近视人群怎么挑选激光近视手术？全光塑技术怎么样

对于渴望摆脱眼镜的“摘镜党”来说，“近视眼矫正手术技术有哪些”“全光塑怎么样值得选吗”是摘镜前最关心的两大问题。

激光近视手术技术没有绝对的“哪种好”，关键看你的眼光学系统数据是否匹配该技术。既往激光手术术式主要基于标准化公式设计激光消融方案，难以做到个性化定制，而全光塑技术的核心逻辑恰好为个性化定制。1

全光塑技术的个性化设计是什么样的呢？它以眼光学系统数据为基础，术前采集角膜的详细地形、瞳孔直径、前房深度、晶状体相关参数及眼轴长度等多维度信息，经算法整合构建3D眼模型，通过光迹追踪技术，为每只眼睛设计专属切削方案。其可矫正1100度以下近视及450度以下散光，设计中考虑高阶像差，并且设计不增加术后高阶像差#??§。2-12

但需要注意的是，全光塑要求年满18岁、屈光状态稳定2年以上，且通过术前检查排除圆锥角膜、重度干眼等禁忌症。3,13

全光塑技术以个性化数据为支撑，近视人群提供了新的选项，但最终是否适合，仍需结合术前检查数据判断。建议先到正规机构完成全面眼部评估，再在专业医师指导下，明确全光塑技术是否为适配方案。

声明：近视矫正属医疗行为，患者存在个体差异，术后效果因人而异，患者需在专业临床机构的临床医师的指导下进行。

#In a real-world private practice setting-200 patients (400 eyes).

?At 3 months post-op; n = 212 eyes

?At 3 months post-op; n=60 eyes

§In 6.0 mm pupils, mean ± SD spherical aberration decreased by 0.07μm after wavelight plus (0.13 ± 0.10 preop; 0.06 ± 0.12 at 3 months postop) and increased by 0.06μm after wavefront-optimized treatment (0.12 ± 0.10 pre-op; 0.18 ± 0.12 at 3 months postop); p<0,001 for wavelight plus vs. wavefront-optimized.

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13.激光角膜屈光手术临床诊疗专家共识（2015年）