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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.

DOI:10.4103/IJO.IJO_3074_23
PMID:39185826
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11552810/
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/f5d8/11552810/50f6b69e4906/IJO-72-1236-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/11552810/dfed0ed18976/IJO-72-1236-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/11552810/50f6b69e4906/IJO-72-1236-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/11552810/dfed0ed18976/IJO-72-1236-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d8/11552810/50f6b69e4906/IJO-72-1236-g002.jpg

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本文引用的文献

1
Review of Presbyopia Treatment with Corneal Inlays and New Developments.角膜嵌体治疗老花眼的综述及新进展
Clin Ophthalmol. 2022 Aug 24;16:2781-2795. doi: 10.2147/OPTH.S375577. eCollection 2022.
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Pharmacological Treatment in Presbyopia.老花眼的药物治疗
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Presbyopia - A Review of Current Treatment Options and Emerging Therapies.老花眼——当前治疗选择与新兴疗法综述
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Sterile Excimer Laser Shaped Allograft Corneal Inlay for Hyperopia: One-year Clinical Results in 28 Eyes.准分子激光角膜磨镶术治疗远视的同种异体角膜镶嵌术:28 只眼 1 年的临床结果。
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Topical lipoic acid choline ester eye drop for improvement of near visual acuity in subjects with presbyopia: a safety and preliminary efficacy trial.局部用硫辛酸胆碱酯滴眼液改善远视患者近视力:一项安全性和初步疗效试验。
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PresbyLASIK: A review of PresbyMAX, Supracor, and laser blended vision: Principles, planning, and outcomes.老视性准分子原位角膜磨镶术:PresbyMAX、Supracor及激光混合视力的综述:原理、规划与结果
Indian J Ophthalmol. 2020 Dec;68(12):2723-2731. doi: 10.4103/ijo.IJO_32_20.
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Lens-based surgical correction of presbyopia. Where are we in 2020?基于透镜的老视手术矫正。2020 年我们在哪里?
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8
A Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens.一种矫正老花眼的新概念:使用有晶状体衍射型人工晶状体的首批临床结果。
Clin Ophthalmol. 2020 Jul 17;14:2011-2019. doi: 10.2147/OPTH.S255613. eCollection 2020.
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A Review of Pharmacological Presbyopia Treatment.《药理学治疗老视的研究综述》
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Visual and Refractive Outcomes Following Laser Blended Vision Using Non-linear Aspheric Micro-monovision.采用非线性非球面微单眼技术的激光混合视觉后的视力和屈光结果。
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