EyeWorld China March 2019 Issue

2019年3月 45 EWAP ϩୄᅷ IOL Τࣛḝጝ Marcus ANG, MD &RQVXOWDQW 2SKWKDOPRORJLVW &DWDUDFW &RUQHD 5HIUDFWLYH Service, Singapore National Eye Center $VVRFLDWH 3URIHVVRU 2SKWKDOPRORJ\ DQG 9LVXDO 6FLHQFHV DUKE-National University of Singapore 7KLUG +RVSLWDO $YHQXH 6LQJDSRUH PDUFXV DQJ#VQHF FRP VJ Samaresh SRIVASTAVA, MD &RQVXOWDQW 5DJKXGHHS (\H +RVSLWDO $ 6KDQWL 3DWK 7LODNQDJDU -DLSXU 5DMDVWKDQ ,QGLD VDPDUHVK#UDJKXGHHSH\HFOLQLF FRP ā π˩ǃɩ˄ǜNjǕNJœǃĀęˌœҍž뺯ćƎĐęĠ̾ ۈ िĀş֐ ġŠşУŚŝ뻟ϿĠਮ͠Ԫćَ ݧ Ƀʭච뻟ĈĴȊĜʸ˄ঽǡӮŠŇ ᖃೡ뺯Ȃˤ뻟Ăȏ ڐ ׷ૼƧ໬ʌɃʭචำ '%%' פ ŠƋƛŇОˍɃ ʭචƋ׷ /5+%5 뻟Ţǘ ۈ िĀŭΜŠƬŭƋ׷ֶŀĝπ˩Ĉů뺯ƂǰĘ뻟āĢ ŹĀা ۋ Ŀԙġ뻟ćũ˨ɸ౶ƥǡκ݉ȥŪψɺ ૼ '%%'Ƌ׷뺯āƓĜąϿ ĠĈůĀ ڐ ञ뻟ૼƧƧ̜ćęОˍĪά̰ǡӮळǭ뻟ȫƽŞćǡӮ߽ǟ،ᅟ뻟ā ʼnɶᅇǘԴ੾࿱ʸuǟħƎĐĀǡΆŠԴ੾Ƌ׷ֶŀ뻟āĩѿᑁ ٺ Şࡾেĕƞ ڐ ञ뺯ȚĄ뻟ƎĐ뻟ϿĠŭΜĀɕؘƋ׷ֶŀĀা ۋ ĄŘɸ౶ũ˨뻟Ȃˤ݀ఆƋ ƛɃʭචำ פ Āǁԥ뺯 āঞƔĜćҫ ކ ĀŰ ߧ Īƙ/5+%5뻟ૼƧ౧ ޕ ɆࣱዖŠ ͱĿ ٺ ʿɃʭච뻟ͱć ۈ िĀࣔࣅŞҡ뻟ęˌœਮ͠Ĉَ ݧ Ƀʭච뻟˄ ؼ ŦƀǗƺࣂˆăĻϤ YYY INQDCN ENKPKE QTI 뺯/5+%5 џǘ'%%'ƥ̎ćǘĢ঺ȡОˍằđĠċ࿱ ϞuࣔࣅŞҡ̖ȍĈČ̎뻟ŦƀĀਮ͠ĻĩăĩǞơƫֶԻĎഋϞ뺯 ȚĄ뻟ǟ ħȮ'%%'ʽˋɸ౶ʽˋ/5+%5ĀƋ׷ֶŀ뻟āşƍԪćĂȏ ܒ ȧ뻟Ŧȏˢˈ Ȯɸ౶ũ˨Ƌ׷া ۋ ĀŭΜƋ׷ֶŀģĈǜƗ뺯 פ ąઓӚĢ঺ȡᢘ੾ᕧƆОˍ Ā ܒ ȧ뻟ɋʿ/5+%5Ƌ׷ֶŀă ٺ િƋƛɃʭචƋ׷뻟ćƲĂϳĝĻĩĜ ۂ ׽ ᢘ੾ᕧƆ뻟ȂħăƖ ٺ િ،ᅟɘŜɕʭĀƶʒ뻟ȮŶˋĘɘɍǡӮԴ뺯ĕĻĩĜ ڇ őОˍ෺ŠǡӮăळǭ뻟ƈŭΜƋ׷ֶŀɭĎƑĠ ܒ ȧ뺯 Ȃˤ뻟āģϑ ݙ ąŖ ح $NWOGPVJCNŠ4WKV ෗ ۅ Ā /5+%5 ڐ ञ뻟ŘϙǘŭΜĀ ɸ౶Ƌ׷ֶŀ뺯Ƌ׷ԍɏȒ뻭JVVRU [QWVW DG NV2 Z'WLI# ĕƞħŭΜɕ ؘƋ׷ֶŀѳʹĀϑ ڐݙ ׷Āȱਢž뻟̞ಗƑęĀĢ঺ȡᢘ੾ᕧƆОˍ뻟ȚĄ ĻŘʼn̗ͲďᦟŜभ뻮ϙůྀঐཾჺՎ࢑Ŝ˄ᦟŜभ뻟ƦăůშͩǼ뻟ĕĜ ۂ ׽ Оˍ뻟̣̹ĄĈǁԥĀֶŀ뻮ϙůĂċ OOۜdžᢘᕧƆОˍǟħǂОˍ뻟 ׮ٔɸ౶뻟ǨĈϳ቟뻟̞ಗΪφ຀໬뻟ĉʕ౧ ޕ Ɇ౪ɍŠშͩ։ ۃ ĝĄʙĿĕ ċОˍȥŪ뺯ĕƞ ڐ ׷ĈϿĠŭΜĀɸ౶Ƌ׷ֶŀ ٺ િĀϳ቟뻟ǜĴĩѿćƲ ċϳ቟ά̰ǡӮळǭȡ뻟׎ɺŢᢘ੾ᕧƆĀ ۂ ׽뻟໏ϿОˍĢ঺뺯 参考文献 1. Lynds R, et al. Supervised resident manual small-incision cataract surgery RXWFRPHV DW ODUJH XUEDQ 8QLWHG 6WDWHV UHVLGHQF\ WUDLQLQJ SURJUDP J Cataract Refract Surg . 2018;44:34–8. $QJ 0 HW DO 0DQXDO VPDOO LQFLVLRQ FDWDUDFW VXUJHU\ 06,&6 ZLWK SRVWHULRU FKDPEHU LQWUDRFXODU OHQV YHUVXV H[WUDFDSVXODU FDWDUDFW H[WUDFWLRQ (&&( ZLWK SRVWHULRU FKDPEHU LQWUDRFXODU OHQV IRU DJH UHODWHG FDWDUDFW Cochrane Database Syst Rev. 2014:CD008811. 5XLW HW DO 7KH UROH RI VPDOO LQFLVLRQ VXWXUH OHVV FDWDUDFW VXUJHU\ LQ WKH GHYHORSHG ZRUOG Curr Opin Ophthalmol . 2018;29:105–9. ৠ٧ͩ뻭&T #PI̲džŊĈȠȱǁ࢖ϙॼȱͷ뺯 Ƌ ƛŇОˍɃʭචƋ׷ /5+%5 ĂˢƻΞħĄȤɸ౶ϔ ࢎĀ୽ͳƶК뻟ćş֐ġŚŝƑȀȹDŽ뺯ȚĄ뻟ƽЎƋ ׷ֶŀĝΞԺė/5+%5ǰٗĘĄĂƞŢƲċɃʭච Ƌ׷ֶŀĝʼnĈůĀ ڐ ׷뺯āұƱ뻟ʐԻֶƋ׷া ۋ ̀đ̞ಗƋ ƛ໬ʌɃʭචƋ׷Š/5+%5뺯ĕֻ ڐ ׷ćπ˩ ܒ ȧĀԇૼ뻟ૼƧ БɡɃʭච뺮ᖬ႘ʿɃʭචͱؙࡢĈ༪ቱɭԇȻĀਮ͠뻟π˩Ĉ ů뺯 ƓІ/5+%5ĈĂȏȺ̋Āџό뻟ૼƧƓІઓӚᢘ੾ᕧƆОˍ뻟຀ ໬ŠȝभᦟėǡӮ뺯ƙ ڝذ ᢘ੾ᕧƆĀĩƺĈȏĴȊπ˩̀đ뻟 ૼƧᢘ੾ੰǭ+1.뻟ŇඪО פ ͱȺ̋ҫ ކ Ƌ׷뺯 /5+%5 ϰϰƻΞħĄằ࿱ϞĀƋ׷ ڐ ञ뺯ȚĄ뻟āĞ͎՝Ƌ׷ ֶŀƪž뺯ljĂ뻟āȠƱ΀̜ᕧƆОˍęǘ ė OOĻĩďă ĄĢ঺Āą뻟ȂˤƧưОˍęǘ OO뻟āĜψɺƙĂࣉ࿱Ϟ뺯lj ȕ뻟Šɸ౶ĂƟ뻟/5+%5ģĈ׎ɺОˍęŇĀӡό뺯ОˍęŇ̀đ ֪֮भĀԙʇŠęŇ뻟Ƌ׷ֶŀĀ ڐ ञŘӍǁԥƦЬђ뺯ʙ˩뻟Ȯ ևŇĀОˍᦟŜęभĻĩĜLjȀ ߙ ȶ˄şग़Āɧٛ뻟ૼƧʭѱ঩ ˼ͱඈ੾ʌ˼뺯Ȃˤ뻟Ăũ˨뻟Ƌ׷ֶŀˆ˽ȮęОˍũ˨뻟ƔŶ ΏŏŴĶ ٵ ҒʇĀ͎Ƭ뻟ҵҵʽˋŇОˍ뺯 ψǘਮ͠˞Պ뻟āĜӚ حڱ Ɠ͠ϵ˞Պġʇ ݧ ʇभ뻟ૼƧभࢫʇ Š ͆뺯ć ح Ɠ೛ь뻟˞Պπ˩َ ݧ ͱπ˩ ݛ Ā౧ ޕ Ɇ뻟ăƖČ뻟 Ȃħĕƪƞԭܸ ޕ яĝʼn ܒ ȧ뺯 ψǘćŶ໬੾ ۂ ജԇૼ뻟Ȯɸ౶ʽҕŪ/5+%5뻟āĞđ͎՝Ă Ī뺯ũǽĀŶ໬੾뻟ƧưจęОˍƙ'%%'ͱ/5+%5뻟ᦟभĴĀ ؤ ƺĻĩĜَ֢ƑĠරඍɆ࢑ŜŠŢරඍɆ׼ЫˌĀऌӘ뺯Ȯɸ౶ ʽҕħ΀̜׮ՏĀ໬ʌƋ׷ĝԪćǥʿ ۂ ׽ȡlsư뺯Ȃˤ뻟āă Ȗɥȝĕǟħ˩я뻟ŮĄĻŘůǘĂǭĀŰ ߧ 뻟ȆƔĄćĈǁԥ ĀƋ׷ֶŀƋġ뺯 ৠ٧ͩ뻭&T 5COCTGUJ 5TKXCUVCXC̲džŊĈȠȱǁ࢖ϙॼȱͷ뺯 ᮰¬㐩㎲㗐㗯㮧㔶⛞㑍㖰☡ 06,&6 㖯⭠ 㔋㗁㮥㺸⛶ょ⢔⊅ㅠ㷳㗐㗯㮧㔶⛞ ⧶㱸㱫☨⭒㗯ᮣ᮱ – Samaresh Srivastava, MD