关注双眼白内障手术相关问题的重要性
The importance of addressing issues related to bilateral cataract surgery
摘要
年龄相关性白内障作为中老年人群主要致盲眼病，其双眼手术策略并非单次手术的简单叠加，而是涉及双眼视觉功能重建的系统课题。伴随老视矫正型人工晶状体的多样化发展，临床决策面临新挑战：如何规划双眼白内障手术方案？本文梳理了双眼白内障手术的临床趋势与评价体系，重点对比了“对称性IOL植入”与“非对称性植入”的优势与适用场景；阐述了优势眼评估对术后视觉质量的影响，深入探讨了神经适应性在术后视觉构建中的重要作用，以期为双眼白内障手术的临床实践提供参考，未来仍需更多高质量的循证医学证据来指导个体化治疗方案的制定。
Age-related cataract, the primary cause of blindness among middle-aged and elderly populations, represents a clinical condition where the bilateral surgical strategy cannot be simplified to the superposition of two independent operations, but constitutes a systematic project targeting the reconstruction of binocular visual function. With the increasing diversity of presbyopia-correcting intraocular lenses, clinical decision-making for bilateral cataract surgery has encountered new challenges: how to formulate a reasonable bilateral cataract surgical protocol? This paper reviews the clinical trends and evaluation systems for bilateral cataract surgery, focusing on comparing the advantages and indications of symmetrical and asymmetrical IOL implantation; it also clarifies the influence of dominant eye evaluation on postoperative visual quality, and conducts an in-depth discussion on the crucial role of neuroadaptation in postoperative visual construction. This review is expected to provide a reference for the clinical practice of bilateral cataract surgery, and more high-quality evidence-based medical research is still required to guide the formulation of individualized treatment strategies in the future.
年，卷(期)：
2026, 62(10)
在线出版日期：
2026年10月11日
