老视的矫治方法  

Correction of presbyopia

作　　者：宋爽[1,2,3] 文丹 尹叶薇[1,4] 钱拂莹 徐慧兰 夏晓波 SONG Shuang;WEN Dan;YIN Yewei;QIAN Fuying;XU Huilan;XIA Xiaobo(Eye Center,Xiangya Hospital,Central South University,Changsha 410008;Department ofSocial Medicine and Health Management,Xiangya School of Public Health,Central South University,Changsha 410078;Office of Medical Graduate Students,Xiangya School of Medicine,Central South University,Changsha 410013;Hunan Key Laboratory of Ophthalmology,Changsha 410008;Department of ClinicalMedicine,Xiangya School of Medicine,Central South University,Changsha 410013,China)

机构地区：[1]中南大学湘雅医院眼科中心,长沙410008 [2]中南大学湘雅公共卫生学院社会医学与卫生事业管理系,长沙410078 [3]中南大学湘雅医学院医学研究生办公室,长沙410013 [4]眼科学湖南省重点实验室,长沙410008 [5]中南大学湘雅医学院临床医学系,长沙410013

出　　处：《中南大学学报（医学版）》2022年第10期1454-1460,共7页Journal of Central South University ：Medical Science

基　　金：国家重点研发计划(2020YFC2008205)。

摘　　要：老视是由于生理性调节减弱导致的渐进性视近困难,是40岁以上人群视觉相关生活质量下降的主要原因之一。目前,老视的矫治方法主要包括光学矫正、手术矫治和药物治疗等,可在一定程度上改善视近障碍。光学矫正是矫治老视最常见的方式,安全且可随时调整镜片参数,但佩戴眼镜和频繁取戴眼镜常造成生活中的各种不便。矫治手术分为角膜手术、晶状体手术和巩膜手术,各种手术方式均存在着一定的优势和弊端。新型药物制剂治疗有望成为非侵入式老视矫治的新方法,但尚缺乏多中心的随机对照试验及循证医学证据来科学评估其有效性。Presbyopia,a progressive visual difficulty caused by weakened physiological regulation,is one of the main causes of visual impairment in people over 40 years old.Currently,the main methods of correction of presbyopia include optical correction,surgical correction,and drug treatment,which can improve the visual nearness disorder to some extent.Optical correction is the most common way with advantages of safety,which can adjust the lens parameters at any time,while cause kinds of inconvenience in life by wearing and taking off glasses frequently.Surgical intervention,including corneal surgery,lens surgery and scleral surgery,with certain advantages and disadvantages in each operation style.New pharmaceutical agents are expected to be a new and effective method for the treatment of presbyopia,but it lacks multicenter randomized controlled trials and evidence-based medicine evidence to evaluate the safety and effectiveness.

关 键 词：老视 矫治 光学矫正 手术矫治 药物治疗 

分 类 号：R778.14[医药卫生—眼科]