摘要
近年来,白内障超声乳化吸除加人工晶状体植入联合房角分离手术逐渐成为治疗原发性闭角型青光眼合并白内障的主要有效手段,然而随着医疗技术不断进步,术后眼压的控制不再是唯一的追求,患者对术后的视觉质量期望越来越高。为了使患者术后拥有更好的屈光状态和更高的视觉质量,需减少因原发性闭角型青光眼所带来的负面影响,个性化选择不同人工晶状体或计算公式等。视觉质量评价指标包括视力、对比敏感度、高阶像差、主观感受等。因此,本文就原发性闭角型青光眼合并白内障患者行白内障超声乳化吸除加人工晶状体植入联合房角分离手术术后屈光漂移、高阶像差、对比敏感度变化及其影响因素以及人工晶状体的选择做出综述。
In recent years,the combined surgery of phacoemulsification,intraocular lens implantation,and goniosychialysis has gradually emerged as a primary and effective approach in treating primary angle-closure glaucoma with cataracts.However,with the continuous progress of medical technology,postoperative intraocular pressure control is no longer the sole pursuit.Patients increasingly aspire to achieve higher postoperative visual quality.In order to ensure that patients attain a better refractive status and higher visual quality postoperatively,it is essential to minimize the negative impact caused by primary angle-closure glaucoma.This involves personalized selection of different intraocular lenses or calculation formulas,etc.Evaluation metrics for visual quality encompass visual acuity,contrast sensitivity,higher-order aberrations,subjective perception,etc.Therefore,this paper provides a comprehensive review of postoperative refractive shift,higher-order aberrations,contrast sensitivity and their influencing factors,and the selection of intraocular lenses for patients undergoing combined surgery for primary angle-closure glaucoma with cataracts.
作者
陈明睿
李建华
陈沁芸
赵原
Chen Mingrui;Li Jianhua;Chen Qinyun;Zhao Yuan(Department of Ophthalmology,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan Province,China;Medical School of Ophthalmology&Optometry,North Sichuan Medical College,Nanchong 637000,Sichuan Province,China)
出处
《国际眼科杂志》
CAS
2024年第4期545-550,共6页
International Eye Science
基金
川北医学院校级科研发展基金项目(No.CBY22-QNA43)。
关键词
闭角型青光眼
白内障
人工晶状体
视觉质量
房角分离术
primary angle-closure glaucoma
cataracts
intraocular lens
visual quality
goniosychialysis
