国际眼科纵览 ›› 2024, Vol. 48 ›› Issue (3): 188-193.doi: 10.3760/ cma.j.issn.1673-5803.2024.03.006

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术中OCT在有晶状体眼后房型人工晶状体植入中的应用

张帅1 刘杰为2   

  1. 1 山西医科大学,太原 030001;2 山西医科大学附属山西省眼科医院,太原 030002
  • 收稿日期:2024-02-18 出版日期:2024-06-22 发布日期:2024-06-17
  • 通讯作者: 刘杰为,Email:jieweiliu1967@sina.com E-mail:jieweiliu1967@sina.com
  • 基金资助:
    山西省卫生健康委员会科研基金项目(2021097)

Application of intraoperative optical coherence tomography in posterior chamber phakic intraocular lens implantation

Zhang Shuai1, Liu Jiewei2   

  1. 1 Shanxi Medical University, Taiyuan 030001, China; 2 Shanxi Eye Hospital Affiliated to Shanxi Medical University, Taiyuan 30002,China
  • Received:2024-02-18 Online:2024-06-22 Published:2024-06-17
  • Contact: Liu Jiewei, Email: jieweiliu1967@sina.com E-mail:jieweiliu1967@sina.com
  • Supported by:
    Research Fund of Health Commission of Shanxi Province (2021097)

摘要: 有晶状体眼后房型人工晶状体植入术是目前常见的屈光手术,其安全性和有效性得到了证实,但也存在一些术后并发症,这些并发症大多与术后拱高相关,因此拱高是评价手术成功与否的一项重要指标,目前临床上主要通过术前检查预测术后拱高,并希望实现理想拱高,而术中相干光断层扫描(intraoperative optical coherence tomography,iOCT)的出现极大提高了拱搞预测的准确性,能够让医生在手术中实时观察到拱高的变化,且随着技术的进步,iOCT能够更加适应手术过程,减少对术者的干扰,从而达到更好的手术效果。

关键词: 有晶状体眼后房型人工晶状体植入术, 术中相干光断层扫描

Abstract: Posterior chamber phakic intraocular lens implantation is currently one of the most common refractive surgeries, and its safety and effectiveness have been unanimously recognized. However, there are also some postoperative complications, most of which are related to postoperative vault. Therefore, postoperative vault is an important indicator to evaluate the success of surgery. In clinical practice, we mainly predict postoperative vault through preoperative examination and hope to achieve ideal vault. The emergence of intraoperative optical coherence tomography (iOCT) greatly improves the accuracy of prediction, allowing doctors to observe real-time changes in vault during surgery. With the advancement of technology, it is possible to better adapt to the surgical process, reduce interference with the operator, and achieve better surgical outcomes.

Key words: posterior chamber phakic intraocular lens implantation, intraoperative optical coherence tomography