国际眼科纵览 ›› 2021, Vol. 45 ›› Issue (2): 141-145.doi: 10.3760/cma.j.issn.1673-5803.2021.02.010

• 综述 • 上一篇    下一篇

有晶状体眼后房型人工晶状体植入术后并发性白内障的研究进展

刘振宇  何海龙  王进达  万修华   

  1. 首都医科大学附属北京同仁医院  北京同仁眼科中心 北京市眼科研究所  眼科学与视觉科学北京市重点实验室 100005
  • 收稿日期:2020-06-22 出版日期:2021-04-22 发布日期:2021-04-28
  • 通讯作者: 万修华,Email:xiuhuawan@163.com

Progress on complicated cataract after ICL implantation

Liu Zhenyu, He Hailong, Wang Jinda, Wan Xiuhua   

  1. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital,  Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing 100005, China
  • Received:2020-06-22 Online:2021-04-22 Published:2021-04-28
  • Contact: Wan Xiuhua, Email: xiuhuawan@163.com

摘要: 随着现代屈光手术的不断进步,有晶状体眼后房型人工晶状体(implantable contact lens,ICL)植入术作为一种屈光不正的矫正方法正逐渐被人们所接受。ICL植入术后并发性白内障发生率约2%~3.5%,严重时需白内障手术(<1%)。ICL植入术后早期并发性白内障与手术操作、患者年龄及屈光度等有关,而晚期并发性白内障多归因于ICL与晶状体的接触或房水循环改变有关。近年来术后早期并发性白内障发生率明显下降,与ICL材质与设计类型改进、手术经验增长等因素有关。ICL拱高过低术后白内障发生风险上升,有研究认为理想拱高应在250~750 μm之间。(国际眼科纵览,2021, 45:141-145)


关键词: 可植入性后房型屈光晶状体, 并发性白内障 

Abstract: Implantable contact lens (ICL) implantation is now gradually accepted as one of the correction methods for refractive errors with the continuous progress of modern refractive surgery. The incidence of complicated cataract after ICL implantation is about 2% ~ 3.5%, and cataract surgery is needed in severe cases (<1%). The early complication of cataract after ICL implantation is related to the operation, patient's age and diopter, while the late complication of cataract is mainly due to the contact between ICL and lens or the change of aqueous humor circulation. In recent years, the incidence of early postoperative complicated cataract has decreased significantly, which is related to the improvement of ICL material and design type, and the increase of surgical experience. Some studies suggest that the ideal vault of ICL should be between 250 μm and 750 μm. (Int Rev Ophthalmol, 2021, 45: 141-145)


Key words: implantable collamer lens, complicated cataract