角膜屈光手术后视疲劳症状的研究进展

doi:10.3760/cma.j.cn115909-20200109-00005

Abstract
Figure/Table
References (36)
Related Citation (15)

Download: PDF (676 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS) Supporting Info

Guide

Abstract Corneal refractive surgery, one of the most important treatments for refractive error, has been confirmed by numerous studies for its high safety, efficacy and stability. However, in the clinic, there were a few patients who were complaining about symptoms of visual fatigue, such as blurred near vision and eye strain for near work. These symptoms usually last for a short time and have a relatively low incidence rate but still have an effect on patient satisfaction after refractive surgery. Furthermore, the underlying mechanism for visual fatigue is complicated and variable. This review summarizes the research status, potential reasons and appropriate therapy for visual fatigue after refractive surgery.

Key words： visual fatigue refractive surgery accommodation visual functions dry eye

Received: 09 January 2020

PACS:

Fund:

Corresponding Authors: Yan Wang, Tianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300020, China (Email: wangyan7143@vip.sina.com)

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.cjoovs.com/EN/10.3760/cma.j.cn115909-20200109-00005 OR https://www.cjoovs.com/EN/Y2021/V23/I4/317

[1]	中华医学会眼科学分会眼视光学组. 视疲劳诊疗专家共识 (2014年). 中华眼视光学与视觉科学杂志, 2014, 16(7): 385- 387. DOI: 10.3760/cma.j.issn.1674-845X.2014.07.001.
[2]	Torky MA, Alzafiri YA. Visual and refractive outcomes of small-incision lenticule extraction in mild, moderate, and high myopia: Six-month results. J Cataract Refract Surg, 2017, 43(4): 459-465. DOI: 10.1016/j.jcrs.2017.01.015.
[3]	Sutton G, Lawless M, Hodge C. Laser in situ keratomileusis in 2012: A review. Clin Exp Optom, 2014, 97(1): 18-29. DOI: 10.1111/cxo.12075.
[4]	Jonas JB, Xu L, Wei WB, et al. Myopia in China: A populationbased cross-sectional, histological, and experimental study. The Lancet, 2016, 388: S20. DOI: 10.1016/S0140-6736(16)31947-X.
[5]	Subramaniam SV. Binocular interaction in post-LASIK subjects with unsatisfactory outcome. Curr Eye Res, 2009, 34(12): 1030- 1035. DOI: 10.3109/02713680903315771.
[6]	Zhang H, Wang Y. Dry eye evaluation and correlation analysis between tear film stability and corneal surface regularity after small incision lenticule extraction. Int Ophthalmol, 2018, 38(6): 2283-2288. DOI: 10.1007/s10792-017-0717-x.
[7]	Airiani S, Braunstein RE. Accommodative spasm after laserassisted in situ keratomileusis (LASIK). Am J Ophthalmol, 2006, 141(6): 1163-1164. DOI: 10.1016/j.ajo.2006.01.069.
[8]	Han J, Hong S, Lee S, et al. Changes in fusionalvergence amplitudes after laser refractive surgery for moderate myopia. J Cataract Refract Surg, 2014, 40(10): 1670-1675. DOI: 10.1016/ j.jcrs.2014.01.043.
[9]	邓国涛, 贡雅洁. LASIK术后眼调节状态的改变及其与视疲劳的关系. 中华眼视光学与视觉科学杂志, 2012, 14(3): 169- 172. DOI: 10.3760/cma.j.issn.1674-845X.2012.03.011.
[10]	赵春焕, 郑坤坤, 梅波, 等. 飞秒激光制瓣的LASIK与SMILE术后干眼参数的Meta分析. 中华眼视光学与视觉科学杂志, 2016, 18(6): 347-352. DOI: 10.3760/cma.j.issn.1674- 845X.2016.06.006.
[11]	褚仁远. 更深入地开展屈光矫正手术的研究工作. 中华眼科杂志, 2008, 44(7): 577-580. DOI: 10.3321/j.issn:0412-4081. 2008.07.001.
[12]	Karimian F, Baradaran-Rafii A, Bagheri A, et al. Accommodative changes after photorefractive keratectomy in myopic eyes. Optom Vis Sci, 2010, 87(11): 833-838. DOI: 10.1097/OPX. 0b013e3181f6fccc.
[13]	陈晓琴, 王雁, 杨悦, 等. SMILE术后调节功能变化. 中华眼视光学与视觉科学杂志, 2019, 21(2): 117-121. DOI: 10.3760/ cma.j.issn.1674-845X.2019.02.007.
[14]	Zheng K, Han T, Zhou X. Accommodative changes after SMILE for moderate to high myopia correction. BMC Ophthalmol, 2016, 16(1): 173. DOI: 10.1186/s12886-016-0352-8.
[15]	吴小影, 刘双珍. 近视患者准分子激光原位角膜磨镶术后调节性集合与调节比值的变化. 中华眼科杂志, 2003, 39(3): 132-135. DOI: 10.3760/j:issn:0412-4081.2003.03.002.
[16]	Prakash G, Choudhary V, Sharma N, et al. Change in the accommodative convergence per unit of accommodation ratio after bilateral laser in situ keratomileusis for myopia in orthotropic patients: prospective evaluation. J Cataract Refract Surg, 2007, 33(12): 2054-2056. DOI: 10.1016/j.jcrs.2007.07.030.
[17]	陈世豪, 吕帆, 王勤美, 等. LASIK对近视眼调节功能的影响及其临床意义. 眼视光学杂志, 2000, 2(1): 26-29. DOI: 10.3760/ cma.j.issn.1674-845X.2000.01.007.
[18]	张梅, 陈家祺, 刘祖国, 等.干眼患者115例的临床特点分析. 中华眼科杂志, 2003, 39(1): 5-9. DOI: 10.3760/j:issn:0412- 4081.2003.01.003.
[19]	中华医学会眼科学分会角膜病学组. 干眼临床诊疗专家共识 (2013年). 中华眼科杂志, 2013, 49(1): 73-75. DOI: 10.3760/ cma.j.issn.0412-4081.2013.01.020.
[20]	Hovanesian JA, Shah SS, Maloney RK. Symptoms of dry eye and recurrent erosion syndrome after refractive surgery. J Cataract Refract Surg, 2001, 27(4): 577-584. DOI: 10.1016/ s0886-3350(00)00835-x.
[21]	Xu Y, Yang Y. Dry eye after small incision lenticule extraction and LASIK for myopia. J Refract Surg, 2014, 30(3): 186-190. DOI: 10.3928/1081597X-20140219-02.
[22]	Wang B, Naidu RK, Chu R, et al. Dry eye disease following refractive surgery: A 12-month follow-up of SMILE versus FSLASIK in high myopia. J Ophthalmol, 2015, 2015: 132417. DOI: 10.1155/2015/132417.
[23]	黄艳明, 蔡锦红. 放射状角膜切开术后远视漂移患者行屈光性晶状体手术一例. 中华眼视光学与视觉科学杂志, 2012, 14(1): 60. DOI: 10.3760/cma.j.issn.1674-845X.2012.01.016.
[24]	Hersh PS, Steinert RF, Brint SF. Photorefractive keratectomy versus laser in situ keratomileusis: Comparison of optical side effects. Summit PRK-LASIK Study Group. Ophthalmology, 2000, 107(5): 925-933. DOI: 10.1016/s0161-6420(00)00059-2.
[25]	Serrao S, Lombardo G, Ducoli P, et al. Long-term corneal wavefront aberration variations after photorefractive keratectomy for myopia and myopic astigmatism. J Cataract Refract Surg, 2011, 37(9): 1655-1666. DOI: 10.1016/j.jcrs.2011.03.046.
[26]	Vega-Estrada A, Alio JL. Femtosecond-assisted laser in situ keratomileusis for high myopia correction: Long-term follow-up outcomes. Eur J Ophthalmol, 2020, 30(3): 446-454. DOI: 10.1177/1120672119834478.
[27]	Jin HY, Wan T, Yu XN, et al. Corneal higher-order aberrations of the anterior surface, posterior surface, and total cornea after small incision lenticule extraction (SMILE): High myopia versus mild to moderate myopia. BMC Ophthalmol, 2018, 18(1): 295. DOI: 10.1186/s12886-018-0965-1.
[28]	王雁, 赵堪兴. 角膜屈光手术后的高阶像差与视觉质量. 中华眼科杂志, 2011, 47(7): 664-668. DOI: 10.3760/cma.j.issn.0412- 4081.2011.07.022.
[29]	王利华. 解读《中国儿童睫状肌麻痹验光及安全用药专家共识(2019年)》. 中华眼科杂志, 2019, 55(1): 74-76. DOI: 10.3760/cma.j.issn.0412-4081.2019.01.019.
[30]	褚仁远, 瞿小妹. 医学验光的含义和实施. 眼视光学杂志, 2002, 4(2): 116-117. DOI: 10.3760/cma.j.issn.1674-845X.2002. 02.019.
[31]	Kushner BJ, Kowal L. Diplopia after refractive surgery: occurrence and prevention. Arch Ophthalmol, 2003, 121(3): 315-321. DOI: 10.1001/archopht.121.3.315.
[32]	战名书, 王晹. LASIK术后视觉训练对视疲劳和视功能的效果观察. 生命科学仪器, 2017, 15(5): 47-49, 57.
[33]	杜玲芳, 武正清, 何芳, 等. 同视机融合功能训练改善LASIK术后视疲劳的疗效观察. 国际眼科杂志, 2010, 10(11): 2187- 2188. DOI: 10.3969/j.issn.1672-5123.2010.11.050.
[34]	郑晓红, 赵少贞. 质量分数0.1%和0.3%玻璃酸钠滴眼液对FS-LASIK术后干眼泪膜稳定性及视觉质量的影响. 中华实验眼科杂志, 2018, 36(5): 373-379. DOI: 10.3760/cma.j.issn. 2095-0160.2018.05.010.
[35]	王晶, 王林农, 曹雪倩, 等. 泪膜稳定性对飞秒激光辅助 LASIK术后视觉质量的影响. 中华实验眼科杂志, 2017, 35(12): 1109-1114. DOI: 10.3760/cma.j.issn.2095-0160.2017. 12.011.
[36]	Mester U, Vaterrodt T, Goes F, et al. Impact of personality characteristics on patient satisfaction after multifocal intraocular lens implantation: Results from the "happy patient study". J Refract Surg, 2014, 30(10): 674-678. DOI: 10.3928/1081597X- 20140903-05.