Ruttig Nathaniel J, Jancevski Maria, Shah Samir A
Henry Ford Hospital, Detroit, Michigan 48202-2689, USA.
Curr Opin Ophthalmol. 2008 Jul;19(4):309-13. doi: 10.1097/ICU.0b013e3283045e8d.
New advances in wavefront analysis offer an opportunity for greater refinement of cataract surgery. In this article, we critically review the recent advances in wavefront technology with specific attention to its application in customizing cataract surgery.
Historically, wavefront analysis has been implemented in corneal refractive procedures. Expansion of this technology may soon allow surgeons to choose the most optically appropriate intraocular lens for a patient's individualized wavefront pattern, thus allowing for a 'custom-fitted' intraocular lens. The benefit of full correction of all higher-order aberrations measured by wavefront analysis remains controversial. Additionally, in certain subsets of patients with specific anterior chamber pathology, wavefront intraocular lenses may not be appropriate.
The application of wavefront technology continues to expand the surgical options available to the practicing ophthalmologist. Significant advances have been made in our understanding of wavefront analysis and its usefulness in vision correction. Careful consideration of the optics of the whole eye must be considered when implementing wavefront analysis.
波前分析的新进展为白内障手术的进一步优化提供了契机。在本文中，我们批判性地回顾了波前技术的最新进展，并特别关注其在定制白内障手术中的应用。
从历史上看，波前分析已应用于角膜屈光手术。这项技术的扩展可能很快使外科医生能够根据患者个性化的波前模式选择最适合光学的人工晶状体，从而实现“定制”人工晶状体。通过波前分析测量对所有高阶像差进行完全矫正的益处仍存在争议。此外，在某些具有特定前房病变的患者亚组中，波前人工晶状体可能并不适用。
波前技术的应用不断拓展了执业眼科医生可用的手术选择。我们对波前分析及其在视力矫正中的作用的理解取得了重大进展。在实施波前分析时，必须仔细考虑全眼的光学情况。
