新型辅助技术在角膜病相关性白内障手术中的应用价值  

Application value of new assistive technology in keratopathy-associated cataract surgery

作　　者：赵振波 马立威 唐凯莉 丁雨溪 韩冬 王静 Zhen-Bo Zhao;Li-Wei Ma;Kai-Li Tang;Yu-Xi Ding;Dong Han;Jing Wang(Aier Excellence Eye Hospital,Shenyang 110000,Liaoning Province,China;Aier Institute of Cataract and Intraocular lens,Shenyang 110000,Liaoning Province,China;Aier Eye Hospital Affiliated to Anhui Medical University,Hefei 230032,Anhui Province,China)

机构地区：[1]沈阳爱尔卓越眼科医院,中国辽宁省沈阳市110000 [2]爱尔眼科白内障与人工晶状体研究所,中国辽宁省沈阳市110000 [3]安徽医科大学附属爱尔眼科医院,中国安徽省合肥市230032

出　　处：《国际眼科杂志》2023年第7期1126-1129,共4页International Eye Science

基　　金：沈阳市科技计划项目(No.21-173-9-12);2021年爱尔眼科集团科研基金项目(No.AF2102D6)。

摘　　要：角膜病相关性白内障,即在角膜病的基础上又发生了晶状体混浊,严重损害视觉质量。为使部分患者免于角膜移植术,恢复部分视功能。全面准确评估角膜混浊对视功能的影响对判定单纯行白内障手术具有重要意义。受限于角膜混浊遮挡,白内障手术操作具有高难度及挑战性。故开发使用新型辅助技术,如囊膜染色技术、辅助照明技术、瞳孔扩张技术、飞秒激光辅助技术等,可规避角膜混浊带来的可视性受限、通光量下降等问题,助力白内障手术顺利进行。本文就角膜病相关性白内障手术辅助技术的有关进展进行综述,望能指导临床应用。Keratopathy-associated cataract,that is,on the basis of corneal disease,and later the development of lens opacity,seriously damage visual quality.In order to avoid corneal transplantation for some patients,partial visual quality can be restored.A comprehensive and accurate evaluation of the effect of corneal opacity on visual function is of great improtance for determining cataract surgery alone.Due to the opacity of the cornea,the operation is very difficult and challenging.Therefore,it is of clinical value to develop and use new assistive technologies,including capsule staining,endoillumination,pupil dialation technology,femtosecond laser assisted technology,etc.,avoiding problems such as limited visibility and decreased light flow caused by corneal opacity and facilitating cataract surgery.This article reviews progress of assistive technologies for keratopathy-associated cataract,hoping to guide clinical application.

关 键 词：白内障 角膜混浊 手术辅助技术 辅助照明技术 囊膜染色技术 

分 类 号：R779.66[医药卫生—眼科]