David Kang 病变眼的个性化治疗中文版.pptx

使用1050Hz超高频准分子激光智能脉冲技术辅助的全激光TransPRK开展波前像差优化和角膜像差引导个性化切削的临床结果和术后角膜像差比对Munnerlyn’s 等式经典的球面切削模型非球面切削模型波前像差优化的切削模型 引入术源性球差-补充术源性球差 -增加角膜周边的脉冲切削能量-试图维持角膜原有的Q值-并不去除原有的高阶像差Arbelaez MC, Vidal C, Arba-Mosquera S. Excimer laser correction of moderate to high astigmatism with a non-wavefront guided aberration-free ablation profile: six-month results.J Cataract Refract Surg. 2009;35:1789-1798. Ang RET, Chan WK, Wee TL, Lee HM, Bunnapradist P, Cox I. Efficacy of an aspheric treatment algorithm in decreasing induced spherical aberration after laser in situ keratomileusis.J Cataract Refract Surg. 2009;35:1348-1357. Randleman JB, Perez-Straziota CE, Hu MH, et al. Higher-order aberrations after wavefront-optimized photorefractive keratectomy and laser in situ keratomileusis. J Cataract Refract Surg. 2009;35:260-264. Wavefront Guided Profiles像差引导切削模型 针对每只眼像差不同而设计的个性化切削方案去除原有高阶像差并不引入新的高阶像差减少术后非球面性和球差的改变Bottos KM, Leite MT, Aventura-Isidro M, et al. Corneal asphericity and spherical aberration after refractive surgery. J Cataract Refract Surg. 2011;37:1109-1115.文献中波前像差引导个性化与标准非球面切削术后视力和高阶像差相互矛盾的报道Koller T, Iseli HP, Hafezi F, Mrochen M, Seiler T. Q-factor customized ablation profile for the correction of myopic astigmatism. J Cataract Refract Surg. 2006;32:584-589. Padmanabhan P, Mrochen M, Basuthkar S, Viswanathan D, Joseph R. Wavefront-guided versus wavefront-optimized laser in situ keratomileusis: contralateraL comparative study. J Cataract Refract Surg. 2008;34:389-397. Stonecipher KG, Kezirian GM. Wavefront-optimized versus wavefront-guided LASIK for myopic astigmatism with the ALLEGRETTO WAVE: three-month results of a prospective FDA trial.J Refract Surg. 2008;24:S424-S431. Perez-Straziota CE, Randleman JB, Stulting RD. Visual acuity and higher-order aberrations with wavefront-guided and wavefront-optimized laser in situ keratomileusis. J Cataract Refract Surg. 2010;36:437-441. Miraftab M, Seyedian M, Hashemi H. Wavefront-guided vs Wavefront-optimized LASIK: randomized cl