微小切口白内障手术新进展

New progresses in micro-incision cataract surgery

近年来出现的微小切口超声乳化白内障手术，是在传统超声乳化白内障手术的基础上衍进而来的术式。根据使用的灌注一抽吸系统是否分离，可主要分为双手超声乳化手术、同轴超声乳化手术。由于手术创伤小、术后手术源性散光小以及视力恢复快等优势，逐渐在临床上被广泛应用，配合冷超声技术、超小切口人工晶状体的研制成功，白内障手术质量又得到了提高。本文就支持微小切口手术的冷超声技术、以及两种微小切口白内障手术各自的临床应用做一综述。

Micro-incision cataract surgery （MICS） was developed in the last decades, which was derived from the traditional phacoemulsification cataract surgery. M1CS consists of mainly two types, bimanual and coaxial micro-incision cataract surgeries, which are classified by the separation of irrigation and aspiration systems or not. According to their obvious advantages in minimum surgery trauma, slight surgically induced astigmatism and rapid postoperative vision recovery, MICS has gradually possessed widespread clinical use. Combined with the development of cold phaco technique and intraocular lens for ultra-small incision, greater achievements have been made to improve the cataract surgery quality. We review the clinical applications of these two types of MICS and the cold phaco technique which supports the former.