白内障手术与黄斑变性进展的风险。
Cataract surgery and the risk of progression of macular degeneration.
机构信息
Division of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland, USA.
出版信息
Curr Opin Ophthalmol. 2023 Jan 1;34(1):27-31. doi: 10.1097/ICU.0000000000000909. Epub 2022 Nov 21.
PURPOSE OF REVIEW
Cataract surgery improves vision loss due to cataracts in eyes with co-existing age-related macular degeneration (AMD), but whether surgery itself pose an increased risk for the progression of AMD has been of concern to both physicians and their patients. This review describes evidence on cataract surgery and its impact on the progression of AMD.
RECENT FINDINGS
Recent evidence suggests that cataract surgery does not increase the risk for progression of AMD.
SUMMARY
Cataract surgery should be discussed in patients with both AMD and visually significant cataract. Patients should be reassured that the cataract surgery will not increase the risk of AMD progression. In patients with AMD, especially those with the more severe intermediate stage and those with advanced AMD in the fellow eye, the natural course of progression to late AMD is high. The importance of vigilant follow-up needs to be emphasized for the detection of natural progression of the disease and early initiation of treatment should signs of neovascularization develop.
目的综述
白内障手术改善了伴有年龄相关性黄斑变性（AMD）的眼睛的白内障引起的视力丧失，但手术本身是否会增加 AMD 进展的风险一直是医生和患者都关心的问题。这篇综述描述了白内障手术及其对 AMD 进展影响的证据。
最近的发现
最近的证据表明白内障手术不会增加 AMD 进展的风险。
总结
白内障手术应在同时患有 AMD 和视力明显下降的白内障患者中进行讨论。应让患者放心，白内障手术不会增加 AMD 进展的风险。对于 AMD 患者，尤其是那些处于更严重的中期阶段和对侧眼有晚期 AMD 的患者，进展为晚期 AMD 的自然病程很高。需要强调密切随访的重要性，以便发现疾病的自然进展，并在出现新生血管迹象时尽早开始治疗。
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