2026, 16(03): 129-133.

飞秒激光辅助白内障手术(FLACS)自临床应用以来，因其在撕囊、碎核及角膜切口等关键步骤中具有高度精确性和可重复性而受到广泛关注。相较于传统超声乳化白内障手术，FLACS在提高复杂病例的安全可控性和视觉结局精准性方面存在优势，这符合白内障手术向精准化、屈光化的发展方向。然而，它在成本效益、手术效率及推广限制方面仍受制约。本文中笔者梳理FLACS的技术原理和发展现状，分析其在手术能量控制、角膜内皮保护以及复杂和特殊类型白内障手术中的应用价值，汇总既往FLACS在视觉与屈光结局、并发症发生率及时间效率等研究结果，结论为FLACS与传统超声乳化手术在常规白内障手术的最终视功能结局方面基本相近。但在部分复杂病例以及特定手术环节中FLACS具有潜在优势。

关键词: 飞秒激光白内障手术, 超声乳化白内障吸除术, 人工晶状体植入术, 角膜内皮, 视觉质量, 并发症

Since its clinical application, femtosecond laser assisted cataract surgery (FLACS) has received widespread attention due to its high precision and repeatability in key steps such as capsulotomy, nucleus fragmentation, and corneal incision. Compared to the conventional phacoemulsification surgery, FLACS has advantages in improving the safety, controllability, and visual outcome accuracy of complex cases, which is in line with the development direction of cataract surgery towards precision and refraction. However, it is still constrained in terms of cost-effectiveness, surgical efficiency, and promotion limitations. The technical principles and development status of FLACS were summarized, its application value in surgical energy control, corneal endothelial protection, and complex and special types of cataract surgery were analyzed, the previous research results on FLACS in visual and refractive outcomes, incidence of complications, and time efficiency were summarized, and conclusions that FLACS and traditional phacoemulsification surgery have similar final visual function outcomes in the conventional phacoemulsification surgery were made. However, FLACS has potential advantages in some complex cases and specific surgical procedures.

Key words: Femtosecond laser-assisted cataract surgery, phacoemulsification, Intraocular lens implantation, corneal endothelium, Visual quality, Complications
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