摘要
角膜屈光手术术前检查操作的规范、检查结果的精确及可重复,对于全面衡量和评估患者的病情、合理地选择手术适应证、保证手术的安全性、有效性和远期稳定性有着十分重要的意义。近年来,各种屈光手术术前检查仪器及软件的临床应用和持续更新,为我们的角膜屈光手术术前检查提供了更多有效的检查方法。角膜屈光手术术前视功能和影像学检查包括眼球生物学参数测量、角膜地形图检查、角膜内皮镜检查、双眼视功能检查、波前像差检测、对比敏感度及眩光检查、客观视觉质量分析、非接触式眼表综合分析、角膜生物力学检查、超广角眼底成像、眼前节及眼底OCT检查等。本指南总结了角膜屈光手术术前视功能和影像学检查中各项检查的操作流程及注意事项,以期为角膜屈光手术术前视功能和影像学检查规范化提供参考依据,提升术前检查的精准性和可重复性。
The standardized examinations before corneal refractive surgery and the accuracy and repeatability of examination results are very important for evaluating the patient’s conditions comprehensively,selecting the surgical indications reasonably,and ensuring the safety,effectiveness and long-term stability of the surgery.In recent years,the continuous update and clinical application of instruments and software for preoperative examinations have facilitated examinations before corneal refractive surgery.Visual function and imaging examinations before corneal refractive surgery include ocular biological parameter measurement,corneal topography,corneal endothelioscopy,binocular visual function evaluation,wavefront aberration detection,contrast sensitivity and glare testing,objective visual quality analysis,non-contact ocular surface analysis,corneal biomechanics testing,ultra-wide-field fundus imaging,optical coherence tomography for the anterior segment and fundus,etc.These guidelines summarize the procedures and precautions for the visual function and imaging examinations before corneal refractive surgery,in order to provide references for the standardization of these examinations and improve the accuracy and repeatability of the examination results.
出处
《眼科新进展》
CAS
北大核心
2023年第7期505-513,共9页
Recent Advances in Ophthalmology
基金
国家自然科学基金(编号:82160195,81800804)
江西省双千计划科技创新高端领军人才项目(编号:jxsq2023201036)
江西省重大(重点)研发专项计划(编号:20223BBH80014,20181BBG70004,20203BBG73059)
江西省杰出青年基金(编号:20192BCBL23020)。
关键词
角膜屈光手术
角膜地形图
波前像差
客观视觉质量
角膜生物力学
corneal refractive surgery
corneal topography
wavefront aberration
objective visual quality
corneal biomechanics
