有晶体眼人工晶体植入术治疗近视的研究进展.docVIP

有晶体眼人工晶体植入术治疗近视的研 究进展 龙秋蓉谷浩刘沧燕 贵州医科大学 贵州医科大学附属医院 近视是最常见的眼病2—，目前其发病率逐年增加，已成为世界性医学问题。药 物治疗和手术治疗是目前的研究热点，并已经取得一定成果。药物应用上存在一 定的不良反应，而且远期效果也不明确。手术方面，近视眼手术主要分为角膜屈 光手术和眼内屈光手术。各种角膜屈光手术，如LASIK、SBK、飞秒激光、 Trans-PRK等技术也日趋成熟。但角膜手术存在着一定的风险，受到近视度数及 角膜厚度、形态的限制。眼内屈光手术主要为有晶体眼的人体植入术(PIOL)和 屈光性晶状体置换术，其矫正的度数范围更大。本文对有晶体眼人工晶体植入术 治疗近视的研究进展进行综述。 关键词 近视;有晶体眼人工晶体植入;临床疗效;并发症; Research progress of phakic intraocular lens implanta/tion in the treatment of myopia Long Qiurong Gu Hao Liu Cangyan Guizhou Medical University; Affiliated Hospital of Guizhou Medical University; Abstract Myopia is one of the most common eye diseases. The incidence of myopia is increasing year by year, and it has become a worldwide medical problem. Drug therapy and surgical treatment are the focus of current research, and they have achieved some results. There are some adverse reactions in the use of drugs, and the long-term effect is not clear. In surgery, myopic surgery is mainly divided into the corncal refractive surgery and the intraocular refractive surgery. A variety of corneal refractive surgery is also maturing, such as LASIK, SBK, femtosecond laser, Trans-PRK. However, there are some risks in corneal surgery, which are 1imited by the degree of myopia and corneal thickness and shape.Intraocular refractive surgery mainly consists of phakic intraocular lens implantation (P1OL) and photorefractive lens replacement, the range of correction is greater. In this paper, the research progress of phakic intraocular lens implantation in the treatment of myopia is reviewed. Keyword Myopia; Phakic introocular lens implantation; Clinical efficacy; Complication; 有晶体眼人工晶体植入术的概述 近视指的是当眼处于非调节状态（静息状态）吋，外界的平行光线（一般认为 来自5 m以外）经眼的屈光系统后聚焦于视网膜感光细胞层Z前皿，故不能产 生清晰的影像。有晶体眼人工晶体植入术（PIOL）属于眼内屈光手术，开始于 20世纪90年代末，对于各种不能行角膜屈光手术的患者，PI0L手效果好[2-4]° PIOL包括前房型和后房型两种，前者乂分为房角支撑型和虹膜固定型。年龄＞18 岁、无手术禁忌、屈光度数稳定口有手术意愿的患者是PIOL的适宜人群。 前房型PIOL:包括房角支撑型和虹膜夹持型两种 前房角支撑型PIOL: 1953年，意大利学者Strampelli完成了世界首例前房角支 撑型PIOL手术童L常用的前房型人工晶体类型有美国011公司牛产的 Phakic6H＞德国Morcher公司的ZSAL-4和法