同期双侧白内障手术（ISBCS）的利弊
Pros and cons of immediately sequential bilateral cataract surgery (ISBCS).
作者信息
Grzybowski Andrzej, Wasinska-Borowiec Weronika, Claoué Charles
机构信息
Department of Ophthalmology, Poznan City Hospital, Poznań, Poland; Chair of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland.
Chair of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland.
出版信息
Saudi J Ophthalmol. 2016 Oct-Dec;30(4):244-249. doi: 10.1016/j.sjopt.2016.09.001. Epub 2016 Sep 28.
Abstract
Immediately sequential bilateral cataract surgery (ISBCS) is currently a "hot topic" in ophthalmology. There are well-documented advantages in terms of quicker visual rehabilitation and reduced costs. The risk of bilateral simultaneous endophthalmitis and bilateral blindness is now recognized to be minuscule with the advent of intracameral antibiotics and modern management of endophthalmitis. Refractive surprises are rare for normal eyes and with the use of optical biometry. Where a general anesthetic is indicated for cataract surgery, the risk of death from a second anesthetic is much higher than the risk of blindness. A widely recognized protocol from the International Society of Bilateral Cataract Surgeons needs to be adhered to if surgeons wish to start practicing ISBCS.
摘要
即刻连续双侧白内障手术（ISBCS）目前是眼科领域的一个“热门话题”。在更快的视力恢复和降低成本方面有充分记录的优势。随着前房内抗生素的出现和眼内炎的现代管理，双侧同时发生眼内炎和双侧失明的风险现在被认为极小。对于正常眼睛以及使用光学生物测量法时，屈光意外很少见。如果白内障手术需要全身麻醉，第二次麻醉导致死亡的风险远高于失明风险。如果外科医生希望开始实施ISBCS，就需要遵循国际双侧白内障外科医生协会广泛认可的方案。
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