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中华眼科医学杂志(电子版) ›› 2025, Vol. 15 ›› Issue (04) : 193 -198. doi: 10.3877/cma.j.issn.2095-2007.2025.04.001

述评

重视高度近视眼合并白内障围手术期并发症
张英蕾1, 石园方2, 竺向佳1,()   
  1. 1200031 上海,复旦大学附属眼耳鼻喉科医院眼科
    2200093 上海理工大学2024级健康科学与工程学院硕士研究生
  • 收稿日期:2025-06-16 出版日期:2025-08-28
  • 通信作者: 竺向佳
  • 基金资助:
    国家自然科学基金项目(82271069,82401232)

Pay attention to perioperative complications of high myopia combined with cataract

Yinglei Zhang, Yuanfang Shi, Xiangjia Zhu()   

  1. 1Department of Ophthalmology, Eye & ENT Hospital of Fudan University, Shanghai 200031, China
    2Master′s degree in 2024, the School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China
  • Received:2025-06-16 Published:2025-08-28
  • Corresponding author: Xiangjia Zhu
引用本文:

张英蕾, 石园方, 竺向佳. 重视高度近视眼合并白内障围手术期并发症[J/OL]. 中华眼科医学杂志(电子版), 2025, 15(04): 193-198.

Yinglei Zhang, Yuanfang Shi, Xiangjia Zhu. Pay attention to perioperative complications of high myopia combined with cataract[J/OL]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2025, 15(04): 193-198.

高度近视眼常伴有眼轴延长、后巩膜葡萄肿、晶状体硬核甚至黑核、悬韧带松弛、玻璃体液化及囊袋薄弱等解剖学特征,在合并白内障时患者术前人工晶状体(IOL)屈光度的测算易产生误差、手术难度增大且围手术期并发症的风险升高,严重影响患者的视力预后。为此,有必要就高度近视眼并发白内障IOL屈光度的测算、手术策略及围术期的管理规范进行述评,为临床实践提供参考。

High myopia is often accompanied by anatomical features such as axial elongation, posterior staphyloma, hard or even black nucleus of the lens, laxity of the suspensory ligament, vitreous liquefaction, and weak capsule. When combined with cataracts, preoperative measurement of intraocular lens (IOL) refractive power in patients is prone to errors, increased surgical difficulty, and increased risk of perioperative complications, seriously affecting the patient's visual prognosis. Therefore, it is necessary to review the measurement of IOL refractive power, surgical strategies, and perioperative management standards for high myopia complicated with cataracts, in order to provide reference for clinical practice.

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