Cataracts

被引:717
作者
Liu, Yu-Chi [1 ,2 ]
Wilkins, Mark [3 ]
Kim, Terry [4 ]
Malyugin, Boris [5 ]
Mehta, Jodhbir S. [1 ,2 ,6 ]
机构
[1] Singapore Eye Res Inst, Cornea & Refract Surg Grp, Singapore, Singapore
[2] Singapore Natl Eye Ctr, Dept Cornea & External Eye Dis, Singapore, Singapore
[3] Moorfields Eye Hosp, Dept Cornea & External Eye Dis, London, England
[4] Duke Univ, Dept Ophthalmol, Dept Cornea & External Dis, Durham, NC USA
[5] S Fyodorov Eye Microsurg State Inst, Dept Cataract & Implant Surg, Moscow, Russia
[6] Duke NUS Med Sch, Dept Clin Sci, Singapore, Singapore
关键词
AGE-RELATED CATARACT; MULTIFOCAL INTRAOCULAR LENSES; ELECTRONIC MULTICENTER AUDIT; RANDOMIZED CLINICAL-TRIAL; LONG-TERM OUTCOMES; RISK-FACTORS; POSTERIOR CAPSULE; REFRACTIVE SURGERY; VISUAL IMPAIRMENT; UNITED-KINGDOM;
D O I
10.1016/S0140-6736(17)30544-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
An estimated 95 million people worldwide are affected by cataract. Cataract still remains the leading cause of blindness in middle-income and low-income countries. With the advancement of surgical technology and techniques, cataract surgery has evolved to small-incisional surgery with rapid visual recovery, good visual outcomes, and minimal complications in most patients. With the development of advanced technology in intraocular lenses, the combined treatment of cataract and astigmatism or presbyopia, or both, is possible. Paediatric cataracts have a different pathogenesis, surgical concerns, and postoperative clinical course from those of age-related cataracts, and the visual outcome is multifactorial and dependent on postoperative visual rehabilitation. New developments in cataract surgery will continue to improve the visual, anatomical, and patient-reported outcomes. Future work should focus on promoting the accessibility and quality of cataract surgery in developing countries.
引用
收藏
页码:600 / 612
页数:13
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