重视散光矫正型人工晶状体的规范应用  

Emphasizing the standard application of toric intraocular lenses

作　　者：宋旭东 刘兆川 Song Xudong;Liu Zhaochuan(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Ophthalmology,Beijing Key Laboratory of Ophthalmology&Visual Sciences,Beijing 100730,China)

机构地区：[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、北京市眼科学与视觉科学重点实验室,北京100730

出　　处：《中华眼科杂志》2023年第2期81-85,共5页Chinese Journal of Ophthalmology

基　　金：国家自然科学基金(82271067)。

摘　　要：在屈光性白内障摘除手术时代,角膜散光是影响白内障摘除手术后视觉质量的重要因素。散光矫正型人工晶状体(Toric IOL)具有矫正散光度数范围广、手术预测性好、对眼表损伤轻和远期效果稳定的优势,可显著提高白内障患者术后视觉质量和满意度。然而,Toric IOL的临床应用仍存在诸多问题,主要包括对矫正散光的重视程度、角膜生物测量的准确性、全角膜散光概念的普及、手术操作细节的把控以及术后残余散光的管理等。本文将围绕这些问题展开讨论,以期进一步规范Toric IOL的临床应用,助力提高我国屈光性白内障摘除手术的整体水平。In the era of refractive cataract surgery,corneal astigmatism is a crucial factor that affects visual quality after cataract surgery.Toric intraocular lenses(IOLs)have a wide correction range,good surgical predictability,minimal damage to the ocular surface,and stable long-term effects,which can significantly improve postoperative visual quality and patient satisfaction.However,there are still several challenges in the clinical application of toric IOLs,including the awareness of astigmatism correction,the accuracy of preoperative biometry,the widespread adoption of the concept of total corneal astigmatism,the management of surgical planning and details,and the control of postoperative residual astigmatism.This article aims to address these issues to further standardize the clinical application of toric IOLs and help improve the overall level of refractive cataract surgery in China.

关 键 词：散光 晶体 人工 白内障摘除术 视敏度 生物测量学 

分 类 号：R779.66[医药卫生—眼科]