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Preoperative evaluation of patients before cataract and refractive surgery.

机译:白内障和屈光手术前患者的术前评估。

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摘要

Recent advances in premium intraocular lens (IOL) have allowed eye surgeons to significantly improve visual results during cataract surgery greater than ever before and achieve excellent refractive results. For the first time IOLs alone allow eye surgeons to reduce corneal astigmatism while replacing a cataract with a toric IOL and reestablishing the range of near and far vision with the multifocal and accommodative presbyopic IOLs. As impressive and dramatic as visual results can be, it important to identify and treat underlying conditions to maximize successful surgical outcomes.Patients' overall health should be stable and free of systemic disease. The visual system of the eye itself can also affect surgical outcomes in several places in the anterior and posterior portions of the eye. The ocular surface, the clarity of the cornea, and the curvature of the cornea can all effect surgical outcomes. Strabismus or glaucoma and pathology posterior in the macula can have an effect as well. Residual refractive error after cataract surgery can also reduce successful outcome and cannot be ignored.
机译:优质人工晶状体(IOL)的最新发展使眼科医生能够比以往任何时候都大大改善白内障手术期间的视觉效果,并获得出色的屈光效果。 IOL首次让眼科医生减少了角膜散光,同时用复曲面IOL代替了白内障,并通过多焦点和适应性老花眼IOL重新建立了近视和远视范围。尽管视觉效果令人印象深刻且引人注目,但重要的是识别和治疗潜在疾病,以最大程度地获得成功的手术效果。患者的整体健康应该稳定且没有全身性疾病。眼睛本身的视觉系统也会在眼睛的前部和后部的多个位置影响手术效果。眼表,角膜的清晰度和角膜的曲率都可以影响手术效果。斜视或青光眼以及黄斑后部的病理也可以起作用。白内障手术后残留的屈光不正也会减少成功的预后,因此不容忽视。

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