[Committee member popular science] Cataract diagnosis and treatment has entered the era of precise refraction, not only "seeing" but also "seeing clearly"

Recently, Uncle Zhang from Heilongjiang came to the ophthalmology department for a follow-up visit and said happily: "I never expected it! Now not only has my cataract been cured, but I have also taken off my myopia glasses that I have worn for more than 40 years. I like fishing. Before, I couldn't see anything clearly. Now I can not only see the fish float in the distance, but also the mobile phone in my hand. My vision is clearer. I really regret not having the surgery earlier!" It turned out that Uncle Zhang had a "refractive cataract surgery" in the ophthalmology department of the Third Hospital of Beijing University of Traditional Chinese Medicine not long ago. Unexpectedly, such a simple operation brought him an unexpected surprise!

What is refractive cataract surgery?

In recent years, as people's requirements for quality of life have increased, cataract surgery is no longer just about restoring vision, but about maximizing the quality of postoperative vision, requiring not only "being able to see", but also seeing clearly, lastingly and comfortably. In addition, many elderly people who suffer from cataracts also have presbyopia, hyperopia or myopia, and hope to "solve" these difficult visual diseases at once through high-end cataract surgery.

At present, a new technology has emerged in ophthalmology - refractive cataract surgery, which refers to the implantation of a functional artificial lens on the basis of a small incision phacoemulsification surgery for cataracts, providing patients with clear vision at all distances, near and far, while saying goodbye to presbyopia, myopia, astigmatism and cataracts, allowing patients to have clear vision day and night, and achieving the completion of cataract removal and refractive error correction in one go.

Who needs refractive cataract surgery?

1. Mainly cataract patients who wish to remove their glasses and are unwilling to wear reading glasses or myopia glasses after surgery;

2. Patients aged 40 or above with high myopia who want to take off their glasses, do not want to wear glasses, or wear low-power glasses;

3. In fact, except for those with fundus lesions, most patients are suitable for this procedure because it is more accurate and minimally invasive. It can not only solve the problem of cataracts, but also solve problems such as myopia, hyperopia, astigmatism or presbyopia. The visual quality after surgery is better, and patients can not only see well, but also see comfortably and clearly.

4. Some special cases, such as patients with severe fundus lesions, are not suitable for refractive cataract surgery;

5. Refractive cataract surgery varies from person to person depending on each patient's eye condition, personal needs, and economic conditions.

When is the right time to have refractive cataract surgery?

In the past, due to backward medical technology, cataract surgery had to be performed only when the patient was fully developed, by which time the patient was almost "blind", greatly reducing the quality of life. Today, ophthalmology concepts and technologies are very advanced, and early detection, early treatment and early benefits of cataract disease have become a consensus in the ophthalmology industry.

Experts remind: As long as cataracts cause a decline in vision or visual quality, affecting daily work, study, and life, even if the vision is still around 0.5, you can consider surgery.

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Expertise: Combining Chinese and Western medicine to treat dry eyes, cataracts, children's eye diseases, and fundus diseases

Wang Zhiqiang: Doctor of Medicine, Associate Chief Physician, Director of Ophthalmology. He is also the Secretary General of the Ophthalmology Branch of the Chinese Society of Traditional Chinese Medicine Information, Director of the Science and Health Education Center of the Chinese Medical Education Association, Vice President of the Chinese Medicine Hospital Management Branch of the Chinese Society of Traditional Chinese Medicine Information, Deputy Secretary General of the Ophthalmology Professional Committee of the Chinese Medical Doctor Association's Branch of Integrated Chinese and Western Medicine, Executive Director of the Ophthalmology Branch of the Chinese Society of Ethnic Medicine, Vice President of the Young Physician Branch of the Chinese Association for the Promotion of Traditional Chinese Medicine, Member of the Ophthalmology Branch of the Chinese Society of Traditional Chinese Medicine, Director of the Ophthalmology Professional Committee of the World Federation of Chinese Medicine Societies, and Beijing Science Popularization Expert. He is good at combining traditional Chinese and Western medicine to treat myopia, amblyopia, pediatric blepharospasm, dry eyes, age-related macular degeneration, optic atrophy, glaucoma, menopausal eye diseases and other ophthalmic diseases. He is good at cataract, glaucoma, vitreous cavity injection, tear duct, pterygium, eyelid plastic surgery and other surgeries. He advocates the combination of traditional Chinese and Western medicine in the treatment of eye diseases, giving full play to the respective advantages of traditional Chinese and Western medicine, in order to help patients to the greatest extent. In clinical practice, he uses a combination of Chinese and Western medicine treatment methods, harmonizes the internal and external aspects, and treats both the symptoms and the root causes. He has rich experience in the treatment of many common and difficult ophthalmic diseases, such as juvenile myopia, blepharospasm, diabetic retinopathy, age-related macular degeneration, ischemic optic neuropathy, optic atrophy, retinitis pigmentosa, high myopia retinal diseases, thyroid-related eye diseases, orbital inflammatory pseudotumor, etc. He has edited and participated in 3 professional books, undertaken and participated in more than 10 national, provincial and ministerial projects, and published more than 20 papers in professional core journals. He serves as an expert in the regular training examination and professional title examination of the State Administration of Traditional Chinese Medicine. He has served as a teacher in the Neijing Teaching and Research Section of the Western Medicine and Chinese Medicine Class of Xiyuan Hospital of the China Academy of Chinese Medical Sciences, a teacher of clinical professional students of Beijing University of Chinese Medicine and Binzhou Medical College, a teacher of continuing education projects at the Beijing and district levels, and also teaches ophthalmology graduate students and international students. He is passionate about popularizing ophthalmic knowledge and has been invited to participate in the recording of television and radio science programs and publish various science articles many times. He once represented the State Administration of Traditional Chinese Medicine and won the third prize in the 2017 National Science Popularization Competition.