在角膜折射手术后的白内障手术:手术前考虑和管理
Darren S J Ting1,2,3, Damien Gatinel4, Marcus Ang5,6
1Birmingham and Midland Eye Centre, Birmingham.
Current opinion in ophthalmology
|November 14, 2023
概括
在角膜折射手术 (CRS) 之后的白内障手术需要仔细规划. 先进的生物识别和新的眼内透镜 (IOL) 选择改善了结果,但仍然存在挑战,特别是像SMILE这样的新技术.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 白内障手术 手术 白内障手术
背景情况:
- 角膜折射手术 (CRS) 是一种流行的手术,全球有超过4000万例.
- 越来越多以前有CRS的患者正在发展白内障,需要专门的管理.
- 对眼科医生来说,了解这些患者的白内障手术结果至关重要.
研究的目的:
- 提供对之前的CRS眼睛白内障手术的考虑和结果的最新概述.
- 审查表面切除,LASIK和SMILE的管理策略.
- 为了突出最近生物识别和IOL计算的进步.
主要方法:
- 审查最近关于白内障手术在眼睛之前的CRS的文献.
- 分析生物识别技术的进步 (全角质量测量,射线追踪,手术内异常测量,机器学习).
- 对眼内透镜 (IOL) 功率计算公式和长视障碍纠正IOL的评估.
主要成果:
- 新的生物识别方法和公式提高了在CRS后的眼睛中IOL功率预测的准确性.
- 射线追踪和全角质量计对微笑后的眼睛显示出希望.
- 眼睛干燥是一种常见的副作用,在微笑后可能比激光眼科更少.
- 扩展焦点深度 (EDOF) IOLs可能适合选择后CRS患者.
结论:
- 眼科医生面临越来越多的挑战,在以前有CRS的患者中管理白内障手术.
- 术前评估,准确的生物识别和适当的IOL选择对于成功的结果至关重要.
- 像SMILE这样的新兴CRS技术为未来的白内障手术规划提出了新的考虑.
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