摘要
高度近视白内障患者手术中人工晶状体(IOL)屈光度数预测与常规白内障相比其精确度欠佳,如何做到精确的生物学测量和正确使用人工晶状体计算公式尤为重要。本文分析了近年在高度近视白内障手术术后屈光预测偏差大的原因,以及公式中常数的应用和眼轴长度调节方法,对比了使用晶状体屈光度预测计算公式(Holladay 1,SRK/T,Hoffer Q和Haigis)和第四代晶状体公式的术后屈光结果的异同,为临床使用提供一定的参考。
Intraocular lens(IOL) refractive prediction of cataract surgery in high myopes is more inaccuracy compared to that of the routine cataract surgery.It is particularly important that how to measure biology accurately and choose the correct intraocular lens calculation formula.We summarized and analyzed postoperative refractive prediction deviation,the constants in the formula application and ocular axial length adjusting method in high myopia cataract surgery.In this review Jens diopter prediction standard formula(Holladay 1,SRK / T,Hoffer Q and Haigis) and the fourth generation of lens formula were contrasted,which could provide valuable reference for clinical applications.
引文
1宋胜仿,李华.近视流行病学调查研究进展.国际眼科杂志2011;11(3):453-454
2 Lam JK,Chan TC,Ng AL,et al.Outcomes of cataract operations in extreme high axial myopia.Graefes Arch Clin Exp Ophthalmol 2016;254(9):1811-1817
3杨建国.高度近视白内障术后矫正视力与眼轴长度相关性.实用防盲技术2016;1(1):13-15
4 Zheng Q,Zhao Z,Lian H,et al.The analysis of refractive error of long axial high myopic eyes after IOL implantation.Zhonghua Yan Ke Za Zhi2015;51(4):276-281
5 Olsen T.Sources of error in intraocular lens power calculation.JCataract Refract Surg 1992;18(2):125-129
6 Behndig A,Montan P,Stenevi U,et al.Aiming for emmetropia after cataract surgery:Swedish National Cataract Register study.J Cataract Refract Surg 2012;38(7):1181-1186
7 Rajan MS,Keilhorn I,Bell JA.Partial coherence laser interferometry vs conventional ultrasound biometry in intraocular lens power calculations.Eye(Lond)2002;16(5):552-556
8 Bang S,Edell E,Yu Q,et al.Accuracy of intraocular lens calculations using the IOLMaster in eyes with long axial length and a comparison of various formulas.Ophthalmology 2011;118(3):503-506
9 Haigis W.Intraocular lens calculation in extreme myopia.J Cataract Refract Surg 2009;35(5):906-911
10 Wang L,Shirayama M,Ma XJ,et al.Optimizing intraocular lens power calculations in eyes with axial lengths above 25.0mm.J Cataract Refract Surg 2011;37(11):2018-2027
11杨永利,李昀熹,杨玉洁,等.高度近视LASIK术后白内障患者不同人工晶状体计算公式的比较.国际眼科杂志2014;14(12):2254-2255
12 Haigis W.Influence of axial length on IOL constants.Acta Clin Croat2012;51(1):59-64
13 Petermeier K,Gekeler F,Messias A,et al.Intraocular lens power calculation and optimized constants for highly myopic eyes.J Cataract Refract Surg 2009;35(9):1575-1581
14 Abulafia A,Barrett GD,Rotenberg M,et al.Intraocular lens power calculation for eyes with an axial length greater than 26.0mm:comparison of formulas and methods.J Cataract Refract Surg 2015;41(3):548-556
15 Yokoi T,Moriyama M,Hayashi K,et al.Evaluation of refractive error after cataract surgery in highly myopic eyes.Int Ophthalmol 2013;33(4):343-348
16 Haigis W.Optical coherence biometry.Dev Ophthalmol 2002;34(1):119-130
17 Preussner PR.Intraocular lens calculation in extreme myopia.JCataract Refract Surg 2010;36(3):531-532
18 Fam HB,Lim KL.Improving refractive outcomes at extreme axial lengths with the IOL Master:the optical axial length and keratometric transformation.Br J Ophthalmol 2009;93(5):678-683
19 Olsen T.Prediction of the effective postoperative(intraocular lens)anterior chamber depth.J Cataract Refract Surg 2006;32(3):419-424
20 Saka N,Ohno-Matsui K,Shimada N,et al.Long-term changes in axial length in adult eyes with pathologic myopia.Am J Ophthalmol 2010;150(4):562-568
21 Zhang Y,Liang XY,Liu S,et al.Accuracy of Intraocular Lens Power Calculation Formulas for Highly Myopic Eyes.J Ophthalmol 2016;2016:1917268
22 Terzi E,Wang L,Kohnen T.Accuracy of modern intraocular lens power calculation formulas in refractive lens exchange for high myopia and high hyperopia.J Cataract Refract Surg 2009;35(7):1181-1189
23 Chong EW,Mehta JS.High myopia and cataract surgery.Curr Opin Ophthalmol 2016;27(1):45-50