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

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

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。

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.