国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (5): 460-464.doi: 10.3760/ cma.j.issn.1673-5803.2022.05.014

• 综述 • 上一篇    下一篇

激光角膜屈光术后人工晶状体度数计算方法的进展

余旸帆 宋旭东   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室 100073
  • 收稿日期:2022-07-20 出版日期:2022-10-22 发布日期:2022-11-04
  • 通讯作者: 宋旭东,Email:drxdsong@sina.com E-mail:drxdsong@sina.com
  • 基金资助:
    国家重点研发计划(2018YFC011600)

Intraocular lens power calculation formulas in eyes of previous corneal refractive surgery

Yu Yangfan, Song Xudong   

  1. Beijing Tongren Eye Center, Beijing Key Laboratary of Ophthalmology and Visual Sciences, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2022-07-20 Online:2022-10-22 Published:2022-11-04
  • Contact: Song Xudong, Email: drxdsong@sina.com E-mail:drxdsong@sina.com
  • Supported by:
    National Key Research and Development Plan(2018YFC011600)

摘要: 近年来,既往激光角膜屈光手术史的白内障患者逐年增加。由于激光角膜屈光手术改变了角膜形态,使得传统的人工晶状体(intraocular lens, IOL)计算公式出现较大的术后屈光误差。误差来源包括角膜前表面曲率半径测量、角膜屈光力计算、眼轴长度测量、有效人工晶状体位置计算等。不需要屈光手术术前数据的IOL度数计算公式,如Hoffer Q公式、Barrett True-K 公式、Shammas-PL公式可应用于激光角膜屈光术后患者的IOL计算。基于光线追踪原理或人工智能的新一代IOL公式,如Olsen 公式、EVO公式、Hill-RBF公式、Kane公式等在常规白内障手术患者IOL度数计算中的准确性和预测性已被证实,但在激光角膜屈光术后患者中的应用价值仍需进一步研究证实。(国际眼科纵览,2022, 46:460-464)

关键词: 人工晶状体, 角膜屈光术, 白内障

Abstract: Nowadays patients who got laser corneal refractive surgery years ago began to develop cataracts. Because of the cornea changes caused by the surgery, the traditional intraocular lens (IOL) formula is not applicable for producing large postoperative refractive errors. The error sources include the measurement error of the cornea anterior surface curvature radius, corneal refractive power, the axial length, and the position of the effective intraocular lens. The formulas that do not require preoperative data before refractive surgery, such as Hoffer Q formula, Barrett True-K formula, Shammas-PL formula, etc., can be applied on the patients who had undergone the laser corneal refractive surgery. The accuracy and predictability of the new generation IOL formulas based on ray tracing principles or artificial intelligence, including Olsen formula, EVO formula, Hill-RBF formula, Kane formula, etc., have been confirmed in the calculation of intraocular lens power in patients undergoing conventional cataract surgery. However, the application value of those new generation IOL formulas in the patients after laser corneal refractive surgery still needs further research to confirm.(Int Rev Ophthalmol, 2022, 46: 460-464)

Key words: intraocular lens, corneal refractive surgery, cataract