Refractive Lens Exchange: A Review.

IF 0.8 4区 医学 Q4 OPHTHALMOLOGY
Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-08-01 Epub Date: 2024-08-15 DOI:10.1055/a-2346-4428
Isabella Diana Baur, Arthur Mueller, Grzegorz Labuz, Tadas Naujokaitis, Gerd U Auffarth, Ramin Khoramnia
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引用次数: 0

Abstract

In recent decades, technical advancements in lens surgery have considerably improved safety and refractive outcomes. This has led to a much broader range of indications for refractive lens exchange (RLE). Effective restoration of uncorrected distance and near visual acuity is possible with modern presbyopia correcting intraocular lenses (IOLs). Hyperopic patients who are fully presbyopic were identified as ideal candidates for RLE. For myopic patients, an increased risk of retinal detachment has been reported, which leads to a higher threshold to perform RLE in this patient group. The most frequent postoperative complications include posterior capsular opacification, deviation from the target refraction and cystoid macular edema. Thus, adequate planning of surgery, careful patient selection, as well as comprehensive counseling are crucial for successful RLE.

屈光晶体交换:回顾。
近几十年来,晶状体手术的技术进步大大提高了安全性和屈光效果。这使得屈光性晶状体置换术(RLE)的适应症更加广泛。现代老花眼矫正人工晶体(IOL)可以有效恢复未矫正的远视力和近视力。完全老花的远视患者被确定为 RLE 的理想候选者。据报道,近视患者发生视网膜脱离的风险会增加,因此对这类患者实施 RLE 的门槛较高。最常见的术后并发症包括后囊不透明、目标屈光度偏差和囊样黄斑水肿。因此,充分的手术计划、谨慎的患者选择以及全面的咨询对于成功实施 RLE 至关重要。
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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
235
审稿时长
4-8 weeks
期刊介绍: -Konzentriertes Fachwissen aus Klinik und Praxis: Die entscheidenden Ergebnisse der internationalen Forschung - für Sie auf den Punkt gebracht und kritisch kommentiert, Übersichtsarbeiten zu den maßgeblichen Themen der täglichen Praxis, Top informiert - breite klinische Berichterstattung. -CME-Punkte sammeln mit dem Refresher: Effiziente, CME-zertifizierte Fortbildung, mit dem Refresher, 3 CME-Punkte pro Ausgabe - bis zu 36 CME-Punkte im Jahr!. -Aktuelle Rubriken mit echtem Nutzwert: Kurzreferate zu den wichtigsten Artikeln internationaler Zeitschriften, Schwerpunktthema in jedem Heft: Ausführliche Übersichtsarbeiten zu den wichtigsten Themen der Ophthalmologie – so behalten Sie das gesamte Fach im Blick!, Originalien mit den neuesten Entwicklungen, Übersichten zu den relevanten Themen.
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