慎重开展有晶状体眼人工晶状体植入术治疗中低度近视眼

Carefully performing the phakic intraocular lens implantation for moderate and low myopia

近年来由于人工晶状体在材料学及设计方面的不断改进和创新，有晶状体眼人工晶状体植入术因其术后引入的高阶像差少、手术可逆、可保持较好的夜视力等优点成为高度近视眼屈光矫正手术的新风向，使得临床接受有晶状体眼人工晶状体植入的患者日益增多，有进一步拓展其矫正中低度近视眼的趋势。本文聚焦于中低度近视眼手术方式合理选择的问题，阐述角膜屈光手术及有晶状体眼人工晶状体植入术的特点及其利弊，提示临床谨慎开展有晶状体眼人工晶状体植入术治疗中低度近视眼，严格筛选手术适应证，加强角膜屈光手术和有晶状体眼人工晶状体植入术的规范性和安全性，不断提升患者术后视觉质量和满意度。

The refractive surgery is improved and updated with time. In recent years, the phakic intraocular lens has been continuously modified and innovated in materials and design. With advantages such as less high-order aberrations, reversible lens and good visual quality, it has led to a new trend of refractive surgery, which attract an increasing number of high myopic persons received phakic intraocular lens implantation instead of corneal refractive surgery, particularly to further expand the applying for moderate and low myopia. This article focuses on the rational selection of moderate and low myopia to receive laser correction vision or phakic lens, and elaborates the different characteristics with advantages and disadvantages of corneal refractive surgery and phakic intraocular lens implantation, which suggest to perform the phakic intraocular lens implantation for moderate and low myopia cautiously and standardize surgical indications strictly. It is necessary to continuously strengthen the standardization and safety of laser corneal refractive surgery and phakic intraocular lens implantation in order to improve the visual quality and satisfaction further for myopic patients in clinic.