摘要
老视是一种随着年龄增长,眼晶状体的弹性和可塑性下降,睫状肌功能变弱,导致近距离工作和阅读发生困难、视物不能持久、易出现视疲劳的疾病.本文对老视的发病机制及防治方法进行综述,发现影响老视的因素主要有年龄、性别、疾病和药物等,治疗方法主要包括光学矫正、手术和药物治疗,均可在一定程度上改善老视的视近困难.目前,光学矫正是最常见治疗方法,矫治手术分为角膜手术、晶状体手术和巩膜手术,均存在着一定的限制和风险.药物治疗包括缩瞳类药物、恢复晶状体弹性药物以及中药,但多处于研究阶段.本研究通过对老视发病机制及防治方法的总结,可为未来的临床研究及治疗提供思路.
Abstract
Presbyopia is an age-related condition characterized by decreased elasticity and plasticity of the crystalline lens,weakened ciliary muscle function,leading to difficulties in near work and reading,short-lasting focus on objects,and increased susceptibility to visual fatigue.This article provides a comprehensive review of the pathogenesis and treatment methods of presby-opia.The Factors influencing presbyopia include age,gender,diseases,and medications.Treat-ment methods mainly include optical correction,surgery,and drug therapy,all of which can im-prove near vision difficulties to some extent.Currently,optical correction is the most common treat-ment method.Corrective surgeries include corneal,crystalline lens,and scleral surgeries,each with certain limitations and risks.Medicine therapies involve miotic medicines,agents to restore crystalline lens elasticity,and Traditional Chinese Medicine,but many are still in the research stage.This study,by summarizing the pathogenesis and treatment methods of presbyopia,provides insights for future clinical research and interventions.
基金项目
山东省重点研发计划(重大科技创新工程)项目(2021LCZX09)
山东省自然科学基金项目(ZR2021LZY045)
山东省中西医结合专病防治项目(YXH2019ZXY001)