Challenges in perioperative precision diagnosis and treatment of refractive cataract surgery
10.3980/j.issn.1672-5123.2026.10.10
- VernacularTitle:屈光性白内障围手术期精准诊疗的若干挑战
- Author:
Zhenbo ZHAO
1
;
Yuxi DING
1
;
Huanping WANG
1
;
Yue CHENG
1
;
Luan LI
1
;
Shuo ZHANG
1
;
Liwei MA
1
Author Information
1. Aier Eye Medical Center of Anhui Medical University, Hefei 230031, Anhui Province, China; Shenyang Aier Excellence Eye Hospital, Shenyang 110000, Liaoning Province, China; Shenyang Aier Ophthalmology Institute of Precision Medicine, Shenyang 110000, Liaoning Province, China
- Publication Type:Journal Article
- Keywords:
refractive cataract surgery;
precise diagnosis and treatment;
ocular biometry;
intraocular lens;
capsulorhexis;
surgical navigation;
posterior capsular opacification
- From:
International Eye Science
2026;26(10):1742-1746
- CountryChina
- Language:Chinese
-
Abstract:
Modern cataract surgery has completely moved beyond the traditional vision-restoring model and has fully entered a new era of refractive cataract surgery(RCS)centered on precise refractive correction. Its core objective is to provide patients with personalized visual experiences characterized by full-range, clear, and comfortable vision. Currently, although diagnostic and therapeutic technologies for RCS are rapidly evolving, there remain many bottlenecks in the precise management of the entire perioperative process that urgently need to be addressed. Preoperatively, the measurement consistency among ocular biometry devices based on different detection principles remains poor, and systematic measurement errors cannot be completely eliminated. Moreover, the individualized selection of intraocular lenses(IOLs)relies heavily on surgeons' clinical experience, lacking a standardized quantitative decision-making framework, which makes it difficult to achieve precise personalized matching. Intraoperatively, the quality of continuous curvilinear capsulorhexis is affected by multiple factors such as ocular anatomical characteristics and surgical proficiency, and its stability cannot be reliably ensured. Various intelligent surgical navigation systems are compromised by intraoperative ocular conditions, and their clinical performance fails to meet theoretical expectations. At the postoperative stage, existing IOL optical designs and materials have inherent limitations. The longterm prevention and control of posterior capsule opacification(PCO)remains a core factor restricting patients' long-term high-quality visual outcomes. This article systematically reviews the precise diagnostic and therapeutic challenges and core bottlenecks across the preoperative, intraoperative, and postoperative stages of RCS. It further explores frontier technological directions—including cross-device error compensation models, artificial intelligence-assisted decision-making, preoperative VR-based visual simulation, and the construction of intelligent surgical ecosystem platforms—to delineate targeted solutions and optimization pathways. This review aims to provide references and insights for the standardized clinical implementation, technological innovation, and future research endeavors in precision diagnosis and treatment of RCS.
