准分子激光角膜屈光手术矫治老视新进展  

New progress of excimer laser corneal refractive surgery for presbyopia

作　　者：张瑞钰 陈跃国[1] Zhang Ruiyu;Chen Yueguo(Department of Ophthalmology,Peking University Third Hospital,Beijing Key Laboratory of Restoration of Damaged Ocular Nerve,Beijing 100191,China)

机构地区：[1]北京大学第三医院眼科,眼部神经损伤的重建保护与康复北京市重点实验室,北京100191

出　　处：《中华眼科杂志》2022年第12期1111-1116,共6页Chinese Journal of Ophthalmology

摘　　要：老视是指随年龄增长眼调节能力下降导致视近困难,多在40岁以后出现症状。老视的矫治包括重建调节和改善症状两种,前者目前仍难以实现,而后者主要为配戴凸透镜。随着越来越多的患者有摆脱框架眼镜的愿望,手术矫治的方法逐渐得到推广应用。准分子激光角膜屈光手术是手术矫治老视的常用方法之一,本文在介绍该手术矫治老视理论机制的基础上,回顾近期文献综述应用不同算法进行手术的新进展。Presbyopia refers to the decline in the accommodation of eye that occurs with age,symptoms begin to appear after the age of 40 and the clarity of vision at near is insufficient to satisfy an individual′s requirements.The correction of presbyopia include restoring natural accommodation and improving symptom.The former is still difficult to achieve at present,while the latter mainly involves wearing convex lens,and with more and more patients wanting to get rid of frame glasses,refractive surgery is gradually promoted and applied.Corneal refractive surgery,especially laser-assisted in situ keratomileusis,is one of the most common methods for surgical correction of presbyopia.We reviewed the recent literature to introduce the mechanism of corneal refractive surgery treating presbyopia and the efficacy of different surgical algorithms.

关 键 词：老视 角膜外科手术 激光 激光 准分子 屈光外科手术 

分 类 号：R779.63[医药卫生—眼科]