水眼白内障术后屈光漂移的影响因素  

Affecting factors of refractive error after cataract surgery in patients with aqueous eye status

作　　者：苏文华 王雪林 陆晓和[1] 陈娟娟 黄新宇 黎颖莉 Su Wenhua;Wang Xuelin;Lu Xiaohe;Chen Juanjuan;Huang Xinyu;Li Yingli(Department of Ophthalmology,Zhujiang Hospital,Southern Medical University,Guangzhou 510280,China;Department of Ophthalmology,Shangrao Central Hospital(The First Affiliated Hospital of Jiangxi Medical College,Shangrao Eye Hospital),Shangrao Jiangxi 334000,China;Shimen Aier Eye Hospital,Changde Hunan 415000,China)

机构地区：[1]南方医科大学珠江医院眼科,广州510280 [2]上饶市中心医院(江西医学高等专科学校第一附属医院,上饶市眼科医院)眼科,江西上饶334000 [3]石门爱尔眼科医院,湖南常德415000

出　　处：《国际眼科纵览》2024年第6期420-425,共6页International Review of Ophthalmology

基　　金：国家自然科学基金(81800804);江西省卫生健康委科技计划(SKJP_1220243404)。

摘　　要：随着近视的流行,需要玻璃体切除术保留晶状体的人数有增加趋势。玻璃体切除术后(水眼)患白内障几率约22.5%~60%,水眼白内障术后屈光漂移已受到更多关注。尽管白内障手术技术不断进步,检查设备不断更新,但水眼白内障术前、术中和术后的一些因素导致术后屈光误差较正常眼白内障更明显。水眼白内障除了关注患者眼表健康、光学生物测量的准确性与可重复性,选择合适IOL屈光力计算公式外,还要关注眼轴长度和IOL实际位置的改变。选择合适的IOL计算公式能减少术后屈光误差。高度近视采用SRK/T公式、Kane公式、Haigis公式、Barrett Universal II公式计算屈光误差较小,但能否在水眼白内障患者使用值得进一步研究。With the prevalence of myopia,there is a trend towards an increase in the number of people requiring vitrectomy to preserve the lens.The risk of cataract after vitrectomy(aqueous eye status)is about 22.5%~60%,and refractive drift after cataract of aqueous eye status surgery has received more attention.Although cataract surgery technology continues to advance and examination equipment is constantly updated,some preoperative,intraoperative,and postoperative factors cause postoperative refractive error to be more obvious than that of normal eye cataract.In addition to paying attention to the patient's ocular surface health,the accuracy and repeatability of optical biometry,and the selection of the appropriate IOL refractive power calculation formula,the change of the axial length and the actual position of the IOL should also be paid attention to.Choosing the appropriate IOL calculation formula can reduce the refractive error after surgery.The SRK/T formula,Kane formula,Haigis formula,and Barrett Universal II formula are used to calculate the refractive error of high myopia,but whether they can be used in patients with cataract of aqueous eye status is worth exploring.

关 键 词：水眼白内障 屈光度计算公式 屈光漂移 

分 类 号：R779.6[医药卫生—眼科]