年龄相关性黄斑变性合并白内障手术治疗的研究进展  

Research progress of surgery for age-related macular degeneration with cataract

作　　者：郑晓亮[1] 张婕[1] 严宏[1] Xiao-Liang Zheng Jie Zhang Hong Yan(Department of Ophthamology, Tangdu Hospital, Fourth Military Medical University, Xi＇an 710038, Shaanxi Province, China)

机构地区：[1]第四军医大学唐都医院眼科,中国陕西省西安市710038

出　　处：《国际眼科杂志》2017年第9期1678-1681,共4页International Eye Science

摘　　要：年龄相关性黄斑变性(age-related macular degeneration,AMD)与白内障是世界范围内最常见的导致低视力的疾病。目前对于合并AMD的白内障患者是否应该实施手术和手术的时机问题尚存争议。本综述的目的在于评估白内障手术对于AMD发生和发展的影响,分析其影响因素,探讨合并AMD的白内障手术时机和联合抗VEGF等治疗,还包括人工晶状体的研究进展和应用,以期选择综合治疗措施,避免和减缓白内障手术后黄斑变性的发生和发展,以保证患者获得良好的视力转归。Age-related macular degeneration （AMD） and cataract are the most common causes of low vision worldwide. Nowadays, there is still a controversy about whether cataract surgery should be taken in patients combined with AMD and when should the surgery be taken. The aim of this review is to assess the influence of cataract surgery on the occurrence and development of AMD, to analyze the risk factors, to explore the occasion of cataract surgery in patients with AMD, and joint with anti-vascular endothelial growth factor （ VEGF ） treatment, also including the development and application of intraocular lens. It helps to avoid and postpone the development and progression of macular degeneration after cataract suraerv and aet aood visual outcome.

关 键 词：年龄相关性黄斑变性 白内障手术 抗VEGF治疗 蓝光滤过型人工晶状体 非对称折光型人工晶状体 

分 类 号：R779.6[医药卫生—眼科]