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白内障手术中散光矫正的创新与成果:全面综述

Innovations and Outcomes in Astigmatism Correction During Cataract Surgery: A Comprehensive Review.

作者信息

Mallareddy Vijaya, Daigavane Sachin

机构信息

Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 26;16(8):e67828. doi: 10.7759/cureus.67828. eCollection 2024 Aug.

DOI:10.7759/cureus.67828
PMID:39323664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11423925/
Abstract

Astigmatism, a prevalent refractive error caused by an irregular curvature of the cornea or lens, can significantly affect visual acuity and the quality of life. Correcting astigmatism during cataract surgery is essential for achieving optimal postoperative visual outcomes. This comprehensive review examines recent innovations in astigmatism correction methods and their impact on cataract surgery. It provides an in-depth analysis of advancements such as toric intraocular lenses (IOLs), femtosecond laser-assisted cataract surgery (FLACS), and new IOL technologies designed to address astigmatism with greater precision. The review also evaluates clinical outcomes, including visual acuity improvements, patient satisfaction, and safety considerations associated with these innovations. Additionally, it explores the cost-effectiveness of various techniques and highlights emerging trends and future directions in the field. By synthesizing current evidence, this review aims to offer valuable insights for clinicians and inform best practices in astigmatism management during cataract surgery.

摘要

散光,一种由角膜或晶状体不规则弯曲引起的常见屈光不正,会显著影响视力和生活质量。在白内障手术中矫正散光对于实现最佳术后视觉效果至关重要。这篇综述探讨了散光矫正方法的最新创新及其对白内障手术的影响。它深入分析了诸如散光人工晶状体(IOL)、飞秒激光辅助白内障手术(FLACS)以及旨在更精确解决散光问题的新型IOL技术等进展。该综述还评估了临床结果,包括视力改善、患者满意度以及与这些创新相关的安全考量。此外,它还探讨了各种技术的成本效益,并突出了该领域的新兴趋势和未来方向。通过综合现有证据,本综述旨在为临床医生提供有价值的见解,并为白内障手术中散光管理的最佳实践提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60bf/11423925/a8bc19c53b4f/cureus-0016-00000067828-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60bf/11423925/a8bc19c53b4f/cureus-0016-00000067828-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60bf/11423925/a8bc19c53b4f/cureus-0016-00000067828-i01.jpg

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本文引用的文献

1
Astigmatism Management in Modern Cataract Surgery.现代白内障手术中的散光管理
Vision (Basel). 2024 Feb 27;8(1):9. doi: 10.3390/vision8010009.
2
Insights into the rotational stability of toric intraocular lens implantation: diagnostic approaches, influencing factors and intervention strategies.关于散光人工晶状体植入旋转稳定性的见解:诊断方法、影响因素及干预策略。
Front Med (Lausanne). 2024 Feb 13;11:1349496. doi: 10.3389/fmed.2024.1349496. eCollection 2024.
3
Effect of astigmatism on visual outcomes after multifocal intraocular lens implantation: a systematic review and meta-analysis.
散光对多焦点人工晶状体植入术后视觉效果的影响:一项系统评价和荟萃分析。
Front Med (Lausanne). 2023 Nov 28;10:1214714. doi: 10.3389/fmed.2023.1214714. eCollection 2023.
4
Comparison of astigmatism correction and visual outcomes in mix-and-match implantations of trifocal intraocular lenses with femtosecond laser-assisted arcuate keratotomy and contralateral bifocal Toric intraocular lenses.飞秒激光辅助弧形角膜切开术联合三焦点人工晶状体与对侧双焦点散光人工晶状体混合植入的散光矫正及视觉效果比较
Front Med (Lausanne). 2023 Aug 4;10:1237319. doi: 10.3389/fmed.2023.1237319. eCollection 2023.
5
Undesirable High Astigmatism after Penetrating Keratoplasty in Pseudophakia Corrected with an Add-On Toric Intraocular Lens.穿透性角膜移植术后使用附加型环曲面人工晶状体矫正假晶状体眼时出现的不良高度散光
Case Rep Ophthalmol. 2023 Jul 10;14(1):307-313. doi: 10.1159/000530281. eCollection 2023 Jan-Dec.
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Graefes Arch Clin Exp Ophthalmol. 2023 Dec;261(12):3521-3530. doi: 10.1007/s00417-023-06148-4. Epub 2023 Jun 29.
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J Cataract Refract Surg. 2023 Aug 1;49(8):826-831. doi: 10.1097/j.jcrs.0000000000001211.
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