Challenges of refractive cataract surgery in the era of myopia epidemic: a mini-review

Frontiers in Medicine

Medicine

Yu Du¹  Xiangjia Zhu¹  Yi Lu¹  Jiaqi Meng¹  Wenwen He¹ 

[1] Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China;NHC Key Laboratory of Myopia, Fudan University, Shanghai, China;Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China;Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai, China;State Key Laboratory of Medical Neurobiology, Fudan University, Shanghai, China;

关键词: myopia epidemic;    refractive surgery;    cataract;    biometry;    IOL power calculation;    complications;   

DOI  :  10.3389/fmed.2023.1128818

 received in 2022-12-21, accepted in 2023-09-04,  发布年份 2023

来源: Frontiers

【 摘 要 】

Myopia is the leading cause of visual impairment in the world. With ever-increasing prevalence in these years, it creates an alarming global epidemic. In addition to the difficulty in seeing distant objects, myopia also increases the risk of cataract and advances its onset, greatly affecting the productivity of myopes of working age. Cataract management in myopic eyes, especially highly myopic eyes is originally more complicated than that in normal eyes, whereas the growing population of cataract with myopia, increasing popularity of corneal and lens based refractive surgery, and rising demand for spectacle independence after cataract surgery all further pose unprecedented challenges to ophthalmologists. Previous history of corneal refractive surgery and existence of implantable collamer lens will both affect the accuracy of biometry including measurement of corneal curvature and axial length before cataract surgery, which may result in larger intraocular lens (IOL) power prediction errors and a compromise in the surgical outcome especially in a refractive cataract surgery. A prudent choice of formula for cataract patients with different characteristics is essential in improving this condition. Besides, the characteristics of myopic eyes might affect the long-term stability of IOL, which is important for the maintenance of visual outcomes especially after the implantation of premium IOLs, thus a proper selection of IOL accordingly is crucial. In this mini-review, we provide an overview of the impact of myopia epidemic on treatment for cataract and to discuss new challenges that surgeons may encounter in the foreseeable future when planning refractive cataract surgery for myopic patients.

【 授权许可】

Unknown   
Copyright © 2023 Du, Meng, He, Lu and Zhu.