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[黄斑镜片在年龄相关性黄斑变性患者中的应用]

[Use of macular lenses in patients with age-related macular degeneration].

作者信息

Bikbov M M, Orenburkina O I, Babushkin A E, Burkhanov Yu K

机构信息

Ufa Eye Research Institute, Ufa, Russia.

出版信息

Vestn Oftalmol. 2020;136(3):87-92. doi: 10.17116/oftalma202013603187.

Abstract

The review presents the characteristics and results of clinical studies on implantation of different types of macular lenses (IOL-VIP system, Lipschitz Macular Implant (LMI), Fresnel Prism Intraocular, IOL AMD) installed in the capsular bag after phacoemulsification in patients with age-related macular degeneration (AMD). The literature review shows that up to now, the data on implantation of these lenses was contradictory and generally based only on short-term results. There are quite strict criteria for the selection of patients to evaluate the maximum possible postoperative visual rehabilitation of patients using special programs, the effectiveness of which largely depends on their commitment to postoperative, sometimes long-term treatment. Additional independent clinical studies with longer follow-up periods for patients with AMD are required to determine the efficacy and safety of macular lenses in order to recommend their use in wide clinical practice.

摘要

该综述介绍了年龄相关性黄斑变性(AMD)患者在白内障超声乳化术后,将不同类型的黄斑晶状体(IOL-VIP系统、利普希茨黄斑植入物(LMI)、菲涅尔棱镜人工晶状体、IOL AMD)植入囊袋内的临床研究特点及结果。文献综述表明,截至目前,这些晶状体植入的数据相互矛盾,且通常仅基于短期结果。在选择患者时,有相当严格的标准,以便使用特殊程序评估患者术后最大可能的视力恢复情况,而这些程序的有效性很大程度上取决于患者对术后有时是长期治疗的依从性。为了确定黄斑晶状体的疗效和安全性,以便推荐其在广泛的临床实践中使用,需要对AMD患者进行更长随访期的额外独立临床研究。

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