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用于微小切口白内障手术的人工晶状体

[Intraocular lenses for microincisional cataract surgery].

作者信息

Kohnen T, Klaproth O K

机构信息

Klinik für Augenheilkunde, Goethe-Universität , Theodor Stern Kai 7, 60590, Frankfurt am Main, Deutschland.

出版信息

Ophthalmologe. 2010 Feb;107(2):127-35. doi: 10.1007/s00347-009-1978-1.

DOI:10.1007/s00347-009-1978-1
PMID:20107811
Abstract

Incision size in micro-incisional cataract surgery (MICS) is dependent on the minimal size of the folded or rolled intraocular lens (IOL) during implantation and thus the outer diameter of the injector system used. At present implantations through incisions <2.0 mm are possible. MICS IOLs have to be optimized for this small dimension in terms of material and lens body design. Compared to standard procedures, MICS induces little astigmatism and higher order aberrations. Thus MICS procedures provide better predictability in terms of postoperative refractive results. This is of special interest when implanting advanced optic designs, such as aspheric, toric or multifocal IOLs.

摘要

微切口白内障手术(MICS)的切口大小取决于植入过程中折叠或卷曲人工晶状体(IOL)的最小尺寸,进而取决于所用注射器系统的外径。目前,通过小于2.0毫米的切口进行植入是可行的。MICS人工晶状体必须在材料和晶状体主体设计方面针对这一较小尺寸进行优化。与标准手术相比,MICS引起的散光和高阶像差较小。因此,MICS手术在术后屈光结果方面具有更好的可预测性。在植入先进的光学设计,如非球面、散光或多焦点人工晶状体时,这一点尤为重要。

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引用本文的文献

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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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Scanning electron microscopy study of different one-piece foldable acrylic intraocular lenses after injection through microincisional cataract surgery cartridges.经微切口白内障手术套管注射后不同一体式折叠丙烯酸人工晶状体的扫描电子显微镜研究。
Int Ophthalmol. 2020 Feb;40(2):369-376. doi: 10.1007/s10792-019-01193-7. Epub 2019 Oct 17.

本文引用的文献

1
Comparison of early corneal endothelial cell loss after coaxial phacoemulsification through 1.8 mm microincision and bimanual phacoemulsification through 1.7 mm microincision.经1.8毫米微小切口同轴超声乳化术与经1.7毫米微小切口双手超声乳化术后早期角膜内皮细胞损失的比较。
J Cataract Refract Surg. 2009 Sep;35(9):1570-4. doi: 10.1016/j.jcrs.2009.05.014.
2
Comparison of surgically induced astigmatism after coaxial phacoemulsification through 1.8 mm microincision and bimanual phacoemulsification through 1.7 mm microincision.经1.8毫米微小切口同轴超声乳化与经1.7毫米微小切口双手超声乳化术后手术源性散光的比较。
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3
Astigmatic neutrality in biaxial microincision cataract surgery.
双轴微切口白内障手术中的散光中和
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4
Tilt and decentration of spherical and aspheric intraocular lenses: effect on higher-order aberrations.球面和非球面人工晶状体的倾斜与偏心:对高阶像差的影响。
J Cataract Refract Surg. 2009 Jun;35(6):1006-12. doi: 10.1016/j.jcrs.2009.01.023.
5
Corneal incision quality: microincision cataract surgery versus microcoaxial phacoemulsification.角膜切口质量:微小切口白内障手术与微同轴超声乳化术的比较
J Cataract Refract Surg. 2009 Mar;35(3):466-74. doi: 10.1016/j.jcrs.2008.11.047.
6
Randomized intraindividual comparison of posterior capsule opacification between a microincision intraocular lens and a conventional intraocular lens.微切口人工晶状体与传统人工晶状体后囊膜混浊的随机个体内比较
J Cataract Refract Surg. 2009 Feb;35(2):265-72. doi: 10.1016/j.jcrs.2008.10.048.
7
Postoperative corneal shape changes: microincision versus small-incision coaxial cataract surgery.术后角膜形态变化:微小切口与小切口同轴白内障手术对比
J Cataract Refract Surg. 2009 Feb;35(2):233-9. doi: 10.1016/j.jcrs.2008.10.031.
8
Balancing act.
J Cataract Refract Surg. 2009 Feb;35(2):205. doi: 10.1016/j.jcrs.2008.11.003.
9
Changes in corneal wavefront aberrations in microincision and small-incision cataract surgery.微切口和小切口白内障手术中角膜波前像差的变化
J Cataract Refract Surg. 2008 Dec;34(12):2085-90. doi: 10.1016/j.jcrs.2008.08.020.
10
[Aberration corrected intraocular lens for microincision cataract surgery (MICS). Intraindividual comparison with a conventional lens - 1-year follow-up].用于微切口白内障手术(MICS)的像差校正人工晶状体。与传统晶状体的个体内比较——1年随访
Ophthalmologe. 2009 Oct;106(10):899-904. doi: 10.1007/s00347-008-1846-4.