白内障摘除手术中散光矫正需要关注的问题  

Several controversial issues in astigmatism correction in cataract surgery

作　　者：卢奕 郑天玉 徐婕 Lu Yi;Zheng Tianyu;Xu Jie(Department of Ophthalmology,Shanghai Eye and ENT Hospital of Fudan University,Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科,上海200031

出　　处：《中华眼科杂志》2019年第7期485-490,共6页Chinese Journal of Ophthalmology

基　　金：国家自然科学基金(81670835);上海领军人才培养计划(2015).

摘　　要：白内障摘除手术已进入屈光手术时代,患者对视觉质量的要求不断提高,白内障摘除手术中的散光矫正问题日益受到重视.临床由于散光矫正原则不规范,导致效果不尽理想.本文就易混淆或存在争议的问题,包括辩证看待角膜散光的矫正原则、正确选择角膜散光的测量方法和计算公式、应用多焦点人工晶状体的角膜散光标准、合理应用角膜散光的矫正方法等,立足相关的指南、专家共识意见和文献进行探讨,并提出相应建议.Cataract surgery has entered the era of refractive surgery,and patients have higher requirements for visual quality.Astigmatism correction in cataract surgery is increasingly valued,but the astigmatism correction results are not ideal,and the principles of corneal astigmatism correction are not well established.In this article,the issues including how to dialectically decide to treat the corneal astigmatism or not,how to choose the corneal astigmatism estimating method and the calculation formula for astigmatism correction,the range of corneal astigmatism suitable for applying multifocal intraocular lens,selection of intraoperative corneal astigmatism correction method,etc.,were discussed based on relevant authoritative guidelines,expert consensus and literatures,and corresponding suggestions were given.

关 键 词：白内障摘除术 手术期间 散光 多焦点人工晶体 角膜外科手术 激光 

分 类 号：R779.66[医药卫生—眼科]