不同球差非球面人工晶状体个体化选择的研究进展
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云南省应用基础研究面上项目(No.2014FZ030)


Research advance of individual choice for different spherical aberration aspheric intraocular lens
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Project on Applied Basic Research in Yunnan Province(No.2014FZ030)

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    摘要:

    随着白内障手术技术及人工晶状体(intraocular lens,IOL)的不断改良和发展。患者对术后的视觉质量要求不再局限于“看得见”,而是能持久舒适地“看清楚”。像差是影响术后视觉质量的重要影响因素。分为低阶像差及高阶像差,低阶像差易矫正,高阶像差则较难矫正,且阶数增高,矫正难度增加。研究发现,高阶像差中随着年龄增长而增加的除了球差,还包括彗差,但其变化远小于球差,其他的高阶像差大多接近于零,所以球差成为眼科领域重点关注和研究的高阶像差。传统的球面IOL具有正球差,无法矫正人眼通常存在的角膜正性球差; 旨在矫正角膜正球差,设计有零或负球差等不同球差值的非球面IOL问世,研究证明,较传统球面IOL能获得更好的术后视觉质量,但如何全面衡量不同球差非球面IOL眼的视觉质量,怎样个体化选择是目前需要解决的问题。对于IOL眼的最佳矫正球差(此球差可获得最佳视觉质量)尚无定论。本文对非球面IOL的个体化选择研究进展进行综述,为临床医师个体化选择非球面IOL提供临床依据。

    Abstract:

    As the continuous improvement and development of cataract surgery technology and intraocular lens(IOL), patients with postoperative visual quality requirements are no longer confined to "see", but is durable and comfortable to "see". Aberration is the important factors affecting postoperative visual quality. It includes low-order aberrations and higher-order aberrations. Low-order aberration can be corrected easily, but high-order aberration is more difficult to correct, and the higher order, the more difficulty to correct. Studies have showed that high order aberrations increase with age not only including spherical aberration, but also coma. But the change is far less than the spherical aberration, and other higher-order aberrations are close to zero. So spherical aberration becomes key area of high-order aberration attention and research in ophthalmology. Conventional spherical IOL has positive spherical aberration. It can not correct positive corneal spherical aberration of human eyes. In order to correct the positive corneal spherical aberration, the aspherical IOLs which design with zero or negative spherical aberration have been produced, studies have shown that it can obtain better postoperative visual quality than traditional spherical IOL, but how to comprehensively evaluate different spherical aberration aspherical IOL eye vision quality and how to choose it individually are the problems need to solve right now. For the best corrected spherical aberration of IOL eyes is uncertain, studies found that the amount of positive spherical aberration general approach to obtain a better visual quality, and can increase the depth of focus, which can increase far and near vision. In this paper, we will summarize the research progress on individual choice of aspheric IOL, to provide clinical basis about how to choose it individually for clinicians.

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曾国燕,张远平,李静华,等.不同球差非球面人工晶状体个体化选择的研究进展.国际眼科杂志, 2017,17(1):62-65.

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  • 收稿日期:2016-09-04
  • 最后修改日期:2016-12-05
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  • 在线发布日期: 2016-12-21
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