Li Z H, Xu W Q, Ye Z
Department of Ophthalmology, the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China.
Zhonghua Yan Ke Za Zhi. 2021 Jan 11;57(1):6-10. doi: 10.3760/cma.j.cn112142-20201015-00685.
Multifocal intraocular lens (MIOL) can help cataract patients get a full range of vision, restore binocular stereopsis, improve pseudo-accommodation power, and correct regular corneal astigmatism with limits. However, MIOL also have shortcomings, including decreased contrast sensitivity, night glare, halos and other negative dysphotopsias, despite strictly controlled indications. Sometimes dysphotopsia can be relieved spontaneously after surgery in a period of time. During this process neuroadaptation plays an important role. This article explains the concept and mechanism of neuroadaptation, the location of neuroadaptation in the central nervous system, cognitive training, the preoperative evaluation of MIOL implantation, and the treatment for postoperative dissatisfaction. Correct understanding of the important role of neuroadaptation will provide theoretic foundation for cataract specialists and facilitate the handling of complications after MIOL implantation. .
多焦点人工晶状体(MIOL)可帮助白内障患者获得全范围视力,恢复双眼立体视觉,提高伪调节能力,并在一定限度内矫正规则角膜散光。然而,尽管有严格控制的适应证,MIOL也存在缺点,包括对比敏感度下降、夜间眩光、光晕及其他不良的视觉异常。有时视觉异常在术后一段时间内可自行缓解。在此过程中,神经适应起重要作用。本文阐述了神经适应的概念和机制、神经适应在中枢神经系统中的位置、认知训练、MIOL植入的术前评估以及术后不满意情况的处理。正确理解神经适应的重要作用将为白内障专科医生提供理论基础,并有助于处理MIOL植入后的并发症。