Review of Static Approaches to Surgical Correction of Presbyopia
Review of Static Approaches to Surgical Correction of Presbyopia
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老花眼手术矫正的静态方法综述
DOI：
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发表时间：
2017
影响因子：
2
通讯作者：
Mehdi Zandian
中科院分区：
文献类型：
--
作者：
Mohammad Ali Zare Mehrjerdi;M. Mohebbi;Mehdi Zandian
由于对眼镜的依赖，老花眼是导致 40 多岁人群生活质量下降的主要原因。因此，老花眼矫正已成为屈光手术中不断发展和快速发展的领域。老花眼矫正有两种主要选择：动态方法利用眼睛的残余调节能力，静态方法尝试增强光学系统的焦深。动态方法试图逆转可疑的病理生理变化。由于结果不一致且技术复杂，诸如可调节人工晶状体（IOL）、巩膜扩张技术、晶状体再充填和光破裂等动态方法引起的临床兴趣较少。我们回顾了老花眼手术中最流行的静态技术，包括多焦点人工晶状体、老花眼LASIK和角膜嵌体，但我们应该强调，这些技术与未受影响的眼睛的生理状态有很大不同。对关键词“presbylasik”、“multifocal IOL”和“presbyopic corneal inlay”的系统 PubMed 搜索显示了 634 篇文章； 124 项是对照临床试验，95 项是在过去 10 年发表的，78 项是英文版并提供全文。我们审查了摘要并拒绝了不相关的文章；根据需要还包括其他参考文献。这篇叙述性综述根据每种治疗方式的光学基础的现有信息对不同的治疗方法进行了比较，包括近、中、远视力、眼镜独立性、视力质量和视差现象等临床结果。
Presbyopia is the primary cause of reduction in the quality of life of people in their 40s, due to dependence on spectacles. Therefore, presbyopia correction has become an evolving and rapidly progressive field in refractive surgery. There are two primary options for presbyopia correction: the dynamic approach uses the residual accommodative capacity of the eye, and the static approach attempts to enhance the depth of focus of the optical system. The dynamic approach attempts to reverse suspected pathophysiologic changes. Dynamic approaches such as accommodative intraocular lenses (IOLs), scleral expansion techniques, refilling, and photodisruption of the crystalline lens have attracted less clinical interest due to inconsistent results and the complexity of the techniques. We have reviewed the most popular static techniques in presbyopia surgery, including multifocal IOLs, PresbyLASIK, and corneal inlays, but we should emphasize that these techniques are very different from the physiologic status of an untouched eye. A systematic PubMed search for the keywords “presbylasik”, “multifocal IOL”, and “presbyopic corneal inlay” revealed 634 articles; 124 were controlled clinical trials, 95 were published in the previous 10 years, and 78 were English with available full text. We reviewed the abstracts and rejected the unrelated articles; other references were included as needed. This narrative review compares different treatments according to available information on the optical basis of each treatment modality, including the clinical outcomes such as near, intermediate, and far visual acuity, spectacles independence, quality of vision, and dysphotopic phenomena.
影响因子：
13.7
作者：
Jain, S;Ou, R;Azar, DT
通讯作者：
Azar, DT