专家述评
ENGLISH ABSTRACT
关注白内障手术技术新进展,提高白内障手术治疗精准性
徐雯
许哲
作者及单位信息
·
DOI: 10.3760/cma.j.cn115989-20210715-00413
Evolution of cataract surgical techniques and improvement of surgical precision
Xu Wen
Xu Zhe
Authors Info & Affiliations
Xu Wen
Eye Center of Second Affiliated Hospital of Zhejiang University Medical College, Hangzhou 310009, China
Xu Zhe
Eye Center of Second Affiliated Hospital of Zhejiang University Medical College, Hangzhou 310009, China
·
DOI: 10.3760/cma.j.cn115989-20210715-00413
1922
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摘要

随着人口结构老龄化加剧,白内障手术需求日益增长,同时对术后视觉质量的要求也不断提升,从而衍生出屈光性白内障手术的概念。屈光性白内障手术对白内障手术治疗的精准性有了更高要求。为提高患者术后脱镜率、改善患者术中体验和术后最佳视觉质量,临床白内障手术各个环节的新技术层出不穷。眼科医师应密切关注白内障手术相关眼球生物测量、人工晶状体类型和设计原理、飞秒激光技术在白内障手术中的应用、手术技术辅助系统及围手术期管理理念的新进展,以有效提高白内障手术治疗的精准性。

白内障手术;精准治疗;更新与进展
ABSTRACT

With the increase of aging population, the rising demand for cataract surgery, along with the growing demand for post-operative visual quality, the concept of refractive cataract surgery has been put forward, which places more emphasis on the cataract surgical precision.In order to improve the spectacle independence rate, optimize the surgical experience, and obtain the best visual quality, new technologies involving all aspects of cataract surgery are emerging.Ophthalmologists should pay close attention to the updates of biometry measurement, types and design principles of intraocular lens, application of femtosecond technology, surgical assistant system and perioperative management concept, so as to improve the precision and accuracy of cataract surgery.

Cataract surgery;Precise treatment;Update and development
Xu Wen, Email: nc.defudabe.ujz3002newux
引用本文

徐雯,许哲. 关注白内障手术技术新进展,提高白内障手术治疗精准性[J]. 中华实验眼科杂志,2022,40(05):389-394.

DOI:10.3760/cma.j.cn115989-20210715-00413

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自1967年首例白内障超声乳化手术以及1970年首例后房型人工晶状体(intraocular lens,IOL)植入报道以来,现代白内障手术经历了半个世纪的快速发展 [ 1 , 2 ]。随着人口结构老龄化加剧,白内障手术需求日益增加,至2020年我国白内障年手术量已逾380万台。在治疗白内障的同时,使患者术后成功脱镜,并获得尽可能最佳的视觉质量,已成为全球眼科界面临的共同挑战。屈光性白内障手术概念的提出,对白内障手术治疗效果的精准性提出了更高要求 [ 1 , 3 ]。由此,涉及临床白内障精准治疗各个环节的新技术层出不穷。临床医师应关注眼球生物测量、IOL设计、飞秒激光技术应用、手术技术辅助系统及围手术期管理相关新进展,以进一步提高白内障手术治疗的精准性。
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参考文献
[1]
Davis G The evolution of cataract surgery[J]Mo Med 2016113(1):58-62.
返回引文位置Google Scholar
百度学术
万方数据
[2]
Kelman CD . Phaco-emulsificatio n and aspiration.A new technique of cataract removal.A preliminary report [J]Am J Ophthalmol 196764(1):23-35.
返回引文位置Google Scholar
百度学术
万方数据
[3]
兰长骏廖萱重视白内障患者视觉质量的评估[J]中华实验眼科杂志 201836(5):326-329. DOI: 10.3760/cma.j.issn.2095-0160.2018.05.002 .
返回引文位置Google Scholar
百度学术
万方数据
Lan CJ , Liao X Focus on the evaluation of visual quality in cataract patients[J]Chin J Exp Ophthalmol 201836(5):326-329. DOI: 10.3760/cma.j.issn.2095-0160.2018.05.002 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[4]
Einan-Lifshitz A , Rozenberg A , Wang L et al. Accuracy and feasibility of axial length measurements by a new optical low-coherence reflectometry-based device in eyes with posterior subcapsular cataract[J]J Cataract Refract Surg 201743(7):898-901. DOI: 10.1016/j.jcrs.2017.04.035 .
返回引文位置Google Scholar
百度学术
万方数据
[5]
Gao R , Chen H , Savini G et al. Comparison of ocular biometric measurements between a new swept-source optical coherence tomography and a common optical low coherence reflectometry[J/OL]Sci Rep 20177(1):2484[2021-06-12]http://www.ncbi.nlm.nih.gov/pubmed/28559547. DOI: 10.1038/s41598-017-02463-z .
返回引文位置Google Scholar
百度学术
万方数据
[6]
兰长骏彭悦廖萱扫频光相干断层扫描生物测量仪在白内障中的应用[J]中华实验眼科杂志 20 19 37(2):123-128. DOI: 10.3760/cma.j.issn.2095-0160.2019.02.010 .
返回引文位置Google Scholar
百度学术
万方数据
Lan CJ , Peng Y , Liao X Application of swept-source optical coherence tomography biometer in cataract[J]Chin J Exp Ophthalmol 201937(2):123-128. DOI: 10.3760/cma.j.issn.2095-0160.2019.02.010 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[7]
Woodcock MG , Lehmann R , Cionni RJ et al. Intraoperative aberrometry versus standard preoperative biometry and a toric IOL calculator for bilateral toric IOL implantation with a femtosecond laser:one-month results[J]J Cataract Refract Surg 201642(6):817-825. DOI: 10.1016/j.jcrs.2016.02.048 .
返回引文位置Google Scholar
百度学术
万方数据
[8]
Ianchulev T , Hoffer KJ , Yoo SH et al. Intraoperative refractive biometry for predicting intraocular lens power calculation after prior myopic refractive surgery[J]Ophthalmology 2014121(1):56-60. DOI: 10.1016/j.ophtha.2013.08.041 .
返回引文位置Google Scholar
百度学术
万方数据
[9]
Huang J , McAlinden C , Huang Y et al. Meta-analysis of optical low-coherence reflectometry versus partial coherence interferometry biometry[J/OL]Sci Rep 20177:43414[2021-06-12]http://pubmed.ncbi.nlm.nih.gov/28233846. DOI: 10.1038/srep43414 .
返回引文位置Google Scholar
百度学术
万方数据
[10]
Melles RB , Holladay JT , Chang WJ . Accuracy of intraocular lens calculation formulas[J]Ophthalmology 2018125(2):169-178. DOI: 10.1016/j.ophtha.2017.08.027 .
返回引文位置Google Scholar
百度学术
万方数据
[11]
Rocha-de-Lossada C , Colmenero-Reina E , Flikier D et al. Intraocular lens power calculation formula accuracy:comparison of 12 formulas for a trifocal hydrophilic intraocular lens[J]Eur J Ophthalmol 202131(6):2981-2988. DOI: 10.1177/1120672120980690 .
返回引文位置Google Scholar
百度学术
万方数据
[12]
Moshirfar M , Buckner B , Ronquillo YC et al. Biometry in cataract surgery:a review of the current literature[J]Curr Opin Ophthalmol 201930(1):9-12. DOI: 10.1097/ICU.0000000000000536 .
返回引文位置Google Scholar
百度学术
万方数据
[13]
Bilbao-Calabuig R , Llovet-Rausell A , Ortega-Usobiaga J et al. Visual outcomes following bilateral lmplantation of two diffractive trifocal intraocular lenses in 10084 eyes[J]Am J Ophthalmol 2017179:55-66. DOI: 10.1016/j.ajo.2017.04.013 .
返回引文位置Google Scholar
百度学术
万方数据
[14]
Marques EF , Ferreira TB , Simões P Visual performance and rotational stability of a multifocal toric intraocular lens[J]J Refract Surg 201632(7):444-450. DOI: 10.3928/1081597X-20160502-01 .
返回引文位置Google Scholar
百度学术
万方数据
[15]
Cochener B , Boutillier G , Lamard M et al. A comparative evaluation of a new generation of diffractive trifocal and extended depth of focus intraocular lenses[J]J Refract Surg 201834(8):507-514. DOI: 10.3928/1081597X-20180530-02 .
返回引文位置Google Scholar
百度学术
万方数据
[16]
Cochener B ,Concerto Study Group. Clinical outcomes of a new extended range of vision intraocular lens:International Multicenter Concerto Study[J]J Cataract Refract Surg 201642(9):1268-1275. DOI: 10.1016/j.jcrs.2016.06.033 .
返回引文位置Google Scholar
百度学术
万方数据
[17]
Ribeiro FJ , Ferreira TB , Silva D et al. Visual outcomes and patient satisfaction after implantation of a presbyopia-correcting intraocular lens that combines extended depth-of-focus and multifocal profiles[J]J Cataract Refract Surg 202147(11):1448-1453. DOI: 10.1097/j.jcrs.0000000000000659 .
返回引文位置Google Scholar
百度学术
万方数据
[18]
Tognetto D , Cecchini P , Giglio R et al. Surface profiles of new-generation IOLs with improved intermediate vision[J]J Cataract Refract Surg 202046(6):902-906. DOI: 10.1097/j.jcrs.0000000000000215 .
返回引文位置Google Scholar
百度学术
万方数据
[19]
Ford J , Werner L , Mamalis N Adjustable intraocular lens power technology[J]J Cataract Refract Surg 201440(7):1205-1223. DOI: 10.1016/j.jcrs.2014.05.005 .
返回引文位置Google Scholar
百度学术
万方数据
[20]
SooHoo JR , Lane SS , Cionni RJ et al. Comparison of stability between a modular intraocular lens system and a single-piece hydrophobic acrylic intraocular lens[J]J Cataract Refract Surg 201642(12):1821-1825. DOI: 10.1016/j.jcrs.2016.09.022 .
返回引文位置Google Scholar
百度学术
万方数据
[21]
Abouzeid H , Ferrini W Femtosecond-laser assisted cataract surgery:a review[J]Acta Ophthalmol 201492(7):597-603. DOI: 10.1111/aos.12416 .
返回引文位置Google Scholar
百度学术
万方数据
[22]
De Giacinto C , <x>D</x> <x>'</x> <x>Aloisio</x> R , Bova A et al. Intraocular pressure changes during femtosecond laser-assisted cataract surgery:a comparison between two different patient interfaces[J/OL]J Ophthalmol 20192019:5986895[2021-06-16]http://www.ncbi.nlm.nih.gov/pubmed/31662896. DOI: 10.1155/2019/5986895 .
返回引文位置Google Scholar
百度学术
万方数据
[23]
Chee SP , Wong MH , Jap A Management of severely subluxated cataracts using femtosecond laser-assisted cataract surgery[J]Am J Ophthalmol 2017173:7-15. DOI: 10.1016/j.ajo.2016.09.021 .
返回引文位置Google Scholar
百度学术
万方数据
[24]
de Queiroz Alves B , Brasil O , Espinhosa CT et al. Combined femtosecond laser-assisted cataract surgery and small-gauge pars plana vitrectomy using different devices:a new trend for vitreoretinal surgery?[J]Ophthalmic Surg Lasers Imaging Retina 201849(5):374-379. DOI: 10.3928/23258160-20180501-13 .
返回引文位置Google Scholar
百度学术
万方数据
[25]
Noristani R , Schultz T , Dick HB . Femtosecond laser-assisted cataract surgery after radial keratotom y [J]J Refract Surg 201632(6):426-428. DOI: 10.3928/1081597X-20160428-03 .
返回引文位置Google Scholar
百度学术
万方数据
[26]
Orts-Vila P , Amparo F , Rodríguez-Prats JL et al. Alport syndrome and femtosecond laser-assisted cataract surgery[J]J Ophthalmic Vis Res 202015(2):264-269. DOI: 10.18502/jovr.v15i2.6748 .
返回引文位置Google Scholar
百度学术
万方数据
[27]
Ibarz M , Rodríguez-Prats JL , Tañá P Femtosecond laser-assisted capsulotomy for treatment of bilateral anterior capsule contraction[J]J Cataract Refract Surg 201743(2):289-292. DOI: 10.1016/j.jcrs.2016.12.013 .
返回引文位置Google Scholar
百度学术
万方数据
[28]
Gerten G , Schultz M , Oberheide U Treating capsule contraction syndrome with a femtosecond laser[J]J Cataract Refract Surg 201642(9):1255-1261. DOI: 10.1016/j.jcrs.2016.07.020 .
返回引文位置Google Scholar
百度学术
万方数据
[29]
Anisimova NS , Malyugin BE , Arbisser LB et al. Femtosecond laser-assisted intraocular lens fragmentation:low energy transection[J]J Refract Surg 201733(9):646-648. DOI: 10.3928/1081597X-20170721-02 .
返回引文位置Google Scholar
百度学术
万方数据
[30]
Lee CY , Chao SC , Sun CC et al. Femtosecond laser-assisted cataract surgery in patients with phakic intraocular lenses and low endothelial cell counts:a case report[J/OL]BMC Ophthalmol 201717(1):180[2021-06-20]http://www.ncbi.nlm.nih.gov/pubmed/28974221. DOI: 10.1186/s12886-017-0568-2 .
返回引文位置Google Scholar
百度学术
万方数据
[31]
Lau FS , Waldie AM , Spencer S et al. Primary femtosecond laser posterior capsulotomy:without clinical outcomes,caution should be exercised[J/OL]J Cataract Refract Surg 201743(9):1237[2021-06-20]http://www.ncbi.nlm.nih.gov/pubmed/28991631. DOI: 10.1016/j.jcrs.2017.06.045 .
返回引文位置Google Scholar
百度学术
万方数据
[32]
Schojai M , Schultz T , Haeussler-Sinangin Y et al. Safety of femtosecond laser-assisted primary posterior capsulotomy immediately after cataract surgery[J]J Cataract Refract Surg 201743(9):1171-1176. DOI: 10.1016/j.jcrs.2017.06.041 .
返回引文位置Google Scholar
百度学术
万方数据
[33]
Werner L , Ludlow J , Nguyen J et al. Biocompatibility of intraocular lens power adjustment using a femtosecond laser in a rabbit model[J]J Cataract Refract Surg 201743(8):1100-1106. DOI: 10.1016/j.jcrs.2017.05.040 .
返回引文位置Google Scholar
百度学术
万方数据
[34]
Nguyen J , Werner L , Ludlow J et al. Intraocular lens power adjustment by a femtosecond laser: in vitro evaluation of power change,modulation transfer function,light transmission,and light scattering in a blue light-filtering lens [J]J Cataract Refract Surg 201844(2):226-230. DOI: 10.1016/j.jcrs.2017.09.036 .
返回引文位置Google Scholar
百度学术
万方数据
[35]
管怀进重视白内障合并角膜散光的精准手术矫正问题[J]中华实验眼科杂志 201735(3):193-196. DOI: 10.3760/cma.j.issn.2095-0160.2017.03.001 .
返回引文位置Google Scholar
百度学术
万方数据
Guan HJ . Paying attention to precision correcting surgery for cataract associated with corneal astigmatism[J]Chin J Exp Ophthalmol 201735(3):193-196. DOI: 10.3760/cma.j.issn.2095-0160.2017.03.001 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[36]
Chen CW , Lee YH , Gerber MJ et al. Intraocular robotic interventional surgical system (IRISS):semi-automated OCT-guided cataract removal[J/OL]Int J Med Robot 201814(6):e1949[2021-07-01]http://www.ncbi.nlm.nih.gov/pubmed/30152081. DOI: 10.1002/rcs.1949 .
返回引文位置Google Scholar
百度学术
万方数据
[37]
Titiyal JS , Kaur M , Shaikh F et al. Elucidating intraoperative dynamics and safety in posterior polar cataract with intraoperative OCT-guided phacoemulsification[J]J Cataract Refract Surg 202046(9):1266-1272. DOI: 10.1097/j.jcrs.0000000000000256 .
返回引文位置Google Scholar
百度学术
万方数据
[38]
Hooshmand J , Abell RG , Allen P et al. Thermal capsulotomy:Initial clinical experience,intraoperative performance,safety,and early postoperative outcomes of precision pulse capsulotomy technology[J]J Cataract Refract Surg 201844(3):355-361. DOI: 10.1016/j.jcrs.2017.12.027 .
返回引文位置Google Scholar
百度学术
万方数据
[39]
Stodulka P , Packard R , Mordaunt D Efficacy and safety of a new selective laser device to create anterior capsulotomies in cataract patients[J]J Cataract Refract Surg 201945(5):601-607. DOI: 10.1016/j.jcrs.2018.12.012 .
返回引文位置Google Scholar
百度学术
万方数据
[40]
Daya S , Chee SP , Ti SE et al. Comparison of anterior capsulotomy techniques:continuous curvilinear capsulorhexis,femtosecond laser-assisted capsulotomy and selective laser capsulotomy[J]Br J Ophthalmol 2020104(3):437-442. DOI: 10.1136/bjophthalmol-2018-313421 .
返回引文位置Google Scholar
百度学术
万方数据
[41]
Nariai Y , Horiguchi M , Mizuguchi T et al. Comparison of microscopic illumination between a three-dimensional heads-up system and eyepiece in cataract surgery[J]Eur J Ophthalmol 202131(4):1817-1821. DOI: 10.1177/1120672120929962 .
返回引文位置Google Scholar
百度学术
万方数据
[42]
王玮徐雯《ASCRS屈光性手术前眼表疾病诊疗临床路径》解读[J]中华实验眼科杂志 202038(7):614-620. DOI: 10.3760/cma.j.cn115989-20200108-00013 .
返回引文位置Google Scholar
百度学术
万方数据
Wang W , Xu W Interpretation of ASCRS algorithm for the preoperative diagnosis and treatment of ocular surface disorders[J]Chin J Exp Ophthalmol 202038(07):614-620. DOI: 10.3760/cma.j.cn115989-20200108-00013 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[43]
晋秀明张玲琳李碧华《APACRS白内障和屈光手术围手术期眼表管理实践指南(2017)》解读[J]中华实验眼科杂志 202038(4):355-359. DOI: 10.3760/cma.j.cn115985-20200201-00046 .
返回引文位置Google Scholar
百度学术
万方数据
Jin XM , Zhang LL , Li BH . Interpertation of edition Principles of Preferred Practice for the Management of the Ocular Surface in Cataract and Refractive Surgery (2017) [J]Chin J Exp Ophthalmol 202038(4):355-359. DOI: 10.3760/cma.j.cn115985-20200201-00046 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[44]
中华医学会眼科学分会白内障及人工晶状体学组中国白内障围手术期干眼防治专家共识(2021年)[J]中华眼科杂志 202157(1):17-22. DOI: 10.3760/cma.j.cn112142-20201013-00680 .
返回引文位置Google Scholar
百度学术
万方数据
Cataract Group of Ophthalmology Branch of Chinese Medical Association. Chinese expert consensus on prevention and treatment of dry eye during perioperative period of cataract surgery (2021)[J]Chin J Ophthalmol 202157(1):17-22. DOI: 10.3760/cma.j.cn112142-20201013-00680 .
Goto CitationGoogle Scholar
Baidu Scholar
Wanfang Data
[45]
Donnenfeld ED , Solomon KD , Matossian C Safety of IBI-10090 for inflammation associated with cataract surgery:phase 3 multicenter study[J]J Cataract Refract Surg 201844(10):1236-1246. DOI: 10.1016/j.jcrs.2018.07.015 .
返回引文位置Google Scholar
百度学术
万方数据
[46]
Walters T , Bafna S Efficacy and safety of sustained release dexamethasone for the treatment of ocular pain and inflammation after cataract surgery:results from two phase 3 studies[J/OL]J Clin Expe Ophthalmol 20167:4[2021-07-12]https://www.longdom.org/open-access/efficacy-and-safety-of-sustained-release-dexamethasone-for-the-treatment-of-ocular-pain-and-inflammation-after-cataract-surgery-re-2155-9570-1000572.pdf. DOI: 10.4172/2155-9570.1000572 .
返回引文位置Google Scholar
百度学术
万方数据
[47]
Pershing S , Lum F , Hsu S et al. Endophthalmitis after cataract surgery in the United States:a report from the intelligent research in sight registry,2013-2017[J]Ophthalmology 2020127(2):151-158. DOI: 10.1016/j.ophtha.2019.08.026 .
返回引文位置Google Scholar
百度学术
万方数据
[48]
中华医学会眼科学分会白内障及人工晶状体学组我国白内障摘除手术后感染性眼内炎防治专家共识(2017年)[J]中华眼科杂志 201753(11):810-813. DOI: 10.3760/cma.j.issn.0412-4081.2017.11.003 .
返回引文位置Google Scholar
百度学术
万方数据
[49]
Shorstein NH , <x>Winth</x> <x>rop</x> KL , Herrinton LJ . Decreased postoperative endophthalmitis rate after institution of intracameral antibiotics in a Northern California eye department[J]J Cataract Refract Surg 201339(1):8-14. DOI: 10.1016/j.jcrs.2012.07.031 .
返回引文位置Google Scholar
百度学术
万方数据
备注信息
A
徐雯,Email: nc.defudabe.ujz3002newux
B
所有作者均声明不存在利益冲突
C
国家重点研发计划项目 (2020YFE0204400)
国家自然科学基金青年基金项目 (81800877)
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