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水眼白内障术后屈光漂移的影响因素

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随着近视的流行,需要玻璃体切除术保留晶状体的人数有增加趋势.玻璃体切除术后(水眼)患白内障几率约22.5%~60%,水眼白内障术后屈光漂移已受到更多关注.尽管白内障手术技术不断进步,检查设备不断更新,但水眼白内障术前、术中和术后的一些因素导致术后屈光误差较正常眼白内障更明显.水眼白内障除了关注患者眼表健康、光学生物测量的准确性与可重复性,选择合适IOL屈光力计算公式外,还要关注眼轴长度和IOL实际位置的改变.选择合适的IOL计算公式能减少术后屈光误差.高度近视采用SRK/T公式、Kane公式、Haigis公式、Barrett Universal Ⅱ公式计算屈光误差较小,但能否在水眼白内障患者使用值得进一步研究.(国际眼科纵览,2024,48:420-425)
Affecting factors of refractive error after cataract surgery in patients with aqueous eye status
With the prevalence of myopia,there is a trend towards an increase in the number of people requiring vitrectomy to preserve the lens.The risk of cataract after vitrectomy(aqueous eye status)is about 22.5%~60%,and refractive drift after cataract of aqueous eye status surgery has received more at-tention.Although cataract surgery technology continues to advance and examination equipment is constantly updated,some preoperative,intraoperative,and postoperative factors cause postoperative refractive error to be more obvious than that of normal eye cataract.In addition to paying attention to the patient's ocular sur-face health,the accuracy and repeatability of optical biometry,and the selection of the appropriate IOL re-fractive power calculation formula,the change of the axial length and the actual position of the IOL should al-so be paid attention to.Choosing the appropriate IOL calculation formula can reduce the refractive error after surgery.The SRK/T formula,Kane formula,Haigis formula,and Barrett Universal Ⅱ formula are used to calculate the refractive error of high myopia,but whether they can be used in patients with cataract of aque-ous eye status is worth exploring.(Int Rev Ophthalmol,2024,48:420-425)

cataract with aqueous eye statusintraocular lens power calculation formularefractive drift

苏文华、王雪林、陆晓和、陈娟娟、黄新宇、黎颖莉

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南方医科大学珠江医院眼科,广州 510280

上饶市中心医院(江西医学高等专科学校第一附属医院,上饶市眼科医院)眼科,江西上饶 334000

石门爱尔眼科医院,湖南常德 415000

水眼白内障 屈光度计算公式 屈光漂移

2024

国际眼科纵览
中华医学会 北京市眼科研究所

国际眼科纵览

影响因子:0.243
ISSN:1673-5803
年,卷(期):2024.48(6)