[关键词]
[摘要]
角膜病相关性白内障,即在角膜病的基础上又发生了晶状体混浊,严重损害视觉质量。为使部分患者免于角膜移植术,恢复部分视功能。全面准确评估角膜混浊对视功能的影响对判定单纯行白内障手术具有重要意义。受限于角膜混浊遮挡,白内障手术操作具有高难度及挑战性。故开发使用新型辅助技术,如囊膜染色技术、辅助照明技术、瞳孔扩张技术、飞秒激光辅助技术等,可规避角膜混浊带来的可视性受限、通光量下降等问题,助力白内障手术顺利进行。本文就角膜病相关性白内障手术辅助技术的有关进展进行综述,望能指导临床应用。
[Key word]
[Abstract]
Keratopathy-associated cataract, that is, on the basis of corneal disease, and later the development of lens opacity, seriously damage visual quality. In order to avoid corneal transplantation for some patients, partial visual quality can be restored. A comprehensive and accurate evaluation of the effect of corneal opacity on visual function is of great improtance for determining cataract surgery alone. Due to the opacity of the cornea, the operation is very difficult and challenging. Therefore, it is of clinical value to develop and use new assistive technologies, including capsule staining, endoillumination, pupil dialation technology, femtosecond laser assisted technology, etc., avoiding problems such as limited visibility and decreased light flow caused by corneal opacity and facilitating cataract surgery. This article reviews progress of assistive technologies for keratopathy-associated cataract, hoping to guide clinical application.
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[基金项目]
沈阳市科技计划项目(No.21-173-9-12); 2021年爱尔眼科集团科研基金项目(No.AF2102D6)