随着角膜屈光手术进入个性化角膜屈光手术时代,可供术者或患者选择的手术方式也越来越多,如:SMILE、FS-LASIK、角膜表层手术等,然而角膜地形图引导的个性化角膜消融手术(topography-guided custom ablation treatment,T-CAT)在消除角膜不规则散光、降低角膜高阶像差上具有独特优势,现已成为当今个性化角膜屈光手术最主流的手术方式。
T-CAT手术设计是该手术的“核心”,尽管目前有多种手术设计方案可供临床选择,如FDA法[1] 、TMR法[2]以及LYRA法[3]等等,但最终选用依据显然验光主观感受的手术设计方案,还是采用术眼角膜地形图检查推算的客观数据,一直备受争论。为解决这一问题,白继教授团队经过大量的临床实践,创新性提出将患者主观感知与客观检查相融合的(Mutual comparativeanalysis)MCA法,该方法的安全性、准确性、可预测性以及稳定性均得到临床验证,相关研究成果于近期在国际知名眼科杂志Eye and Vsion公开发表。
原文链接:
https://eandv.biomedcentral.com/articles/10.1186/s40662-020-00201-7
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1.Summary of Safety and Effectiveness Data[SSED]. Available from:http://www.accessdata.fda.gov/cdrh_docs/pdf2/P020050S012b.pdf.
2.Kanellopoulos AJ. Topography-modifiedrefraction (TMR): adjustment of treated cylinder amount and axis to thetopography versus standard clinical refraction in myopic topography-guidedLASIK. Clin Ophthalmol. 2016;10:2213-21.
3. Motwani M. The use of WaveLight ® ((R))Contoura to create a uniform cornea: the LYRA Protocol. Part 3: the results of50 treated eyes. Clin Ophthalmol. 2017;11:915-21.