关注高度近视眼白内障摘除手术时机的两极分化  

Considering about the timing of cataract surgery with high myopia

作　　者：鲍永珍[1] 曹晓光[1] Bao Yongzhen;Cao Xiaoguang(Department of Ophthalmology,Peking University People′s Hospital,Eye Diseases and Optometry Institute,Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases,College of Optometry,Peking University Health Science Center,Beijing 100044,China)

机构地区：[1]北京大学人民医院眼科,眼病与视光医学研究所,视网膜脉络膜疾病诊治研究北京市重点实验室,北京大学医学部眼视光学院,北京100044

出　　处：《中华眼科杂志》2023年第12期967-969,共3页Chinese Journal of Ophthalmology

摘　　要：鉴于近视眼患者数量的迅速增加,合并高度近视眼的白内障摘除手术正变得越来越普遍。对于患者而言,高度近视眼白内障摘除手术的收益较常规白内障摘除手术更加显著。而对于白内障手术医师而言,高度近视眼白内障摘除手术则为复杂操作,其手术风险较高,术后预后较差。因此,关于高度近视眼患者何时进行白内障摘除手术的问题,存在明显的两极化现象。一些白内障程度较轻的患者迫切要求早期手术,而一些白内障程度较重的患者却因担忧手术风险而犹豫不决。在做出手术决策时,医生和患者应充分考虑手术的益处和风险,以客观地选择最适合的手术时机。With the rapid increase in the myopic population,cataract surgery in individuals with high myopia has become increasingly prevalent.For patients,the benefits of cataract surgery in highly myopic individuals are more pronounced compared to conventional cataract surgery.However,For cataract surgeons,performing cataract surgery in highly myopic individuals presents a more complex surgical procedure with elevated surgical risks and less favorable postoperative outcomes.As a result,the decision regarding the timing of cataract surgery in highly myopic individuals exhibits a clear polarization.some patients with mild cataracts strongly advocate for early surgery,while others with severe cataracts hesitate due to concerns about surgical risks.When making surgical decisions,both medical professionals and patients should thoroughly consider the benefits and risks of the surgery,allowing for an objective selection of the most appropriate timing for the procedure.

关 键 词：近视 白内障摘除术 危险性评估 

分 类 号：R779.6[医药卫生—眼科]