小孔角膜嵌入环矫治老视的研究进展  

An overview of correction for presbyopia with a small aperture corneal inlay

作　　者：李坚[1] 黄锦海[1] 王勤美[1] 

机构地区：[1]温州医科大学附属眼视光医院眼视光学院浙江省眼科医院国家眼视光工程技术中心-眼科和视光仪器评估与应用研究所,325027

出　　处：《中华眼视光学与视觉科学杂志》2016年第5期317-320,共4页Chinese Journal Of Optometry Ophthalmology And Visual Science

基　　金：基金项目：浙江省医药卫生科技计划项目（2016RCB013）;浙江省教育厅科研项目（Y201223147）;温州市科技局资助项目（Y20150076,Y20120176）

摘　　要：渐变镜、多焦点型和可调节型人工晶状体（IOL）植入是矫治老视的主要方法,但戴镜会影响生活质量,IOL植入存在内眼手术的风险等问题;广泛用于矫治屈光不正的准分子激光原位角膜磨镶术（LASIK）目前缺少精准的老视激光切削模式.新近出现的角膜嵌入环（Corneal Inlay）KAMRA与LASIK联合矫治老视,具有安全有效、可重复定位、可逆等优点.现对KAMRA的临床有效性和安全性的相关研究进展进行综述,以期临床医生对其有更深入的了解,有助于选择合适的矫治方案,提高手术安全性和患者生活质量.Progressive addition lenses,a multifocal intraocular lens or an accommodating intraocular lens （IOL） implantation are commonly used for presbyopia correction.The drawbacks of these methods include lower quality of life after wearing glasses and risks of intraocular surgery induced by IOL implantation.Additionally,though laser in situ keratomileusis （LASIK） has been widely used in refractive correction,the lack of a precise method for presbyopia treatment limits its application.Recently,a corneal inlay （KAMRA） implantation combined with LASIK surgery has been applied to correct presbyopia with the advantages of effectivity,safety,relocatability and reversible implantation.Thus,the clinical efficiency and safety of corneal inlay are reviewed in this paper to offer some insight as well as to help clinicians choose suitable surgeries that may be helpful in improving the safety of surgery and the quality of the patient＆#39;s life.

关 键 词：老视 角膜嵌入环 有效性 安全性 并发症 

分 类 号：R778.14[医药卫生—眼科]