山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (4): 1-4.doi: 10.6040/j.issn.1673-3770.1.2017.026

• 屈光性白内障手术·述评 •    下一篇

精准屈光性白内障手术规划

毕宏生   

  1. 山东中医药大学附属眼科医院/山东中医药大学眼科研究所/山东中医药大学眼科与视光医学院, 山东 济南 250002
  • 收稿日期:2017-07-07 出版日期:2017-08-16 发布日期:2017-08-16
  • 通讯作者: 毕宏生. E-mail:hongshengbi@126.com
  • 基金资助:
    山东省自然科学基金(ZR2014HL048)

Design of treatment protocol in refractive cataract surgery is important for postoperative visual outcomes.

BI Hongsheng   

  1. Affiliated Eye Hospital of Shandong University of TCM;Eye Institute of Shandong University of TCM, Medical School of Ophthalmology and Optometry of Shandong University of TCM, Jinan 250002, Shandong, China
  • Received:2017-07-07 Online:2017-08-16 Published:2017-08-16

摘要: 白内障手术已经从传统的复明手术发展为屈光性手术,白内障医生不但要掌握白内障相关知识,还要整合视光和屈光的理论。结合患者的视功能需求及完善准确的术前检查,对白内障患者术前、术中及术后的整个治疗过程进行科学的规划设计,为患者制定个性化治疗方案,利用先进的手术设备及完美的手术技能,为患者提供优良的术后视功能。

关键词: 规划, 屈光性白内障手术, 白内障

Abstract: Cataract surgery has developed from the traditional visual rehabilitation operation to refractive cataract surgery. Ophthalmologists should not only master knowledge related to cataract, but should also have an in-depth understanding of the optometric and refractive theory. Ophthalmologists need to plan and design the entire treatment protocol before, during, and after cataract surgery according to the visual function needs of the patients and on the basis of accurate preoperative examination, with customization of the treatment program for the individual patient. In addition, with the use of advanced surgical equipment and perfect surgical skills, excellent postoperative visual function can be attained.

Key words: Cataract, Refractive cataract surgery, Design

中图分类号: 

  • R776.1
[1] Pan AP, Wang QM, Huang F, et al. Correlation among lens opacities classification system Ⅲ grading, visual function index-14, pentacam nucleus staging, and objective scatter index for cataract assessment[J]. Am J Ophthalmol, 2015, 159(2):241-247.
[2] Amesbury EC, Grossberg AL, Hong DM, et al. Functional visual outcomes of cataract surgery in patients with 20/20 or better preoperative visual acuity[J]. J Cataract Refract Surg, 2009, 35(9):1505-1508.
[3] W N Charman. Wavefront aberration of the eye:a review[J]. Optom Vis Sci, 1991, 68(8):574-583.
[4] 毕宏生,马晓华. 完善白内障手术前后视功能评价[J]. 眼科,2006,15(1):13-15. BI Hongsheng, MA Xiaohua. Perfect visual function evaluation pre-and-post-cataract surgery-for refractive cataract surgery[J]. Ophthalmol Chin, 2006, 15(1):13-15.
[5] Santhiago MR, Netto MV, Barreto J, et al. Wavefront analysis, contrast sensitivity, and depth of focus after cataract surgery with aspherical intraocular lens implantation[J]. Am J Ophthalmol, 2010, 149(3):383-389.
[6] Shammas HJ, Hoffer KJ. Repeatability and reproducibility of biometry and keratometry measurements using a noncontact optical low-coherence reflectometer and keratometer[J]. Am J Ophthalmol, 2012, 153(1):55-61.
[7] Lamparter J, Dick HB, Krummenauer F.Clinical benefit complicationcomplication patterns and cost effectiveness of laser in situ keratomileusisin moderate myopia: resalts of independent meta analyses on clinicaloutcome and postoperative complication profiles[J].Eur J Med Res, 2005, 10(9):402-409.
[8] Toto L, Vecchiarino L, D'Ugo E, et al. Astigmatism correction with toric IOL: analysis of visual performance, position, and wavefront error[J]. J Refract Surg, 2013, 29(7):476-483.
[9] Visser N, Bauer NJ, Nuijts RM. Toric intraocular lenses: historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications[J]. J Cataract Refract Surg, 2013, 39(4):624-637.
[10] Vilaseca M, Romero MJ, Arjona M, et al. Grading nuclear, cortical and posterior subcapsular cataracts using an objective scatter index measured with a double-pass system[J]. Br J Ophthalmol, 2012, 96(9):1204-1210.
[11] Yu AY, Lu T, Pan AP, et al. Assessment of tear film optical quality dynamics[J]. Invest Ophthalmol Vis Sci, 2016, 57(8):3821-3827.
[12] Seiler T, Kaemmerer M, Mierdel P, et al. Ocular optical aberrationsafter photorefractive keratectomy for myopia and myopic astigmatism[J].Arch Ophthalmol, 2000, 118: 17-21.
[13] Moshirfar M, Hoggan RN, Muthappan V. Angle Kappa and its importance in refractive surgery[J]. Oman J Ophthalmol, 2013, 6(3):151-158.
[14] 俞阿勇. 屈光性白内障手术的若干挑战[J]. 中华眼视光学与视觉科学杂志,2017,19(2):65-70. YU Ayong. Challenges of refractive cataract surgery[J]. Chin J Opt Ophthalmol Vis Sci, 2017, 19(2):65-70.
[15] Xu CC, Xue T, Wang QM, et al. Repeatability and reproducibility of a double-pass optical quality analysis device[J]. PLoS One,2015,10(2):e0117587.
[16] Artal P, Benito A, Pérez GM, et al. An objective scatter index based on double-pass retinal images of a point source to classify cataracts[J]. PLoS One, 2011, 6(2):e16823.
[17] Holladay JT, Prager TC, Chandler TY, et al. A three-part system for refining intraocular lenspower calculations[J]. J Cataract Refract Surg, 1988, 14(1):17-24.
[18] 杨文利,王宁利. 眼超声诊断学[M]. 北京:科学技术文献出版社, 2006:291.
[19] Tsang CSL, Chong GSL, Yiu EPF, et al. Intraocular lens powercalculation formulas in Chinese eyes with high axial myopia[J]. J Cataract Refract Surg, 2003, 29(7):1358-1364.
[20] 毕宏生,刘冬梅, 蔡婉婷,等.非球面人工晶状体植入术后视觉质量评价[J].眼科新进展,2008,28(1): 43-45. BI Hongsheng, LIU Dongmei, CAI Wanting, et al. Clinical evaluation on the implantation of aspheric IOL for treatment of cataract[J]. Recent Adv Ophthalmol, 2008, 28(1): 43-45.
[21] Ciccio AE, Durrie DS, Stahl JE, et al. Ocular cyclotorsionduring customized laser ablation[J]. J Refract Surg, 2005, 21(6):s772-s774.
[22] Abulafia A, Hill WE, Franchina M, et al. Comparison of methods to predict residual astigmatism after antraocular lens implantation[J]. J Refract Surg, 2015, 31(10):699-707.
[23] Abulafia A, Barrett GD, Kleinmann G, et al. Prediction of refractive outcome with toric intraocular lens implants[J]. J Cataract Refract Surg, 2015, 41(5):936-944.
[24] Viestenz A, Seitz B, Langenbucher A. Evaluating the eyes rotational stability during standard photography: effect on determining the axialorientation of toric intraocular lenses[J]. J Cataract Refract Surg, 2005, 31( 3): 557-561.
[25] Maxwell WA, Cionni RJ, Lehm ann RP, et al. Functional out-comes after bilateral im plantation of apodized diffractive as-phericacrylic intrao cular lenses with a +3.0 or +4.0 diopter addition power randomized multicenter clinical study[J]. J Cataract Refract Surg, 2009, 35(12):2054-2061.
[26] Kolmen T, Nuijts R, Levy P, et al. Visual function after bilateral im plantation of apodized diffractive asphericm ultifocal intrao cular lenses with a + 3.0 D addition[J]. J Cataract Refract Surg, 2009, 35(12):2062-2069.
[27] Kranitz K, Mihaltz K, Sandor GL, et al. Intraocular lens tilt and decentration measured by Scheimpflug camera following manual or femtosecond laser-created continuous circular capsulotomy[J]. J Refract Surg, 2012, 28(4):259-263.
[28] Nagy ZZ, Kranitz K, Takacs AI, et al. Comparison of intraocular lens decentration parameters after femtosecond and manual capsulotomies[J]. J Refract Surg, 2011, 27(8):564-569.
[29] Yu AY, Ni LY, Wang QM, et al. Preliminary clinical investigation of cataract surgery with a noncontact femtosecond laser system[J]. Lasers Surg Med, 2015, 47(9):698-703.
[30] Abell RG, Kerr NM, Vote BJ. Toward zero effective phacoemulsification time using femtosecond laser pretreatment[J]. Ophthalmology, 2013, 120(5):942-948.
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