国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (6): 507-511.doi: 10.3760/ cma.j.issn.1673-5803.2022.06.006

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白内障术后残余散光成因及制作散光矫正型白内障手术切口的影响因素

王震宇  刘兆川  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 100730
  • 收稿日期:2022-03-28 出版日期:2022-12-22 发布日期:2022-12-22
  • 通讯作者: 宋旭东,Email:drxdsong@sina.com
  • 基金资助:
    国家重点研发计划(2018YFC0116002);北京市优秀人才青年骨干个人项目(2018000021469G208);2022年度同仁医院自然培育基金(2021-YJJ-ZZL-040)

The causes of residual astigmatism after cataract surgery and the influence factors of making astigmatism corrected cataract incision

Wang Zhenyu, Liu Zhaochuan, Song Xudong   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology & Visual Science, Beijing 100730, China
  • Received:2022-03-28 Online:2022-12-22 Published:2022-12-22
  • Contact: Song Xudong, Email: drxdsong@sina.com
  • Supported by:
    National Key Research and Development Program (2018YFC0116002); Beijing Excellent Talents Project (2018000021469G208); Beijing Tongren Hospital Natural Cultivation Fund (2021-YJJ-ZZL-040)

摘要: 白内障术后残余散光的形成主要受术前角膜散光及术源性散光影响。设计并制作白内障手术切口是控制白内障术后残余散光的主要方式之一。该方法受到切口大小(宽度)、切口长度与深度、切口位置、切口结构以及切口愈合情况等多方面因素的影响,手工制作切口矫正效果有限。使用飞秒激光辅助制作切口和松解角膜更加稳定有效,有一定临床应用前景。(国际眼科纵览,2022, 46:507-511)

关键词: 白内障, 散光, 手术切口

Abstract: The formation of residual astigmatism after cataract surgery is mainly affected by preoperative corneal astigmatism and surgical induced astigmatism. Designing and making incision is one of the main ways to control residual astigmatism after cataract surgery. This method is affected by many factors, such as incision size (width), incision length and depth, incision position, incision structure, and incision healing. The effect of manual incision correction is limited. Femtosecond laserassisted incision making and corneal relaxing are more stable, effective, and clinically applicable. (Int Rev Ophthalmol, 2022, 46: 507-511)

Key words: cataract, astigmatism, incision