波前像差引导的FS-LASIK术后高阶像差变化的研究进展
Research Progress on Changes in Higher-Order Aberrations after Wavefront-Guided FS-LASIK Surgery
DOI: 10.12677/acm.2026.162384, PDF,   
作者: 蓝小梅, 杜之渝*：重庆医科大学附属第二医院眼科，重庆
关键词: 波前像差引导；FS-LASIK；高阶像差；视觉质量；Wavefront-Guided； FS-LASIK； Higher-Order Aberrations； Visual Quality
摘要: 近年来角膜屈光手术在近视矫正领域取得了长足发展，但仍存在术后视觉质量问题。波前像差引导的FS-LASIK (wavefront-guided FS-LASIK, WFG-FS-LASIK)通过个性化切削方案，能有效减少术后高阶像差，从而改善患者的对比敏感度和视觉症状，因此备受关注。本文简要概述了像差的概念及其测量原理和WFG-FS-LASIK的技术原理，综述了WFG-FS-LASIK术后总高阶像差、球差、彗差等的变化，并通过与常规FS-LASIK、SMILE等术式的比较，评估了其在像差控制方面的优势与局限。同时，深入分析了影响术后像差诱导的相关因素，如光学区设计、切削中心定位精度、患者术前像差水平及角膜生物力学特性等。以期为临床医生提供制定个体化手术方案、优化手术参数及提升术后视觉质量提供循证参考。
Abstract: In recent years, significant progress has been made in corneal refractive surgery for myopia correction. However, postoperative visual quality issues remain a concern. Wavefront-guided FS-LASIK (WFG-FS-LASIK) has garnered significant attention for its ability to effectively reduce postoperative higher-order aberrations through personalized ablation profiles, thereby improving patients’ contrast sensitivity and alleviating visual symptoms. This article provides a brief overview of the concept of aberrations and measurement principles of aberrations, as well as the technical principles of WFG-FS-LASIK. It reviews the changes in total higher-order aberrations, spherical aberration, coma, and other aberrations following WFG-FS-LASIK, and evaluates its advantages and limitations in aberration control by comparing it with conventional FS-LASIK, SMILE, and other surgical techniques. Furthermore, it analyzes factors influencing the induction of postoperative aberrations, such as optical zone design, accuracy of ablation centration, preoperative aberration levels, and corneal biomechanical properties. The aim is to offer clinical evidence to assist surgeons in developing individualized surgical plans, optimizing surgical parameters, and enhancing postoperative visual quality.
文章引用：蓝小梅, 杜之渝. 波前像差引导的FS-LASIK术后高阶像差变化的研究进展[J]. 临床医学进展, 2026, 16(2): 227-232. https://doi.org/10.12677/acm.2026.162384

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