Expert consensus on the timing of combined anterior and posterior segments intraocular surgery, intraocular lens implantation, and related refractive strategies (2025)

In the field of modern ophthalmic surgery, the rapid development of combined anterior and posterior segment surgical techniques has become a breakthrough in treating complex eye diseases.This technique has garnered widespread attention due to its unique advantages.It is particularly suitable for patients with cataracts and other anterior or posterior segment diseases simultaneously.The key to success not only requires the surgeons to have extensive experience in combined surgical techniques but also requires accurate calculation and prediction of the eye’s overall postoperative refractive power before surgery.This relies on the precise measurement of the eye’s biological parameters using various diagnostic equipment before surgery and the choice of the timing of IOL implantation.This consensus provides comprehensive recommendations on biological measurements of the eyeball under different pathological conditions, reasonable prediction of postoperative tissue recovery and refractive changes, and the optimal selection of intraocular lens implantation methods, positions and operation timing.The goal of this consensus is to optimize the postoperative refractive status of the affected eye, thereby improving postoperative visual quality and pursuing the best potential vision recovery outcomes for the patient.

KEYWORDS：