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[用于个性化矫正老花眼的复杂光学系统]

[Complex optical systems for individualized correction of presbyopia].

作者信息

Khoramnia Ramin, Naujokaitis Tadas, Łabuz Grzegorz, Auffarth Gerd U

机构信息

Universitäts-Augenklinik Heidelberg, INF 400, 69120, Heidelberg, Deutschland.

出版信息

Ophthalmologie. 2024 Sep;121(9):706-713. doi: 10.1007/s00347-024-02076-8. Epub 2024 Jul 17.

Abstract

A multitude of available intraocular lens (IOL) models enable a personalized approach to presbyopia correction in order to meet each patient's needs. This review article discusses more complex approaches which can be useful in selected cases. The concept of reversible trifocality enables correction of presbyopia using a supplementary intraocular lens (IOL), which can be removed if necessary (e.g., intolerance to multifocal optics). The use of capsulotomy-fixated IOLs enables high precision for positioning of the lens and better stability compared to conventional capsular bag-fixated IOLs, which can be particularly advantageous in multifocal optics. The mix and match concept enables a combination of different IOLs with various optical principles to achieve the desired binocular effect. Binocular IOL systems, which consist of two complementary IOLs, can be seen as a further development of the mix and match concept. Knowledge of the available options and their application can further improve correction of presbyopia.

摘要

众多现有的人工晶状体(IOL)型号使个性化矫正老花眼成为可能,以满足每位患者的需求。这篇综述文章讨论了一些更复杂的方法,这些方法在特定情况下可能会很有用。可逆三焦点的概念使得可以使用辅助人工晶状体(IOL)来矫正老花眼,如有必要(例如,对多焦点光学元件不耐受),该人工晶状体可以移除。与传统的囊袋固定人工晶状体相比,使用囊切开术固定的人工晶状体能够实现更高的晶状体定位精度和更好的稳定性,这在多焦点光学元件中可能特别有利。混合搭配的概念使得不同光学原理的人工晶状体能够组合在一起,以实现所需的双眼视觉效果。由两个互补人工晶状体组成的双眼人工晶状体系统可被视为混合搭配概念的进一步发展。了解可用的选择及其应用可以进一步改善老花眼的矫正效果。

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