不同类型人工晶状体的临床应用及研究进展  

Clinical application and research progress of different types of intraocular lens

作　　者：周霖(综述) 陈颖欣(审校) ZHOU Lin;CHEN Yingxin(Post Graduate Training Base of General Hospital of Northern Theater Command of Jinzhou Medical University,Jinzhou Liaoning 121000;Department of Ophthalmology,General Hospital of Northern Theater Command,Shenyang 110016,China)

机构地区：[1]锦州医科大学北部战区总医院研究生培养基地,辽宁锦州121000 [2]北部战区总医院眼科,沈阳110016

出　　处：《眼科学报》2022年第7期577-584,共8页Eye Science

摘　　要：白内障作为一种常见的眼科疾病,是全球第一位致盲眼病,目前尚无药物能够治疗,手术是唯一有效的办法。随着现代眼科手术技术的发展以及人工晶状体(intraocular lens,IOL)设计和功能的更新升级,人们对视觉质量的要求越来越高,白内障超声乳化联合IOL植入术已经从单纯的复明手术转变为个性化的屈光手术。为满足不同需求的患者术后获得较好的视觉质量,IOL经历了从单焦点到多焦点、球面到非球面的发展,还有散光型IOL和各类功能性IOL的临床应用,也为患者提供了更多的选择。充分了解不同类型IOL的优势和特点,根据患者自身眼部情况、日常用眼习惯以及需求,个性化地选择IOL植入对视觉质量的恢复和满意度起着至关重要的作用。因此本文将针对不同类型的IOL,从设计与分类、术后临床效果及适应人群进行综述,为IOL的选择提供指导建议。As a common eye disease,cataract is the first-leading cause of blindness in the world.Currently,there is no drug to treat it,and surgery is the only effective way.With the development of modern ophthalmic surgical technology and the updating and upgrading of the design and function of intraocular lens(IOL),people have higher and higher requirements for visual quality.Cataract phacoemulsification combined with IOL implantation has transformed from a simple vision restoration to personalized refractive surgery.In order to meet the needs of patients with different needs to obtain better visual quality after surgery,IOL has experienced the development from monofocal to multifocal,spherical to aspherical,as well as the clinical application of astigmatic IOL and various functional IOLs,which also provides more choices for patients.Fully understanding the advantages and characteristics of different types of IOLs,according to the patient’s own eye conditions,daily eye habits and needs,individualized selection of IOL implantation plays a crucial role in the recovery and satisfaction of visual quality.Therefore,this article will review different types of IOLs from the aspects of design and classification,postoperative clinical effects and adaptation to the population,and provide guidance for the selection of IOLs.

关 键 词：白内障 老视矫正型人工晶状体 非球面人工晶状体 散光型人工晶状体 分类 

分 类 号：R47[医药卫生—护理学]