国际眼科纵览

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负球差人工晶状体在屈光手术后白内障患者手术中的应用

买尔哈巴·玉素甫 樊帆 罗怡   

  1. 200031上海,复旦大学附属眼耳鼻喉科医院眼科
  • 收稿日期:2015-08-26 出版日期:2016-02-22 发布日期:2016-03-07
  • 通讯作者: 罗怡,Email:yeeluo1106@163.com E-mail:yeeluo1106@163.com
  • 基金资助:

     国家自然科学基金(81371002)

Application of aspheric IOL implantation in  cataract patients with previous corneal refractive surgery

YUSUFU Maierhaba,FAN Fan, LUO Yi   

  1. Department of Ophthalmology, Eye and Ear Nose and Throat Hospital, Fudan University,Shanghai 200031, China
  • Received:2015-08-26 Online:2016-02-22 Published:2016-03-07
  • Contact: LUO Yi, Email:yeeluo1106@163.com E-mail:yeeluo1106@163.com
  • Supported by:

    National Natural Science Foundation of China(81371002)

摘要:

高度近视眼患者行角膜屈光矫正术后其角膜形态改变,曲率和像差均较正常角膜发生了变化。该类患者按照传统方法计算人工晶状体(intraocular lens,IOL)度数易产生屈光预测误差。屈光术后角膜正球差增加,亦明显影响患者的视觉质量。针对上述问题,目前已有一系列以降低预测偏差为目的的IOL度数计算方法,以期获得更为准确的IOL度数预测值。此外,白内障术前根据角膜球差选择个体化的负球差IOL,能够降低全眼球差,减少患者夜间视力下降、眩光等视觉不适症状,进一步提高患者的视觉和生活质量。

Abstract:

Cornea curvature and aberrations will change after corneal refractive surgery. Hyperopic error still exists and the increase of higher-order aberrations also affects the visual quality after cataract surgery in such patients. Therefore, the new IOL power calculation methods have emerged to reduce refractive predictive error. Aspheric IOL selection according to cornea spherical aberration before cataract surgery can reduce the whole eye aberrations and patient’s visual symptoms such as glare, decreased night vision and improve the visual quality.