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角膜屈光手术后患者的白内障手术治疗
引用本文:张景尚,万修华.角膜屈光手术后患者的白内障手术治疗[J].国际眼科纵览,2016(2):121-125.
作者姓名:张景尚  万修华
作者单位:100005,首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科研究所眼科学与视觉科学北京市重点实验室
基金项目:北京市科技新星(H020821380190;Z131102000413025),国务院妇女儿童工作委员会课题(2014108),国家自然科学基金(30471861),Beijing New Star of Science and Technology(H020821380190;Z131102000413025),Fund of Work Committee for Women and Children of China State Department(2014108),The National Natural Science Fund Projects of China(30471861)
摘    要:角膜屈光手术后年龄相关性白内障以及并发性白内障患者白内障手术治疗时与正常白内障患者有许多不同,术前屈光状态的检查使用IOLMaster能采集更准确的数据,术中无晶状体状态下使用波前像差仪计算精确的人工晶状体度数,同时选择合适的非球面和多焦点等高端人工晶状体来提高视觉质量,以及采用新型的光调节人工晶状体在白内障术后可以无创地调节术后屈光状态,获得最精准的屈光度数,最终使角膜屈光手术后白内障患者在白内障术后达到满意的视觉效果.

关 键 词:角膜屈光手术  白内障/外科学

The surgical treatment for the cataract eyes after corneal refractive surgery
Abstract:In recent years,the age-related cataract and complicated cataract increased in post-corneal-refractive-surgery eyes.The treatments for cataracts in these eyes are rather different from treatments for normal cataract patients.IOLMaster is preferred for accurately measuring the refractive data preoperatively in these eyes.During operation,the wavefront aberrometer can be used for calculating intraocular lens power at the aphakic status,and guiding for selection of the appropriate aspheric and multifocal intraocular lens to improve visual quality.The accommodative intraocular lens enable accommodation postoperatively to obtain the most accurate refraction.These stratigies ensure the satisfaction of the post-corneal-refractive-surgery cataract patients about visual status after cataract surgery.
Keywords:corneal refractive surgery  cataract/surgery
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