Talley-Rostov Audrey
Northwest Eye Surgeons, Seattle, Washington 98133, USA.
Curr Opin Ophthalmol. 2008 Jan;19(1):5-9. doi: 10.1097/ICU.0b013e3282f2d7a3.
Cataract surgery has evolved significantly during the last few years. The introduction of aspheric, presbyopic correcting and toric intraocular lenses have shifted the emphasis of cataract surgery from just treating patients' functional symptoms to optimizing the refractive outcome of the procedure.
Studies emphasizing patient satisfaction and refractive visual outcomes have shifted the focus of cataract surgery to a more patient-centered approach. Refractive surgical technologies such as limbal relaxing incisions, laser-assisted in-situ keratomileusis, photorefractive keratectomy and conductive keratoplasty can be used in conjunction with traditional cataract surgical techniques. The wide array of intraocular lens choices has broadened the scope of refractive cataract surgery providing surgeons and patients with more options in determining refractive outcomes.
Cataract surgery has expanded into the realm of refractive surgery and there is a new emphasis on patient-centered care and an optimization of the refractive outcome of the procedure. This trend will continue as newer presbyopic correcting intraocular lenses become available.
在过去几年中，白内障手术有了显著发展。非球面、矫正老花眼和散光的人工晶状体的引入，使白内障手术的重点从仅仅治疗患者的功能症状转向优化手术的屈光效果。
强调患者满意度和屈光视觉效果的研究，已将白内障手术的重点转向更以患者为中心的方法。屈光手术技术，如角膜缘松解切口、准分子激光原位角膜磨镶术、屈光性角膜切削术和传导性角膜成形术，可与传统白内障手术技术联合使用。人工晶状体的多种选择拓宽了屈光性白内障手术的范围，为外科医生和患者在确定屈光效果方面提供了更多选择。
白内障手术已扩展到屈光手术领域，并且重新强调以患者为中心的护理以及优化手术的屈光效果。随着更新的矫正老花眼人工晶状体问世，这一趋势将持续下去。
