眼科学报2024，Vol.39Issue(5)：266-274,9.DOI:10.12419/24062403
角膜屈光手术对角膜生物力学影响的研究进展
Research progress on the effect of corneal refractive surgery on corneal biomechanics
包刀知漫 1燕振国 2王钰焕 1江媛媛 1丁建1
作者信息
- 1. 甘肃中医药大学第一临床医学院,甘肃省人民医院,兰州 730000
- 2. 甘肃中医药大学附属兰州华夏眼科医院,兰州 730000
- 折叠
摘要
Abstract
Corneal refractive surgery is currently main stream of refractive surgery.With the development of femtosecond and laser surgery,the surgery has become safer and more accurate,resulting in less corneal trauma and a shorter postoperative recovery time.In recent years,biomechanics research has rapidly progressed,and its clinical application has gradually increased.The cornea not only possesses refractive properties but also exhibits typical biological softtissue mechanical properties.Corneal mechanical properties not only play a role in maintaining corneal morphology but also influence the outcome and prognosis of corneal surgery,especially refractive surgery,and are closely related to the occurrence and development of some corneal diseases.Corneal refractive surgery involves cutting the cornea according to the patient's diopter,which disrupts the integrity of the cornea and inevitably affects its biomechanical stability.Changes in corneal biomechanics are associated with various factors,such as preoperative corneal morphology,the selection of different surgical methods,and postoperative changes in corneal thickness.However,the self-morphology changes caused by surgery are irreversible.If the postoperative changes in corneal biomechanics are significant,it may lead to complications such as postoperative corneal dilation and secondary keratoconus.To avoid postoperative iatrogenic corneal dilation and guide personalized surgical choice,it is crucial to understand the limits of influence of corneal biomechanical properties.This article reviews the research progress regarding corneal biomechanical properties and changes associated with corneal refractive surgery.关键词
角膜屈光手术/角膜生物力学/眼反应分析仪/可视化角膜生物力学分析仪Key words
corneal refractive surgery/corneal biomechanics/ocular response analyzer/corneal visualization scheimpflug technology分类
社会科学引用本文复制引用
包刀知漫,燕振国,王钰焕,江媛媛,丁建..角膜屈光手术对角膜生物力学影响的研究进展[J].眼科学报,2024,39(5):266-274,9.
