准分子激光器和多焦点角膜消融
Alarcón et al evaluated different theoretical models of a multifocal cornea for the correction of presbyopia by laser ablation using ray tracings. Because the pupil’s size decreases with accommodation, the investigators preferred the central model to obtain optimal multifocality with the achievement of a 2.4-mm central zone diameter to the peripheral model with a 2.9-mm central zone. It should be noted that, although near vision is better, the quality of distance vision provided by these models is worse than that of a presbyopic emmetropic eye.
In a clinical trial conducted over 12-months showed results of aspheric wavefrontguided LASIK to treat hyperopic presbyopia. They treated 66 eyes of 33 patients using the Visx Star S4 IR (Abbott Medical Optics Inc.). Six months postoperatively, mean corrected distance visual acuity was 20/20+1, and distance corrected near visual acuity was 2.7 ±1.7, with a maximum of a 6-line improvement in near vision. At 12 months, 100{0730eed075b45d9e50c00d6cd42dd08773e0164f29a45151808bf89051290974} of patients achieved a binocular simultaneous UCVA of 20/25 or better and J3. Negative spherical aberration highly correlated with a postoperative improvement in distance corrected near visual acuity. In their conclusions, the researchers stated that patients who had a larger amount of preoperative hyperopia or a greater decrease in preoperative distance-corrected near visual acuity were more likely to have overall satisfaction.
178名连续患者使用Wawelight Allegretto Comimer激光(Alcon Laboratories,Inc。)接受了178名连续患者的图表审查。患者具有常见的屈光误差偏离误差,近视高达-5.00天,或远高达+ 3.00天的远视,不超过3.00 d散光。102例至少3个月的术后随访,81 {0730eed075b45d9e50c00d6cd42dd08773e0164f29a45151808bf89051290974}具有20/20或更好,98 {0730eed075b45d9e50c00d6cd42dd08773e0164f29a45151808bf89051290974}双目距离裸眼视力看到20/25或更好。此外,44 {0730eed075b45d9e50c00d6cd42dd08773e0164f29a45151808bf89051290974}实现J1双眼视力附近,60 {0730eed075b45d9e50c00d6cd42dd08773e0164f29a45151808bf89051290974} J2和96 {0730eed075b45d9e50c00d6cd42dd08773e0164f29a45151808bf89051290974} J3或更好。
Another clinical trial presented early outcomes of Intracor femtosecond laser treatment for presbyopia. The investigators treated the nondominant eye of 25 patients using the Technolas Perfect Vision femtosecond laser (Technolas Perfect Vision GmbH). The procedure involves the creation of five consecutive intrastromal rings around the line of sight. Treatment times were approximately 20 seconds. The mean gain in UCVA was 4.42 lines, with a range of 0 to 9 lines of improvement. The mean loss of distance BCVA was -0.46 ±0.83.9 Similarly, Ruiz et al evaluated 83 eyes of 45 patients with 6- to 12-month follow-up. Of the 83 eyes, 89.2{0730eed075b45d9e50c00d6cd42dd08773e0164f29a45151808bf89051290974} achieved both J2 and 20/25 or better, and 69.9{0730eed075b45d9e50c00d6cd42dd08773e0164f29a45151808bf89051290974} achieved a near UCVA of J1. This technology has the advantage of being minimally invasive, with a rapid effect manifesting within minutes to several hours. Further investigation of long-term stability is ongoing.
来自菲律宾的安全研究的相关数据通过Harvey S. UY,MD。十四名患者在45至60岁之间,BCVA的20/40或更好的BCVA,没有大于2年级的白内障,并最初同意白内障手术。所有接受单方面的单方面待遇,可选择在一次后续后续后续到白内障手术。早期结果显示1个月内没有进步性白内障地层。
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