圆锥角膜屈光重建

Refractive reconstruction of keratoconus

圆锥角膜是一种进行性、严重影响青少年视力的疾病。圆锥角膜常造成高度近视、不规则散光,部分患者晚期角膜出现明显瘢痕,视力明显下降。在圆锥角膜的诊疗过程中,圆锥角膜屈光重建是临床关注的重点。经过多年的研究与探索,多种治疗方法在不同病程阶段中(非进展期、进展期、晚期)为圆锥角膜患者进行屈光重建,使其获得良好的视功能。文章主要针对不同时期圆锥角膜屈光重建的方案进行综述,分析国内外各治疗方案的利弊,总结不同治疗方式的特点,以期为圆锥角膜诊疗工作提供理论参考及新的治疗思路。

Keratoconus is a progressive disease that seriously affects the eyesight of young people.Keratoconus often causes high myopia,irregular astigmatism,and some patients with advanced corneal scar,visual acuity significantly decreased.In the course of diagnosis and treatment of keratoconus,refractive reconstruction of keratoconus is the focus of clinical attention.After years of research and exploration,a variety of treatment methods in different stages of disease(non-progressive,progressive,advanced)for keratoconus patients refractive reconstruction,so that they can obtain good visual function.This paper mainly reviews the refractive reconstruction schemes of keratoconus in different periods,analyzes the advantages and disadvantages of various treatment schemes at home and abroad,and summarizes the characteristics of different treatment methods,with a view to providing theoretical reference and new treatment ideas for the diagnosis and treatment of keratoconus.