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J Cataract Refract Surg:白内障手术期间瞳孔缩小的医学和外科治疗措施

2018-07-25 cuiguizhong MedSci原创

美国Stein眼科研究所和眼科学系的Al-Hashimi S近日在J Cataract Refract Surg发表了一篇综述,系统性的总结了白内障手术过程中瞳孔缩小的风险因素,并针对性的讨论了术前和术中手术注意事项、术后护理等细节,从而最大限度地提高术后结果和患者满意度。

美国Stein眼科研究所和眼科学系的Al-Hashimi S近日在J Cataract Refract Surg发表了一篇综述,系统性的总结了白内障手术过程中瞳孔缩小的风险因素,并针对性的讨论了术前和术中手术注意事项、术后护理等细节,从而最大限度地提高术后结果和患者满意度。

虽然白内障手术的不断发展,但即使是最有经验的白内障外科医生,对术中瞳孔缩小也会感到挑战巨大。作者指出,手术前可采取几个步骤,以减少术中瞳孔缩小的风险。即便如此,白内障手术期间,瞳孔缩小的问题仍然是比较常见的。本文讨论了术前和术中的许多手术步骤,这些步骤可以使手术在技术上更容易和更安全,从而最大限度地提高术后结果和患者满意度。

本文综述了与白内障手术相关的瞳孔缩小等并发症,以及术中瞳孔缩小的危险因素,系统性的讨论了白内障手术期间瞳孔缩小的术前和术中手术方法以及术后护理等细节。

原文出处:

Al-Hashimi, S., et al., Medical and surgical management of the small pupil during cataract surgery. J Cataract Refract Surg, 2018.

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    2018-07-27 小几洁
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    2018-07-27 bbjsj_1981
  7. [GetPortalCommentsPageByObjectIdResponse(id=1677117, encodeId=e33616e71174c, content=<a href='/topic/show?id=a057e31278b' target=_blank style='color:#2F92EE;'>#瞳孔缩小#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73127, encryptionId=a057e31278b, topicName=瞳孔缩小)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dedd27436148, createdName=zhangyxzsh, createdTime=Wed Mar 06 17:09:00 CST 2019, time=2019-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1782654, encodeId=7f3b1e82654fe, content=<a href='/topic/show?id=97ae4154f3' target=_blank style='color:#2F92EE;'>#cataract#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4154, encryptionId=97ae4154f3, topicName=cataract)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=一叶知秋, createdTime=Wed Aug 15 00:09:00 CST 2018, time=2018-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2053834, encodeId=91a620538342e, content=<a href='/topic/show?id=8f5a54442a1' target=_blank style='color:#2F92EE;'>#手术期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54442, encryptionId=8f5a54442a1, topicName=手术期)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/WQ1WyMBGic8d2fKdCe6Cm3vaRh4X8YnlumYndC46iagNCBl9Df8RtoCaQchnFtZldHUctGJjsgsyutUlu8vPq6yQ/132, createdBy=97862500016, createdName=ms3117646317107274, createdTime=Fri Apr 26 00:09:00 CST 2019, time=2019-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1716614, encodeId=b76f1e1661494, content=<a href='/topic/show?id=cb3664635bb' target=_blank style='color:#2F92EE;'>#治疗措施#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64635, encryptionId=cb3664635bb, topicName=治疗措施)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9e7432279006, createdName=gjsgj, createdTime=Wed Jun 12 08:09:00 CST 2019, time=2019-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1393220, encodeId=2e491393220ad, content=<a href='/topic/show?id=34aae3121a7' target=_blank style='color:#2F92EE;'>#瞳孔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73121, encryptionId=34aae3121a7, topicName=瞳孔)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpeueeYB1kem1yfEZrSYKBdZBoqac9USf0RxIgRICBIyDn4licyiaiakNnobeCDVpvwqaWgwTNeLRHA/132, createdBy=bb5e2500127, createdName=小几洁, createdTime=Fri Jul 27 13:09:00 CST 2018, time=2018-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466058, encodeId=445414660582a, content=<a href='/topic/show?id=217c292009' target=_blank style='color:#2F92EE;'>#ATA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2920, encryptionId=217c292009, topicName=ATA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387a6772119, createdName=bbjsj_1981, createdTime=Fri Jul 27 13:09:00 CST 2018, time=2018-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529427, encodeId=27eb152942ead, content=<a href='/topic/show?id=add4e165437' target=_blank style='color:#2F92EE;'>#白内障手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71654, encryptionId=add4e165437, topicName=白内障手术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=778811942493, createdName=lilianxiang, createdTime=Fri Jul 27 13:09:00 CST 2018, time=2018-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=334151, encodeId=34e7334151fa, content=学习了,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Wed Jul 25 23:30:52 CST 2018, time=2018-07-25, status=1, ipAttribution=)]
  8. [GetPortalCommentsPageByObjectIdResponse(id=1677117, encodeId=e33616e71174c, content=<a href='/topic/show?id=a057e31278b' target=_blank style='color:#2F92EE;'>#瞳孔缩小#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73127, encryptionId=a057e31278b, topicName=瞳孔缩小)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dedd27436148, createdName=zhangyxzsh, createdTime=Wed Mar 06 17:09:00 CST 2019, time=2019-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1782654, encodeId=7f3b1e82654fe, content=<a href='/topic/show?id=97ae4154f3' target=_blank style='color:#2F92EE;'>#cataract#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4154, encryptionId=97ae4154f3, topicName=cataract)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=30bd35, createdName=一叶知秋, createdTime=Wed Aug 15 00:09:00 CST 2018, time=2018-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2053834, encodeId=91a620538342e, content=<a href='/topic/show?id=8f5a54442a1' target=_blank style='color:#2F92EE;'>#手术期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54442, encryptionId=8f5a54442a1, topicName=手术期)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/WQ1WyMBGic8d2fKdCe6Cm3vaRh4X8YnlumYndC46iagNCBl9Df8RtoCaQchnFtZldHUctGJjsgsyutUlu8vPq6yQ/132, createdBy=97862500016, createdName=ms3117646317107274, createdTime=Fri Apr 26 00:09:00 CST 2019, time=2019-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1716614, encodeId=b76f1e1661494, content=<a href='/topic/show?id=cb3664635bb' target=_blank style='color:#2F92EE;'>#治疗措施#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64635, encryptionId=cb3664635bb, topicName=治疗措施)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9e7432279006, createdName=gjsgj, createdTime=Wed Jun 12 08:09:00 CST 2019, time=2019-06-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1393220, encodeId=2e491393220ad, content=<a href='/topic/show?id=34aae3121a7' target=_blank style='color:#2F92EE;'>#瞳孔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73121, encryptionId=34aae3121a7, topicName=瞳孔)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIpeueeYB1kem1yfEZrSYKBdZBoqac9USf0RxIgRICBIyDn4licyiaiakNnobeCDVpvwqaWgwTNeLRHA/132, createdBy=bb5e2500127, createdName=小几洁, createdTime=Fri Jul 27 13:09:00 CST 2018, time=2018-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1466058, encodeId=445414660582a, content=<a href='/topic/show?id=217c292009' target=_blank style='color:#2F92EE;'>#ATA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2920, encryptionId=217c292009, topicName=ATA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387a6772119, createdName=bbjsj_1981, createdTime=Fri Jul 27 13:09:00 CST 2018, time=2018-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1529427, encodeId=27eb152942ead, content=<a href='/topic/show?id=add4e165437' target=_blank style='color:#2F92EE;'>#白内障手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71654, encryptionId=add4e165437, topicName=白内障手术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=778811942493, createdName=lilianxiang, createdTime=Fri Jul 27 13:09:00 CST 2018, time=2018-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=334151, encodeId=34e7334151fa, content=学习了,谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Wed Jul 25 23:30:52 CST 2018, time=2018-07-25, status=1, ipAttribution=)]
    2018-07-25 惠映实验室

    学习了,谢谢分享。

    0

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澳大利亚莫纳什大学医学院护理与健康科学系的Maccora KA近日在Clin Exp Ophthalmol发表了一篇文章,他们报告了一例罕见的病例,遗传性高铁蛋白败血白内障综合征,并描述了其临床特征。

白内障手术不必等“熟”了再做

“白内障手术宜早不宜迟,早做早受益。”前不久,在新华网举办的健康大讲堂上,北京清华长庚医院眼科副主任医师郭立斌指出,手术是唯一根治白内障的办法,白内障患者千万不要等到“熟”了再去做手术。相反,“长熟的白内障”会导致无法进行超声乳化术,增加手术难度和风险,影响术后视觉恢复效果。

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