患有黄斑前膜的白内障患者人工晶状体选择策略

肖 人月, 李嘉 文*
重庆医科大学附属大学城医院

摘要


白内障与黄斑前膜（Epiretinal Membrane ERM）是老年人中常见的视力障碍性眼病。随着老龄化进程的加
快，两者合并存在的临床情形愈发常见。而白内障作为最主要的可逆性致盲性眼病，其主要治疗手段为手术摘除混
浊的晶状体并植入人工晶状体（Intraocular lens IOL）。
　　传统观点认为，合并黄斑病变的患者并不适合植入多焦点IOL，原因在于黄斑功能不全可能限制这些晶状体的
视觉优势。随着景深延长型IOL设计的出现，部分研究提示其在轻度ERM患者中仍可取得良好效果[1]。因此，如何
针对患有ERM的白内障患者选择适合的IOL，成为临床决策的关键。
　　本文旨在综述当前IOL在ERM合并白内障患者中的应用现状与研究进展，比较不同类型IOL在该类患者中的视
觉表现，提出IOL的个体化选择策略，并探讨未来的发展方向。

关键词


白内障；人工晶状体；黄斑前膜；景深延长型；眼底病

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参考


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