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激光矫正老视。

Laser refractive correction of presbyopia.

机构信息

Department of Phaco and Refractive, Nethradhama Superspeciality Eye Hospital, Bengaluru, Karnataka, India.

出版信息

Indian J Ophthalmol. 2024 Sep 1;72(9):1236-1243. doi: 10.4103/IJO.IJO_3074_23. Epub 2024 Aug 23.

Abstract

Presbyopia is an inevitable and progressive loss of the eye's ability to focus on nearby objects due to aging, which affects everyone regardless of their refractive error. Uncorrected presbyopia is a significant burden worldwide and affects the quality of life. Conservative options include spectacle correction, contact lenses, and pharmacologic agents. Spectacles are commonly used to correct vision, but have certain drawbacks such as peripheral blur and impaired depth perception. These limitations have been associated with an increased risk of accidental falls. Several surgical options are available to address these issues, including cornea-based, lens-based, or scleral procedures. These procedures involve modifying the cornea's optics, replacing the crystalline lens, or attempting to restore accommodation. Each of the options has its benefits and limitations. One of the most common surgical methods of presbyopic correction that has recently become popular is presbyopic Laser assisted In situ keratomileusis (LASIK) due to its improved safety and efficacy. This article is a review of all the currently available data and studies regarding the various methods of correction of presbyopia, with an emphasis on the principles and outcomes of the corneal laser refractive procedures for presbyopia correction, such as PresbyLASIK, Supracor, PRESBYOND laser blended vision, and Custom Q.

摘要

老花眼是由于年龄增长导致眼睛聚焦近处物体能力的不可避免的进行性丧失,无论屈光不正如何,每个人都会受到影响。未经矫正的老花眼是全球范围内的一个重大负担,会影响生活质量。保守的选择包括眼镜矫正、隐形眼镜和药物治疗。眼镜通常用于矫正视力,但存在周边模糊和深度感知受损等缺点。这些限制与意外跌倒的风险增加有关。有几种手术选择可用于解决这些问题,包括基于角膜、基于晶状体或基于巩膜的手术。这些手术涉及改变角膜的光学特性、替换晶状体或试图恢复调节功能。每种选择都有其优点和局限性。最近由于安全性和有效性提高,一种名为老花眼激光辅助原位角膜磨镶术(LASIK)的常见的矫正老花眼的手术方法变得越来越流行。本文综述了所有关于老花眼矫正的现有数据和研究,重点介绍了角膜激光屈光手术矫正老花眼的原理和结果,如 PresbyLASIK、Supracor、PRESBYOND 激光混合视力和 Custom Q。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/11552810/dfed0ed18976/IJO-72-1236-g001.jpg

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