国际眼科纵览 ›› 2026, Vol. 50 ›› Issue (2): 106-111.doi: 10.3760/cma.j.cn115500-20251009-26205

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非衍射景深延长人工晶状体在合并高度近视白内障患者的应用

张琦 王震宇 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,北京 100730

  • 收稿日期:2025-10-09 出版日期:2026-04-22 发布日期:2026-04-22
  • 通讯作者: 宋旭东,Email:drxdsong@sina.com

Application of non-diffractive extended-depth-of-focus intraocular lenses in patients with high myopia combined with cataracts

Zhang Qi, Wang Zhenyu, Song Xudong   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing 100730, China

  • Received:2025-10-09 Online:2026-04-22 Published:2026-04-22
  • Contact: Song Xudong, Email: drxdsong@sina.com

摘要: 高度近视患者因眼部具有特殊的解剖结构和病理改变,在白内障手术人工晶状体(intraocular lens, IOL)类型的选择、目标屈光度数设定等方面面临更多问题。非衍射景深延长型IOL(extended depth of focus IOL, EDOF IOL)在保证远视力的前提下,可为患者提供良好的中距离视力以及功能性近视力,并且显著减少了与多焦点IOL相关的光学质量问题和视觉干扰,还可采用双眼微单视设计提高双眼视近功能。未来,精准预测屈光度结合个性化设计可进一步提升非衍射EDOF IOL的矫正效果,在合并高度近视患者的白内障手术中具有广阔前景。

关键词: 白内障, 高度近视, 非衍射景深延长型人工晶状体, 白内障屈光性手术

Abstract: Patients with high myopia face more problems in choosing the type of intraocular lens (IOL) for cataract surgery and setting the target refractive error due to the special anatomical structure and pathological changes of the eye and the need to consider binocular balance. Extended depth of focus IOL (EDOF IOL) can provide patients with good vision at intermediate and near distances while ensuring distance vision, and greatly reduce the optical quality problems and visual interference associated with multifocal IOL, as well as improve binocular near vision with the use of binocular minimonovision. In the future, the combination of precise refractive reserve and personalized design can further improve the corrective effect of non-diffractive EDOF IOL, making it promising for the correction of cataract combined with high myopia patients.

Key words: Cataract, High myopia, Extended depth of focus intraocular lens, Refractive cataract surgery