Wallace R B
Wallace Eye Surgery, Alexandria, Louisiana 71303, USA.
J Ophthalmic Nurs Technol. 1998 May-Jun;17(3):107-9.
As we approach the second millennium, state-of-the-art cataract surgery means not only improved corrected vision, but also the opportunity to create better uncorrected distance and near visual acuity for patients by taking advantage of new technology and techniques. Patient satisfaction will ultimately depend on our ability and success in effectively meeting the challenge to reduce the need for spectacles after cataract surgery. A systemic and coordinated effort by various members of the office staff and the surgeon to monitor the results of IOL calculations will enhance the overall success for good uncorrected distance and near acuity after IOL implantation. Newer IOL theoretic formulas, better A-scan biometers, and the use of more reproducible A-scan techniques, such as immersion, can help to achieve greater accuracy. Newer computer software programs now offer database options to help in tracking results after surgery. As we carefully monitor postoperative results and troubleshoot those eyes that do not fall into the expected spherical target refraction after surgery, our IOL power accuracy improves and our patient's desire for less spectacle dependency will be satisfied.
随着我们迈向第二个千年,先进的白内障手术不仅意味着视力矫正的改善,还意味着通过利用新技术和技巧为患者创造更好的未矫正远视力和近视力的机会。患者的满意度最终将取决于我们有效应对减少白内障手术后对眼镜需求这一挑战的能力和成功率。办公室工作人员和外科医生的各个成员进行系统且协调的努力,以监测人工晶状体计算结果,将提高人工晶状体植入后获得良好未矫正远视力和近视力的总体成功率。更新的人工晶状体理论公式、更好的A超生物测量仪以及使用更可重复的A超技术,如浸入式技术,有助于实现更高的准确性。更新的计算机软件程序现在提供数据库选项,以帮助跟踪手术后的结果。当我们仔细监测术后结果并对那些术后未达到预期球面目标屈光的眼睛进行故障排除时,我们的人工晶状体屈光力准确性会提高,并且我们的患者对减少眼镜依赖的需求也将得到满足。