国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (1): 16-21.doi: 10.3760/ cma.j.issn.1673-5803.2022.01.004

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Toric人工晶状体植入术后的残余散光

魏科1 赵镇南2 蒋永祥2   

  1. 1 安徽医科大学附属合肥医院合肥市第二人民医院眼科230000;2 复旦大学附属眼耳鼻喉科医院眼科,上海200031
  • 收稿日期:2020-09-09 出版日期:2022-02-22 发布日期:2022-03-14
  • 通讯作者: 蒋永祥,Email: yongxiang_jiang@163.com E-mail:yongxiang_jiang@163.com

Residual astigmatism after Toric intraocular lens implantation

Wei Ke1, Zhao Zhennan2, Jiang Yongxiang2   

  1. 1 安徽医科大学附属合肥医院合肥市第二人民医院眼科230000;2 复旦大学附属眼耳鼻喉科医院眼科,上海200031
  • Received:2020-09-09 Online:2022-02-22 Published:2022-03-14
  • Contact: Jiang Yongxiang, Email: yongxiang_jiang@163.com E-mail:yongxiang_jiang@163.com

摘要: 散光矫正型人工晶状体(toric intraocular lenses, Toric IOL)可稳定有效地矫正白内障患者的角膜散光,但部分患者仍会出现非预期的术后残余散光,降低视觉质量。术后残余散光常见的原因包括仪器测量误差、计算误差、手术操作相关因素及人工晶状体旋转等,需根据术后残余散光的程度和成因采用相应治疗手段,矫正残余散光可使用方法包括:框架眼镜、角膜接触镜及飞秒激光辅助的准分子激光角膜原位磨镶术等,必要时行人工晶状体调位术。(国际眼科纵览,2022, 46:16-21)

关键词: 散光矫正型人工晶状体, 散光, 白内障超声乳化吸除术

Abstract: Toric intraocular lenses is a stable and effective solution for astigmatism in cataract patients. While unexpected postoperative residual astigmatism remains in some patients, which will affect the postoperative visual quality. The common causes of postoperative residual astigmatism include instrument measurement error, calculation error, operation related factors and intraocular lens rotation, etc. In order to reduce postoperative residual astigmatism, appropriate treatment should be adopted according to the severity and causes, such as using glasses, contact lenses or femtosecond laser assisted excimer laser insitu keratomileusis (FS-LASIK), etc. and intraocular lens realignment of necessary. (Int Rev Ophthalmol, 2022, 46: 16-21)

Key words: toric intraocular lenses, astigmatism, phacoemulsification