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功能性人工晶状体在高度近视白内障患者中应用的研究进展
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Abstract:
近视已成为世界范围内的重大健康问题,高度近视患者通常在较年轻时患上白内障,超声乳化吸除联合人工晶体植入术是治疗高度近视合并白内障的主要方法,植入不同类型的功能性人工晶状体可实现高度近视合并白内障患者术后视力的提高,满足患者脱镜需求。然而,由于高度近视患者往往伴有眼轴较长、巩膜较薄、前房较深、晶状体悬韧带松弛、玻璃体液化、后巩膜葡萄肿等解剖学特点,其在功能性人工晶状体的选择上一直存在争议,已成为临床医师关注和探讨的热点。因此,本文主要就功能性人工晶状体的特点及其在高度近视合并白内障患者中应用的研究进展进行综述。
Myopia has become a major problem worldwide, patients with high myopia usually suffer from cataract at a younger age, phacoemulsification combined with intraocular lens implantation is the main method for the treatment in high-myopic cataract patients, implantation different types functional intraocular lens can achieve postoperative vision improvement and lens removal needs in high-myopic cataract patients. However, because patients with high myopia are often accompanied by anatomical features such as long eye axis, thin sclera, deep anterior chamber, laxity of the suspensory ligament of the lens, liquefaction of the vitreous humour, and staphyloma of the posterior sclera, the selection of functional intraocular lens has been controversial and has become a hot topic of concern and discussion among clinicians. Therefore, this article mainly reviews the characteristics of functional intraocular lens and their implantation in high-myopic cataract patients.
[1] | Holden, B.A., Fricke, T.R., Wilson, D.A., Jong, M., Naidoo, K.S., Sankaridurg, P., et al. (2016) Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology, 123, 1036-1042. https://doi.org/10.1016/j.ophtha.2016.01.006 |
[2] | Cochener, B. (2018) Influence of the Level of Monovision on Visual Outcome with an Extended Range of Vision Intraocular Lens. Clinical Ophthalmology, 12, 2305-2312. https://doi.org/10.2147/opth.s184712 |
[3] | Bernardes, J., Raimundo, M., Lobo, C. and Murta, J.N. (2021) A Comparison of Intraocular Lens Power Calculation Formulas in High Myopia. Journal of Refractive Surgery, 37, 207-211. https://doi.org/10.3928/1081597x-20201123-01 |
[4] | Kamiya, K., Kawamorita, T., Uozato, H., Kasugai, H. and Shimizu, K. (2012) Effect of Astigmatism on Apparent Accommodation in Pseudophakic Eyes. Optometry and Vision Science, 89, 148-154. https://doi.org/10.1097/opx.0b013e31823ededa |
[5] | 胡威, 吴章友, 朱子诚. 高度近视合并白内障患者行超声乳化吸出联合人工晶体植入术后屈光及伪调节力变化的分析[J]. 安徽医药, 2016, 20(5): 955-956. |
[6] | De Silva, S.R., Evans, J.R., Kirthi, V., et al. (2016) Multifocal versus Monofocal Intraocular Lenses after Cataract Extraction. Cochrane Database of Systematic Reviews, 12, CD003169. |
[7] | Shen, Z., Lin, Y., Zhu, Y., Liu, X., Yan, J. and Yao, K. (2017) Clinical Comparison of Patient Outcomes Following Implantation of Trifocal or Bifocal Intraocular Lenses: A Systematic Review and Meta-analysis. Scientific Reports, 7, Article No. 45337. https://doi.org/10.1038/srep45337 |
[8] | Steinwender, G., Schwarz, L., Böhm, M., Slavík-Lenčová, A., Hemkeppler, E., Shajari, M., et al. (2018) Visual Results after Implantation of a Trifocal Intraocular Lens in High Myopes. Journal of Cataract and Refractive Surgery, 44, 680-685. https://doi.org/10.1016/j.jcrs.2018.04.037 |
[9] | Wang, Q., Zhao, G., Wang, Q. and Jia, W. (2011) Visual Quality after Acrysof IQ ReSTOR Intraocular Lens Implantation in Eyes with High Myopia. European Journal of Ophthalmology, 22, 168-174. https://doi.org/10.5301/ejo.2011.8357 |
[10] | 王爱君. 超声乳化双焦点人工晶体植入联合精细化囊膜处理治疗高度近视合并白内障的效果分析[J]. 中外医药研究, 2024, 3(10): 61-63. |
[11] | Alfonso, J.F., Fernández-Vega, L., Ortí, S., Ferrer-Blasco, T. and Montés-Micó, R. (2010) Differences in Visual Performance of Acrysof ReSTOR IOL in High and Low Myopic Eyes. European Journal of Ophthalmology, 20, 333-339. https://doi.org/10.1177/112067211002000212 |
[12] | Yang, X., Li, Z., Zou, H., Li, F. and Zhang, H. (2024) Comparison of Visual Outcomes in Patients with Cataracts and High Myopia after Implantation of a Zonal Refractive Multifocal or Diffractive Bifocal Intraocular Lens. Scientific Reports, 14, Article No. 26654. https://doi.org/10.1038/s41598-024-76020-w |
[13] | 谢瞻, 丁宇华, 陈雪, 等. 高度近视白内障患者植入三焦点人工晶体的临床效果及生存质量观察[J]. 南京医科大学学报(自然科学版), 2019, 39(3): 365-369. |
[14] | Shen, J., Cai, L., Zhuo, B., Abulimiti, A., Ni, S., Zhang, L., et al. (2023) Binocular Visual Outcomes Comparison of Two Trifocal Intraocular Lenses in High-Myopic Cataract Patients: A 1-Year Multicenter Study. American Journal of Ophthalmology, 254, 1-10. https://doi.org/10.1016/j.ajo.2023.03.015 |
[15] | Meng, J., Fang, Y., Lian, J., Chen, X., Zhou, J., He, W., et al. (2023) Visual and Patient-Reported Outcomes of a Diffractive Trifocal Intraocular Lens in Highly Myopic Eyes: A Prospective Multicenter Study. Eye and Vision, 10, Article No. 19. https://doi.org/10.1186/s40662-023-00336-3 |
[16] | 刘敏锐, 彭稚喜, 吴峥峥, 等. 连续视程人工晶状体与双焦点、单焦点人工晶状体植入术后患者视力、视觉质量及满意度对比分析[J]. 眼科新进展, 2023, 43(2): 127-130. |
[17] | 李婷婷, 崔海滨, 沙倩. TECNIS Symfnoy连续视程人工晶体在白内障手术中的应用[J]. 黑龙江医学, 2022, 46(15): 1797-1800. |
[18] | 张建峰, 单武强, 王立肖. 连续视程人工晶状体对高度近视合并白内障患者的应用效果及对视觉质量的影响[J]. 海南医学, 2023, 34(3): 371-376. |
[19] | Hayashi, K. and Hayashi, H. (2007) Optimum Target Refraction for Highly and Moderately Myopic Patients after Monofocal Intraocular Lens Implantation. Journal of Cataract and Refractive Surgery, 33, 240-246. https://doi.org/10.1016/j.jcrs.2006.10.045 |
[20] | Wang, X., Liu, S., Chen, Y., Gong, J., Wu, N. and Yao, Y. (2024) Extended Depth of Focus IOL in Eyes with Different Axial Myopia and Targeted Refraction. BMC Ophthalmology, 24, Article No. 183. https://doi.org/10.1186/s12886-024-03442-5 |
[21] | Kora, Y., Yaguchi, S., Inatomi, M. and Ozawa, T. (1995) Preferred Postoperative Refraction after Cataract Surgery for High Myopia. Journal of Cataract and Refractive Surgery, 21, 35-38. https://doi.org/10.1016/s0886-3350(13)80476-2 |
[22] | 吴杰, 朱磊. 多焦点人工晶状体植入术后早期全程视力和拟调节力的临床观察[J]. 眼科新进展, 2017, 37(6): 572-575. |
[23] | van Amelsfort, T., Webers, V.S.C., Bauer, N.J.C., Clement, L.H.H., van den Biggelaar, F.J.H.M. and Nuijts, R.M.M.A. (2022) Visual Outcomes of a New Nondiffractive Extended Depth-of-Focus Intraocular Lens Targeted for Minimonovision: 3-Month Results of a Prospective Cohort Study. Journal of Cataract and Refractive Surgery, 48, 151-156. https://doi.org/10.1097/j.jcrs.0000000000000825 |
[24] | Coassin, M., Mori, T., Di Zazzo, A., Poddi, M., Sgrulletta, R., Napolitano, P., et al. (2021) Effect of Minimonovision in Bilateral Implantation of a Novel Non-Diffractive Extended Depth-of-Focus Intraocular Lens: Defocus Curves, Visual Outcomes, and Quality of Life. European Journal of Ophthalmology, 32, 2942-2948. https://doi.org/10.1177/11206721211064018 |
[25] | 张赢, 易昀敏. 微单视设计治疗超高度近视白内障1例[J]. 南昌大学学报(医学版), 2021, 61(4): 95-99. |
[26] | Gunenc, U. and Celik, L. (2008) Long-Term Experience with Mixing and Matching Refractive Array and Diffractive CeeOn Multifocal Intraocular Lenses. Journal of Refractive Surgery, 24, 233-242. https://doi.org/10.3928/1081597x-20080301-04 |
[27] | Kim, J.Y. (2020) Diffractive Multifocal Intraocular Lens Implantation in Patients with Monofocal Intraocular Lens in the Contralateral Eye. International Journal of Ophthalmology, 13, 737-743. https://doi.org/10.18240/ijo.2020.05.07 |
[28] | Song, J.E., Khoramnia, R., Son, H., Knorz, M.C. and Choi, C.Y. (2020) Comparison between Bilateral Implantation of a Trifocal IOL and Mix-and-Match Implantation of a Bifocal IOL and an Extended Depth of Focus IOL. Journal of Refractive Surgery, 36, 528-535. https://doi.org/10.3928/1081597x-20200616-01 |
[29] | 陈宁劭, 张煜, 刘春玲. 白内障患者Kappa角手术前后变化及影响因素[J]. 江苏大学学报(医学版), 2022, 32(6): 509-514. |
[30] | 中华医学会眼科学分会白内障及人工晶状体学组. 中国多焦点人工晶状体临床应用专家共识(2019年) [J]. 中华眼科杂志, 2019, 55(7): 491-494. |
[31] | 马晓婷. 区域折射型人工晶状体植入术后残余散光对视觉质量的影响[D]: [硕士学位论文]. 石家庄: 河北医科大学, 2023. |
[32] | Yao, Y., Lu, Q., Wei, L., Cheng, K., Lu, Y. and Zhu, X. (2021) Efficacy and Complications of Cataract Surgery in High Myopia. Journal of Cataract and Refractive Surgery, 47, 1473-1480. https://doi.org/10.1097/j.jcrs.0000000000000664 |
[33] | 黄子彦, 段国平. 不同类型人工晶状体植入术后倾斜和偏心影响视觉质量的研究现状[J]. 山东大学耳鼻喉眼学报, 2022, 36(6): 26-31+44. |
[34] | Tandogan, T., Son, H.S., Choi, C.Y., Knorz, M.C., Auffarth, G.U. and Khoramnia, R. (2017) Laboratory Evaluation of the Influence of Decentration and Pupil Size on the Optical Performance of a Monofocal, Bifocal, and Trifocal Intraocular Lens. Journal of Refractive Surgery, 33, 808-812. https://doi.org/10.3928/1081597x-20171004-02 |
[35] | Zhu, X., He, W., Zhang, Y., Chen, M., Du, Y. and Lu, Y. (2018) Inferior Decentration of Multifocal Intraocular Lenses in Myopic Eyes. American Journal of Ophthalmology, 188, 1-8. https://doi.org/10.1016/j.ajo.2018.01.007 |
[36] | Zhang, Y., Du, Y., Wang, A., Zhou, X., Lu, Y. and Zhu, X. (2024) Outcomes of Cataract Surgery in Eyes with Axial Length > 33 mm. American Journal of Ophthalmology, 265, 137-146. https://doi.org/10.1016/j.ajo.2024.04.020 |
[37] | Fernández-Buenaga, R., Alio, J.L., Pérez-Ardoy, A.L., Larrosa-Quesada, A., Pinilla-Cortés, L., Barraquer, R., et al. (2013) Late In-the-Bag Intraocular Lens Dislocation Requiring Explantation: Risk Factors and Outcomes. Eye, 27, 795-802. https://doi.org/10.1038/eye.2013.95 |
[38] | Jeon, S. and Kim, H.S. (2011) Clinical Characteristics and Outcomes of Cataract Surgery in Highly Myopic Koreans. Korean Journal of Ophthalmology, 25, Article No. 84. https://doi.org/10.3341/kjo.2011.25.2.84 |
[39] | Ali, M., et al. (2022) YAG Capsulotomy Rates between Two Types of Trifocal Intraocular Lenses. JPMA. The Journal of the Pakistan Medical Association, 72, 1250-1254. |
[40] | Pedrotti, E., Neri, E., Bonacci, E., Barosco, G., Galzignato, A., Montresor, A., et al. (2022) Extended Depth of Focus versus Monofocal Iols in Patients with High Myopia: Objective and Subjective Visual Outcomes. Journal of Refractive Surgery, 38, 158-166. https://doi.org/10.3928/1081597x-20211220-01 |