应当客观评价飞秒激光在白内障摘除手术中的应用

摘要

Femtosecond laser-assisted cataract surgery (FLACS) is a novel technology and the biggest revolution in the field of cataract in the latest several years.However,increasing large-scale population randomized controlled trials (RCT) have demonstrated that FLACS does not provide significant advantages over conventional phacoemulsification cataract surgery (CPCS) for common cataract patients.Furthermore,the cost and space requirement of the femtosecond equipment are another two limitations for the universal application of FSL in cataract surgery.However,FLACS may be beneficial for complex cataract situations,such as lens dislocation,zonular laxity,traumatic cataract,low preoperative endothelial cell values,and significant corneal astigmatism.With the progress of science and technology,FLACS can be expected to achieve integration with phacoemulsification systems,and equipment costs can be reduced,making it more widely used in clinical practice in the future.%近年来飞秒激光辅助的超声乳化白内障吸除手术作为一种新颖的白内障摘除手术方式,已受到越来越多的关注,甚至被誉为白内障领域近几年的最大进展.然而,越来越多的大样本随机对照临床试验研究显示,飞秒激光辅助的白内障摘除手术在一般白内障人群中与传统超声乳化白内障吸除手术相比,并无显著优越性,而在晶状体脱位、悬韧带松弛、外伤性白内障、角膜内皮病变、角膜散光大等特殊的复杂白内障病例中具有较大优势.随着科学技术的不断进步,期待飞秒激光系统能与超声乳化系统实现一体化,且设备费用成本能有所降低,使其在临床上得到更为广泛的应用.