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21世纪初的白内障治疗。

Cataract treatment in the beginning of the 21st century.

作者信息

Olson Randall J, Mamalis Nick, Werner Liliana, Apple David J

机构信息

Department of Ophthalmology, University of Utah, Salt Lake City, Utah 84132, USA.

出版信息

Am J Ophthalmol. 2003 Jul;136(1):146-54. doi: 10.1016/s0002-9394(03)00226-5.

DOI:10.1016/s0002-9394(03)00226-5
PMID:12834682
Abstract

PURPOSE

To describe the principles upon which present day cataract treatment success resides.

DESIGN

Literature review and collective experience of the authors.

RESULTS

Surgical removal remains the standard treatment for cataract now and in the foreseeable future. Ultrasound cataract removal with a foldable "in-the-bag" intraocular lens with a truncated edge treated for dysphotopsia best correlates with core treatment principles, as we now understand them. Improving refractive results is an important trend. The worldwide burden of this problem is immense.

CONCLUSIONS

While results for treatment of cataracts are excellent today, improvements in safety and refraction precision are needed. Other approaches are desperately needed to stem the worldwide tide of cataract related ocular dysfunction.

摘要

目的

描述当今白内障治疗成功所基于的原则。

设计

文献综述及作者的集体经验。

结果

手术摘除仍是目前及可预见未来白内障的标准治疗方法。就我们目前的理解而言,采用带有可折叠“囊袋内”人工晶状体且边缘截短以治疗畏光症的超声乳化白内障摘除术与核心治疗原则最为契合。改善屈光效果是一个重要趋势。该问题在全球范围内的负担极为沉重。

结论

虽然目前白内障治疗效果良好,但仍需要提高安全性和屈光精度。迫切需要其他方法来遏制全球范围内与白内障相关的眼功能障碍的浪潮。

相似文献

1
Cataract treatment in the beginning of the 21st century.21世纪初的白内障治疗。
Am J Ophthalmol. 2003 Jul;136(1):146-54. doi: 10.1016/s0002-9394(03)00226-5.
2
Advances in cataract surgery.白内障手术的进展。
Clin Exp Optom. 2009 Jul;92(4):333-42. doi: 10.1111/j.1444-0938.2009.00393.x.
3
Preventing secondary cataract and anterior capsule contraction by modification of intraocular lenses.通过改良人工晶状体预防后发性白内障和前囊膜收缩。
Expert Rev Med Devices. 2008 Mar;5(2):197-207. doi: 10.1586/17434440.5.2.197.
4
[Tendencies of cataract surgery in Lithuania].[立陶宛白内障手术的趋势]
Medicina (Kaunas). 2006;42(5):370-6.
5
[Actuality in cataract treatment].[白内障治疗的现状]
Rev Prat. 2013 Jan;63(1):43-7.
6
Assessment of visual function in children with foldable intraocular lens implants.
Klin Oczna. 2008;110(10-12):367-9.
7
Surgical outcomes after intraocular lens implantation for posterior lenticonus-related cataract according to preoperative lens status.根据术前晶状体状态评估后发性晶状体囊膜混浊相关白内障行晶状体植入术后的手术效果。
J Cataract Refract Surg. 2014 Feb;40(2):217-23. doi: 10.1016/j.jcrs.2013.07.048. Epub 2013 Dec 22.
8
Medical equipment. Seeing the bigger picture.医疗设备。着眼大局。
Health Serv J. 2004 Sep 23;114(5924):40.
9
[New aspects for cataract surgery and intraocular lens implantation].[白内障手术和人工晶状体植入的新进展]
Klin Monbl Augenheilkd. 2010 Aug;227(8):603-4. doi: 10.1055/s-0029-1245634. Epub 2010 Aug 12.
10
[Cataracts - trend and new developments].[白内障——趋势与新进展]
Ther Umsch. 2009 Mar;66(3):167-71. doi: 10.1024/0040-5930.66.3.167.

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Sci Rep. 2025 May 20;15(1):17422. doi: 10.1038/s41598-025-02573-z.
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Recent Advances of Intraocular Lens Materials and Surface Modification in Cataract Surgery.
白内障手术中人工晶状体材料及表面改性的最新进展
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Ophthalmic Telesurgery with a Low-Cost Smartphone Video System for Surgeon Self-Reflection and Remote Synchronous Consultation: A Qualitative and Quantitative Study.使用低成本智能手机视频系统进行眼科远程手术以实现术者自我反思和远程同步会诊:一项定性与定量研究
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The elevated risk of sight-threatening cataract in diabetes with retinopathy: a retrospective population-based cohort study.患有糖尿病性视网膜病变的糖尿病患者发生致盲性白内障的风险增加:一项基于人群的回顾性队列研究。
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6
Long-term myofibroblast persistence in the capsular bag contributes to the late spontaneous in-the-bag intraocular lens dislocation.囊袋内长期肌成纤维细胞的持续存在导致晚期自发性囊袋内人工晶状体脱位。
Sci Rep. 2020 Nov 25;10(1):20532. doi: 10.1038/s41598-020-77207-7.
7
Do independent treatment centers offer more value than general hospitals? The case of cataract care.独立治疗中心比综合医院提供的价值更高吗?以白内障护理为例。
Health Serv Res. 2019 Dec;54(6):1357-1365. doi: 10.1111/1475-6773.13201. Epub 2019 Aug 20.
8
Risk factors for the occurrence of visual-threatening posterior capsule opacification.导致威胁视力的后囊膜混浊发生的风险因素。
J Transl Med. 2019 Jun 20;17(1):209. doi: 10.1186/s12967-019-1956-6.
9
Investigation of synergistic mechanism and identification of interaction site of aldose reductase with the combination of gigantol and syringic acid for prevention of diabetic cataract.探讨巨峰醇与丁香酸联合预防糖尿病性白内障时醛糖还原酶的协同作用机制及相互作用位点的鉴定。
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Invest Ophthalmol Vis Sci. 2016 Apr 1;57(4):2246-50. doi: 10.1167/iovs.16-19332.