加强对白内障手术的综合认识和管理提高白内障的诊疗水平

Enhencing awareness,identification and management of cataract surgery,improving comprehensive diagnosis and treatment ability of cataract

doi:
10.3760/cma.j.issn.2095-0160.2016.03.001
摘要:
白内障仍是中国主要的致盲眼病,也是中国防盲治盲工作的主要目标眼病.近年来,白内障的诊疗技术和仪器设备取得了很大进步,随着人们对白内障发病机制认识的深入及对术后视觉质量和生活质量要求的提高,白内障诊疗的规范性、安全性以及术后视觉康复的效果日益受到重视,同时,相关的眼科临床检测手段、白内障手术技术的改良方法、新技术的开发和应用以及新型IOL的研制等均得到快速发展,眼科医师和白内障患者对疾病的治疗方法面临着更大的选择空间.高质量的白内障手术治疗效果取决于术前眼部精确的生物学测量结果、依据患者个体制定合理的手术方案、选择合适的功能性IOL、有效预防和治疗术中和术后并发症、有效规避治疗风险及影响术后视觉质量的各种因素等,因此白内障的手术治疗是一个由各个环节构建的系统工程.如何为患者制定更精确的个性化治疗方案,最大限度地改善患者的术后视觉质量和提高手术的安全性、降低术中和术后并发症的发生是眼科研究者面临的挑战和不懈努力的目标.
Abstract:
Cataract is still the main blinding eye disease,and it is a major goal of fighting blindness in China.In the past years,the diagnosis,treatment technology and equipment have made great progress.With the further understanding of this disease and increasing requirement of patients for the quality of life,the standardization,safety and efficacy of the clinical diagnosis and surgical outcomes of cataract have become much more important.So the relative clinical examination approaches,modified operating skills,new surgery development and application as well as novel type of functional IOLs design advance rapidly,which provide an expensive space for the selection of the treatment for cataract.High quality of cataract surgery depends on preoperative precise biometry,reasonable operating scheme targeting at personality,suitable functional IOL,less intra-or post-operative complications,effectively avoiding treatment risk and correctly processing disadvantageous factors affecting postoperative visual quality.Therefore,the management of cataract surgery is a systemic procedure.The issue of improving ophthalmic examination,new cataract surgical technique and new IOL emerges as the time requires.How to make up individual-based treatment options for patients,better improve postoperative visual quality,enhance the safety of operative procedure,reduce operative complications is the challenges and unremitting goal for the ophthalmologists.
作者 徐雯    郦舒伊
Author: Xu Wen    Li Shuyi
作者单位 浙江大学附属第二医院眼科中心, 杭州,310009
刊 名: 中华实验眼科杂志   ISTICPKU
Journal: Chinese Journal of Experimental Ophthalmology
年,卷(期) 2016, 34(3)
分类号
关键词: 白内障/手术 知识脉络    视觉质量/生理 知识脉络    人工晶状体植入 知识脉络    并发症 知识脉络    综合管理 知识脉络   
Keywords: Cataract/surgery    Visual quality/physiology    Lens implantation,intraocular    Complications    Comprehensive management   
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