白内障患者角膜后表面散光评估方法及临床意义
Assessment and Clinical Characteristics of Posterior Corneal Astigmatism in the Patients with Cataract
DOI: 10.12677/ACM.2023.1351057, PDF,   
作者: 程 洪, 胡 柯*:重庆医科大学附属第一医院眼科,重庆
关键词: 白内障手术角膜散光角膜后表面散光Cataract Surgery Corneal Astigmatism Posterior Corneal Astigmatism
摘要: 随着白内障手术进入屈光手术时代,充分评估角膜散光,尽量减少可能的测量误差,对于术后达到理想屈光状态至关重要。术前对角膜散光进行准确测量是白内障手术的关键环节。过去,由于对角膜后表面散光(PCA)的认识不足和检查仪器的限制,人们低估了PCA对整个角膜散光的影响。目前,利用各种不同的仪器,可以直接或间接地获得角膜后表面的信息。本文从相关测量仪器、临床特点以及与在白内障手术中的临床意义3个方面对PCA进行综述。
Abstract: With cataract surgery evolved from visual restoration surgery to refractive surgery, adequately and correctly assessing corneal astigmatism is critical to achieving the ideal refractive state after sur-gery. Accurate measurement of corneal astigmatism is a necessary part of cataract surgery. The ef-fect of posterior corneal astigmatism (PCA) on overall corneal astigmatism was underestimated due to a lack of knowledge of PCA and limitations of the examination instrumentation. Currently, infor-mation on the posterior corneal surface can be collected directly or indirectly using different prin-ciples. This article describes the measurement methods and clinical characteristics of PCA to im-prove the understanding of these factors and bring attention to them in clinical practice.
文章引用:程洪, 胡柯. 白内障患者角膜后表面散光评估方法及临床意义[J]. 临床医学进展, 2023, 13(5): 7567-7573. https://doi.org/10.12677/ACM.2023.1351057

参考文献

[1] [1] 魏玮, 李志国, 诸科璇. 散光多焦点人工晶状体联合植入的临床观察[J]. 浙江医学, 2020, 42(12): 1290-1293.
[2] Rampat, R. and Gatinel, D. (2021) Multifocal and Extended Depth-of-Focus Intraocular Lenses in 2020. Ophthalmology, 128, e164-e185. [Google Scholar] [CrossRef] [PubMed]
[3] Kessel, L., Andresen, J., Ten-dal, B., et al. (2016) Toric Intraocular Lenses in the Correction of Astigmatism during Cataract Surgery: A Systematic Review and Meta-Analysis. Ophthalmology, 123, 275-286. [Google Scholar] [CrossRef] [PubMed]
[4] Goto, S. and Maeda, N. (2021) Corneal Topography for Intraoc-ular Lens Selection in Refractive Cataract Surgery. Ophthalmology, 128, e142-e152. [Google Scholar] [CrossRef] [PubMed]
[5] 董静, 张素华, 王晓刚. 角膜后表面散光对散光型人工晶状体计算的重要性[J]. 眼科学报, 2021, 36(2): 167-175.
[6] Lu, L.W., Rocha-de-Lossada, C., Rachwani-Anil, R., Flikier, S. and Flikier, D. (2021) The Role of Posterior Corneal Power in 21st Century Biometry: A Review. Journal Français d’Ophtalmologie, 44, 1052-1058. [Google Scholar] [CrossRef] [PubMed]
[7] 廖珊, 刘可. 白内障术前角膜散光检查的新进展[J]. 国际眼科杂志, 2022, 22(7): 1123-1126.
[8] Langenbucher, A., Schrecker, J., Cayless, A., et al. (2022) Calculation of Equivalent and Toric Power in AddOn Lenses Based on a Monte Carlo Simulation. Ophthalmic Research, 65, 300-309. [Google Scholar] [CrossRef] [PubMed]
[9] Jiang, Y., Qin, Y., Bu, S., et al. (2021) Distribution and Internal Correla-tions of Corneal Astigmatism in Cataract Patients. Scientific Reports, 11, Article No. 11514. [Google Scholar] [CrossRef] [PubMed]
[10] 蒋元丰, 秦鲁宁, 张红, 田芳. 角膜后表面散光的评估方法及临床特征的研究进展[J]. 中华眼视光学与视觉科学杂志, 2021, 23(11): 875-880.
[11] 李盼盼, 吴坚, 周婧, 等. 角膜后表面散光的测量及临床意义[J]. 眼科新进展, 2018, 38(2): 184-187.
[12] Kreps, E.O., Jimenez-Garcia, M., Issarti, I., et al. (2020) Repeatability of the Pentacam HR in Various Grades of Keratoconus. American Journal of Oph-thalmology, 219, 154-162. [Google Scholar] [CrossRef] [PubMed]
[13] 李盼盼, 袁幽, 黄黎黎, 等. OPD-Scan III测量角膜屈光力和散光的可重复性及其与Pentacam检测结果的一致性[J]. 中华实验眼科杂志, 2021, 39(3): 238-242.
[14] De la Parra-Colín, P., Garza-León, M. and Barrientos-Gutierrez, T. (2014) Repeatability and Comparabil-ity of Anterior Segment Biometry Obtained by the Sirius and the Pentacam Analyzers. International Ophthalmology, 34, 27-33. [Google Scholar] [CrossRef] [PubMed]
[15] Mendes, J., Ribeiro, F.J. and Ferreira, T.B. (2021) Evaluation of Posterior and Total Corneal Astigmatism with Colour-LED Topography. Eye, 35, 2585-2593. [Google Scholar] [CrossRef] [PubMed]
[16] Shi, Q., Wang, G.-Y., Cheng, Y.-H. and Pei, C. (2021) Com-parison of IOL-Master 700 and IOL-Master 500 Biometers in Ocular Biological Parameters of Adolescents. Interna-tional Journal of Ophthalmology, 14, 1013-1017. [Google Scholar] [CrossRef] [PubMed]
[17] Leighton, R.E., Breslin, K.M., Saunders, K.J. and McCullough, S.J. (2022) An Evaluation of the IOLMaster 700 and Its Agreement with the IOLMaster v3 in Children. Ophthalmic and Physiological Optics, 42, 48-58. [Google Scholar] [CrossRef] [PubMed]
[18] Turner, J.M., Purslow, C. and Murphy, P.J. (2022) Comparison of Ja-val-Schiøtz Keratometer, Orbscan IIz and Pentacam Topographers in Evaluating Anterior Corneal Topography. Clinical and Experimental Optometry. [Google Scholar] [CrossRef] [PubMed]
[19] Wang, L., Cao, D., Vilar, C. and Koch, D.D. (2020) Posteri-or and Total Corneal Astigmatism Measured with Optical Coherence Tomography-Based Biometer and Dual Scheimpflug Analyzer. Journal of Cataract & Refractive Surgery, 46, 1652-1658. [Google Scholar] [CrossRef] [PubMed]
[20] Næser, K., Savini, G. and Bregnhøj, J.F. (2018) Age-Related Changes in with-the-Rule and Oblique Corneal Astigmatism. Acta Ophthalmologica, 96, 600-606. [Google Scholar] [CrossRef] [PubMed]
[21] 景清荷, 唐雅婷, 钱东瑾, 等. 高度近视并发白内障患者角膜后表面散光及像差特征分析[J]. 中华实验眼科杂志, 2018, 36(5): 360-367.
[22] Wylęgała, A., Mazur, R., Bolek, B. and Wylęgała, E. (2020) Reproducibility, and Repeatability of Corneal Topography Measured by Revo NX, Galilei G6 and Casia 2 in Normal Eyes. PLOS ONE, 15, e230589. [Google Scholar] [CrossRef] [PubMed]
[23] Fredriksson, A. and Behndig, A. (2017) Measurement Centra-tion and Zone Diameter in Anterior, Posterior and Total Corneal Astigmatism in Keratoconus. Acta Ophthalmologica, 95, 826-833. [Google Scholar] [CrossRef] [PubMed]
[24] 梁景黎, 张红, 田芳, 等. 角膜后表面散光对Toric人工晶状体矫正效果的影响[J]. 中华眼视光学与视觉科学杂志, 2017, 19(2): 81-86.
[25] Nakano, S., Iida, M., Hasegawa, Y., et al. (2021) Influence of Posterior Corneal Astigmatism on the Outcomes of Toric Intraocular Lens Implantation in Eyes with Oblique Astigmatism. Japanese Journal of Ophthalmology, 65, 288-294. [Google Scholar] [CrossRef] [PubMed]
[26] 李晨, 曹奕虹. 两种不同角膜缘切口对白内障超声乳化吸除术后角膜术源性散光的影响对比[J]. 临床眼科杂志, 2020, 28(6): 522-527.
[27] Li, X., Chen, X., He, S. and Xu, W. (2020) Effect of 1.8-mm Steep-Axis Clear Corneal Incision on the Posterior Corneal Astigmatism in Candidates for Toric IOL Implantation. BMC Ophthalmology, 20, Article No. 187. [Google Scholar] [CrossRef] [PubMed]
[28] He, Q., Huang, J., He, X., et al. (2021) Effect of Corneal Inci-sion Features on Anterior and Posterior Corneal Astigmatism and Higher-Order Aberrations after Cataract Surgery. Acta Ophthalmologica, 99, e1027-e1040. [Google Scholar] [CrossRef] [PubMed]
[29] 刘文洁, 刘杰为, 王琪, 等. 老年性白内障患者角膜后表面散光对总角膜散光的影响[J]. 中国实用眼科杂志, 2018, 36(2): 149-151, 128.
[30] Lüdeke, I., Gonnermann, J., Jφrgensen, J., et al. (2019) Refractive Outcomes of Femtosecond Laser–Assisted Secondary Arcuate Incisions in Patients with Residual Refractive Astigmatism After Trifocal Intraocular Lens Implantations. Journal of Cataract & Refractive Surgery, 45, 28-34. [Google Scholar] [CrossRef] [PubMed]
[31] Gupta, S.N, Goel, R. and Kumar, S. (2022) Factors Affect-ing Surgically Induced Astigmatism in Manual Small-Incision Cataract Surgery. Indian Journal of Ophthalmology, 70, 3779-3784. [Google Scholar] [CrossRef