论文部分内容阅读
飞秒激光以其精确度高、安全性好及微创伤的优点已广泛应用于角膜屈光手术、角膜基质环植入手术及白内障手术等眼科领域并日臻成熟。近年来其在穿透角膜移植、板层角膜移植及角膜内皮移植术中已取得积极开展和应用，在实验研究和临床应用方面获得了一定的研究成果。飞秒激光在促进角膜移植手术发展的同时，尚存在适应证范围较窄、疗效不确切、设备昂贵、个性化设计缺乏大数据支撑及智能化的问题，仍需要不断优化改进以保证术后视力、降低术后并发症、简化参数设计、减少消耗成本。本文就飞秒激光在不同角膜移植手术应用的适应证、参数设计、临床效果及存在的局限性进行综述。“,”Femtosecond laser has been widely used in ophthalmology for its high precision, safety and minimal damage to tissues, and now its application in the corneal refractive surgery, corneal stromal ring implantation and cataract surgery has been more mature.In recent years, it has been actively developed and applied in penetrating keratoplasty, anterior lamellar keratoplasty and corneal endothelial transplantation, and some achievements have been obtained in experimental research and clinical application.While femtosecond laser promotes the development of corneal transplantation surgery, there are still some problems such as limited indications, uncertain efficacy, expensive equipment, lack of big data support and intelligence in personalized design.Continuous optimization and improvement are still needed to ensure postoperative vision, reduce postoperative complications, simplify parameter design and reduce consumption costs.In this paper, the indications, parameter design, clinical effect and limitations of femtosecond laser in keratoplasty were reviewed.