角膜屈光术后白内障手术研究进展  

Research progress on cataract surgery after corneal refractive surgery

作　　者：文子元 张辉[1] WEN Ziyuan;ZHANG Hui(Department of Ophthalmology,the Second Hospital of Jilin University,Changchun 130022,Jilin Province,China)

机构地区：[1]吉林大学第二医院眼科中心,吉林省长春市130022

出　　处：《眼科新进展》2024年第8期668-672,共5页Recent Advances in Ophthalmology

基　　金：吉林省自然科学基金项目(编号:YDZJ202301ZYTS038)。

摘　　要：近些年,既往有角膜屈光手术史的白内障患者逐渐增多,为白内障手术带来诸多难点,如角膜内皮细胞密度降低、角膜完整性破坏、角膜曲率发生改变、人工晶状体(IOL)度数计算准确性降低等,增加了白内障手术的难度并影响术后满意度,是屈光白内障手术时代的重要挑战之一。现从角膜屈光术后行白内障手术难点、视力及视觉质量的影响因素以及屈光术后白内障患者术前准备、术中注意事项及术后处理方面进行阐述。为临床医师了解角膜屈光术后白内障手术的研究进展提供参考。In recent years,the number of cataract patients with a history of corneal refractive surgery has gradually increased,posing many challenges for cataract surgery,such as the decreased corneal endothelial cell density,the destructed corneal integrity,the changed corneal curvature,and the reduced accuracy of the calculation of intraocular lens power,which increase the difficulty of cataract surgery and affect postoperative satisfaction.It is one of the important challenges in refractive cataract surgery.This article elaborates on the difficulties of cataract surgery after corneal refractive surgery,factors affecting visual acuity and visual quality,as well as preoperative preparation,intraoperative precautions,and postoperative management for cataract patients after refractive surgery,providing a reference for clinical physicians to understand the research progress on cataract surgery after corneal refractive surgery.

关 键 词：白内障 角膜屈光术 人工晶状体植入 

分 类 号：R776[医药卫生—眼科]