精准决策,优化规划——Toric人工晶状体的临床应用

Improve the outcomes of Toric IOL implantation with optimized clinical decisions

Toric人工晶状体(IOL)是白内障手术同时矫正角膜散光的重要术式,其安全性和可预测性得到了临床医师的肯定。然而,Toric IOL的植入效果受到很多因素的影响:病例选择、生物测量的准确性、术前标记的准确性、术中操作以及IOL的选择等,任何相关环节的疏漏都有可能降低预期效果。要发挥Toric IOL的最佳矫正效果,需要医师团队对禁忌证进行详细筛查、对适应证做到严格把握、方案制定个性化、围手术流程规范化等。对精准性的要求贯穿于整个临床诊疗过程,不断提高临床决策能力,才能保障白内障患者良好的视觉效果。

Toric intraocular lenses（ IOL） implantation is an important choice to correct corneal astigmatism in cases undergoing cataract surgery. Toric IOL has been recognized by an increasing number of surgeons because of its favorable predictability and safety. However,the outcomes after Toric IOL implantation are influenced by numerous factors： right from the preoperative case selection,detailed preoperative investigations,accurate IOL selection and intraoperative alignment. Any mistakes would lead to a suboptimal result. To optimize the outcomes of Toric IOL implantation,the surgical team need to pay more attention to the indications and contraindications of the operation,make a personalized proposal for every single patient,as well as ensure every standardized step of the operation. Accuracy is firmly required throughout the whole surgery. Making optimized clinical decisions helps improve the visual outcomes of cataract patients.