详情页 - 首都医科大学附属北京同仁医院知识库

当前位置：首页 > 详情页

Controversies, consensuses and guidelines on modern cataract surgery by the academy of Asia-Pacific professors of ophthalmology (AAPPO)

文献详情

资源类型：

Pubmed体系：

作者：

机构： [1]Consultant Cataract Cornea and Refractive Services, Darshan Eye Care, Chennai, Tamil Nadu, India [2]Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China [3]Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital, Hong Kong, China [4]University Hospital of Umeå, Umeå, Sweden [5]Altos Eye Physicians (D.F.C.), Los Altos, CA, USA [6]Department of Ophthalmology, Antwerp University Hospital, Edegem, Belgium [7]Department of Ophthalmology, Visual Optics and Visual Rehabilitation, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium [8]Department of Ophthalmology, University Hospital Brussels, Jette, Belgium [9]Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Jette, Belgium [10]Department of Ophthalmology, Korea University College of Medicine, Seoul, Republic of Korea [11]Department of Ophthalmology, Korea University Ansan Hospital, Ansan, Republic of Korea [12]The C-MER Dennis Lam & Partners Eye Center, C-MER International Eye Care Group, Hong Kong, China [13]Vienna Institute for Research in Ocular Surgery (VIROS), Hanusch Hospital, Vienna, Austria [14]Ifocus Eye Clinic, Haugesund, Norway [15]Allen Foster Community Eye Health Research Centre, Gullapalli Pratibha Rao International Centre for Advancement of Rural Eye Care, Hyderabad, India [16]Brien Holden Eye Research Centre, L V Prasad Eye Institute, Hyderabad, India [17]School of Optometry and Vision Science, University of New South Wales, Sydney, NSW, Australia [18]School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA [19]Department of Ophthalmology, Goethe University Frankfurt, Frankfurt am Main, Germany [20]Departments of Cornea and External Diseases, Scripps Clinic Torrey Pines, La Jolla, CA, USA [21]Kolokotrones Chair in Ophthalmology, Chief of the Cataract and Refractive Surgery Division, David Geffen School of Medicine at UCLA and Stein Eye, Institute, Los Angeles, CA, USA [22]University Hospitals Sussex NHS Foundation Trust, Eastern Road, Brighton, UK [23]Brighton & Sussex Medical School, University of Sussex, Falmer, Brighton, UK [24]University Eye Clinic Maastricht, Maastricht University Medical Center (MUMC+), Maastricht, the Netherlands [25]Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan [26]Sabang Merauke Eye Center, Indonesia [27]Department of Ophthalmology, Amphia Hospital, Breda, the Netherlands [28]Tilganga Institute of Ophthalmology, Kathmandu, Nepal [29]Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India [30]Department of Glaucoma, Aravind Eye Hospital, Puducherry, India [31]Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, China [32]Guangdong-Hong Kong-Macao University Joint Research Laboratory of Precision Prevention and Treatment on Ocular Diseases, Shantou, China [33]Guangdong Provincial Engineering Technology Research Center for Precision Diagnosis and Treatment on Ocular Diseases of Guangdong Province, Shantou, China [34]The C-MER (Beijing) Dennis Lam Eye Hospital, Shenzhen, Guangdong, China [35]Consultant Cataract Cornea and Refractive Services, Darshan Eye Care, Chennai, Tamil Nadu, India [36]Vissum Miranza, Alicante, Spain [37]Division of Ophthalmology, Universidad Miguel Hern′andez, Alicante, Spain

出处：

DOI：

关键词： Cataract Phacoemulsification Manual Small Incision Cataract Surgery (MSICS) Sutureless Large Incision Manual Cataract Extraction (SLIMCE)

摘要：

Phacoemulsification has revolutionized cataract surgery since its introduction by Charles Kelman in 1967, becoming the gold standard for cataract removal in most parts of the world. Despite its widespread adoption and high success rates, there exist controversies within the ophthalmic community regarding various aspects of the procedure. An international panel comprising 25 experts from 18 countries/territories was established by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO) to work on this consensus project. A total of 15 sections with 61 consensus statements were evaluated by the panel. Femtosecond laser assisted cataract surgery was not considered better than Phaco. An interferometer was considered essential for measuring the ocular parameters, and the need to choose an appropriate intraocular lens (IOL) formula was stressed. When considering multifocal IOLs, an assessment of the patient's personality profile, and a thorough discussion of the pros and cons of the choice before surgery was essential. Proper informed consent was also essential. The need to address complications like TASS promptly including a reassessment of operating rooms protocols was stressed. Finally, there was general agreement that manual surgeries have a significant role to play in eyes with large, dense nuclei and in populations where low-cost, high-volume surgery was necessary. Manual but sutureless approach was preferred where appropriate. Since there was agreement on about 60 % of the 61 consensus statements, it reflected that there were variations in the real-world practice. Further studies are warranted and a follow-up consensus exercise after more information is available is worth considering.Copyright © 2025 The Authors. Published by Elsevier Inc. All rights reserved.

语种：

PubmedID：

中科院(CAS)分区：

出版当年[2025]版：

大类 | 2 区医学

小类 | 2 区眼科学

最新[2025]版：

大类 | 2 区医学

小类 | 2 区眼科学

第一作者：

第一作者机构： [1]Consultant Cataract Cornea and Refractive Services, Darshan Eye Care, Chennai, Tamil Nadu, India

通讯作者：

通讯机构： [36]Vissum Miranza, Alicante, Spain [37]Division of Ophthalmology, Universidad Miguel Hern′andez, Alicante, Spain

推荐引用方式(GB/T 7714)：

APA：

MLA：

Controversies, consensuses and guidelines on modern cataract surgery by the academy of Asia-Pacific professors of ophthalmology (AAPPO)

文献详情

相关文献