CAJ | 학술논문

白内障术后人工晶状体(intraocular lens,IOL)混浊是近来研究的热点之一.亲水性IOL混浊平均发生率不同文献统计差异较大,国内平均发病年龄小于国外.PMMA、硅凝胶和疏水性丙烯酸酯IOL混浊的发生率均较亲水性为低.女性发生率高于男性.糖尿病和青光眼是与IOL混浊关系最大的两种疾病.对比敏感度检查对早期诊断IOL混浊具有重要价值.IOL混浊易被误诊为其他疾病,尤其是后发障,应引起高度重视.IOL置换术是目前治疗IOL混浊的主要手段.手术时机需根据患者视力、年龄等情况具体掌握.置换术后效果明显,严重并发症发生率均较低.二次植入IOL优先选择非亲水性IOL.
백내장술후인공정상체(intraocular lens,IOL)혼탁시근래연구적열점지일.친수성IOL혼탁평균발생솔불동문헌통계차이교대,국내평균발병년령소우국외.PMMA、규응효화소수성병희산지IOL혼탁적발생솔균교친수성위저.녀성발생솔고우남성.당뇨병화청광안시여IOL혼탁관계최대적량충질병.대비민감도검사대조기진단IOL혼탁구유중요개치.IOL혼탁역피오진위기타질병,우기시후발장,응인기고도중시.IOL치환술시목전치료IOL혼탁적주요수단.수술시궤수근거환자시력、년령등정황구체장악.치환술후효과명현,엄중병발증발생솔균교저.이차식입IOL우선선택비친수성IOL.
Intraocular lens (IOL) opacification after cataract surgery is one of the recent research hotspots.The rate of hydrophilic IOL opacification is variable in the literatures.The average age of onset in domestic is younger than in overseas.The rate of PMMA,silicone or hydrophobic acrylic IOL opacification is far lower than hydrophilic IOL.The rate of opacification is higher in women than in men.Diabetes and glaucoma are thought to be the most important diseases associated with IOL opacification.Contrast sensitivity is an important test for early diagnosis of IOL opacification.IOL opacification is easily misdiagnosed with other diseases,especially posterior capsular opacification.IOL replacement is the main treatment of IOL opacification.The timing of surgery depends on patient's situation including vision and age.Postoperative results are obvious and severe complications are rare.The second IOL should not be a hydrophilic acrylic lens.