Venkateswaran Nandini, Luna Regina D, Gupta Preeya K
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.
Duke Eye Center, Duke University, Durham, North Carolina, USA.
Saudi J Ophthalmol. 2022 Aug 29;36(2):142-148. doi: 10.4103/sjopt.sjopt_190_21. eCollection 2022 Apr-Jun.
The evolution of refractive cataract surgery has increased patient expectations for visual outcomes following cataract surgery. Precise biometry and keratometry are critical for accurate intraocular lens (IOL) selection and favorable surgical outcomes. In patients with the ocular surface disease and corneal pathologies, preoperative measurements can often be erroneous, leading to postoperative refractive surprises and dissatisfied patients. Conditions such as dry eye disease, epithelial basement membrane dystrophy, Salzmann's nodular dystrophy, and pterygia need to be addressed thoroughly before performing cataract surgery to optimize the ocular surface, obtain high-quality preoperative measurements, and ultimately determine the appropriate IOLs. In this review, the various ocular surface pathologies affecting cataract surgery outcomes and options for treatment are discussed and the importance of optimization of the ocular surface before cataract surgery is reviewed.
屈光性白内障手术的发展提高了患者对白内障手术后视觉效果的期望。精确的生物测量和角膜测量对于准确选择人工晶状体（IOL）和取得良好的手术效果至关重要。在患有眼表疾病和角膜病变的患者中，术前测量常常会出现误差，导致术后屈光意外和患者不满。在进行白内障手术之前，需要彻底处理诸如干眼疾病、上皮基底膜营养不良、萨尔茨曼结节状营养不良和翼状胬肉等情况，以优化眼表、获得高质量的术前测量结果，并最终确定合适的人工晶状体。在本综述中，讨论了影响白内障手术效果的各种眼表病变及其治疗选择，并回顾了白内障手术前优化眼表的重要性。
