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眼表疾病合并白内障手术。

Cataract surgery in setting of ocular surface disease.

机构信息

Ambulatorio di Chirurgia Oculare Santa Lucia.

Clinica degli Occhi Sarnicola, Grosseto.

出版信息

Curr Opin Ophthalmol. 2024 Mar 1;35(2):155-162. doi: 10.1097/ICU.0000000000001024. Epub 2023 Nov 27.

Abstract

PURPOSE OF REVIEW

The purpose of this article is to review the available strategies to successfully identify and manage ocular surface disease (OSD) pre, intra and post-cataract surgery.

RECENT FINDINGS

Cataract surgery and OSD have an intricate relationship: the surgical procedure can induce or exaggerate OSD symptoms, while OSD can negatively impact surgical refractive outcomes and increase the rate of postoperative complications.

SUMMARY

Improving the health and stability ocular surface is the key to enhance post cataract surgery refractive outcomes and avoid complications. This is pivotal for patients affected by severe OSD, but is also important for patients with minimal signs or symptoms. A correct diagnosis and a stepwise approach are the keys to improve the quality of life of such patients.

摘要

目的综述

本文旨在回顾白内障手术前后成功识别和管理眼表疾病(OSD)的可用策略。

最近的发现

白内障手术和 OSD 之间存在复杂的关系:手术过程可诱发或加重 OSD 症状,而 OSD 会对手术屈光结果产生负面影响,并增加术后并发症的发生率。

总结

改善眼表健康和稳定性是提高白内障术后屈光效果和避免并发症的关键。这对于患有严重 OSD 的患者至关重要,但对于仅有轻微迹象或症状的患者也同样重要。正确的诊断和逐步的治疗方法是改善此类患者生活质量的关键。

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