不宜盲目扩大眼内屈光手术的适应证范围  

Cautious about the indication expansion of intraocular refractive surgery

作　　者：李莹[1] 朴俊杰 Li Ying;Piao Junjie(Department of Ophthalmology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院,北京协和医学院,北京协和医院眼科,100730

出　　处：《中华眼科杂志》2020年第2期89-92,共4页Chinese Journal of Ophthalmology

摘　　要：近视眼矫正手术在我国发展近30年,手术量呈现逐年上升趋势。眼内屈光手术因具有矫正范围广、无需去除角膜组织、视觉质量稳定等优点,在临床得到逐步推广。中华医学会眼科学分会眼视光学组针对有晶状体眼后房型人工晶状体植入术的适应证,在眼部条件、年龄范围、屈光度数等方面给予了指导意见。本文通过阐述中、低度近视眼不应推荐眼内屈光手术,部分特殊职业目前不接受行眼内屈光手术者,眼内屈光手术并发症及应对措施,提出近视眼矫正手术个性化选择原则,强调眼内屈光手术在近视度数、职业需求、眼部个体差异及并发症等方面,临床应以更加谨慎的态度选择适应证。Myopic refractive surgery has developed vigorously in China during the past 30 years,and the number of surgeries is increasing year by year.Since intraocular refractive surgery has a wide range of correction,no need to cut the corneal tissue and a stable visual quality,it has been gradually promoted in clinical practice.Specialists from the Optometry Group of Chinese Ophthalmological Society have given guidance on the ocular indications,age,diopters and other aspects for the posterior chamber intraocular lens implantation.In this article,the authors expound that intraocular refractive surgery should not be recommended for low and moderate myopic eyes,neither for some special occupations at present.The complications of intraocular refractive surgery and the countermeasures are also discussed.The authors also put forward the principles of customized myopic refractive surgery and emphasize that the clinicians should be more cautious about the diopter range selection,occupational need evaluation,individual differences and complications of intraocular refractive surgery.

关 键 词：有晶状体眼人工晶状体植入术 近视 晶体植入 眼内 手术后并发症 

分 类 号：R779.63[医药卫生—眼科]