【摘要】 老视是由于生理性调节减弱导致的渐进性视近困难，是40岁以上人群视觉相关生活质量下降的主要原因之一。目前，老视的矫治方法主要包括光学矫正、手术矫治和药物治疗等，可在一定程度上改善视近障碍。光学矫正是矫治老视最常见的方式，安全且可随时调整镜片参数，但佩戴眼镜和频繁取戴眼镜常造成生活中的各种不便。矫治手术分为角膜手术、晶状体手术和巩膜手术，各种手术方式均存在着一定的优势和弊端。新型药物制剂治疗有望成为非侵入式老视矫治的新方法，但尚缺乏多中心的随机对照试验及循证医学证据来科学评估其有效性。更多还原

【Abstract】 Presbyopia, a progressive visual difficulty caused by weakened physiological regulation, is one of the main causes of visual impairment in people over 40 years old. Currently, the main methods of correction of presbyopia include optical correction, surgical correction, and drug treatment, which can improve the visual nearness disorder to some extent. Optical correction is the most common way with advantages of safety, which can adjust the lens parameters at any time, while cause kinds of inconvenience in life by wearing and taking off glasses frequently. Surgical intervention, including corneal surgery, lens surgery and scleral surgery, with certain advantages and disadvantages in each operation style. New pharmaceutical agents are expected to be a new and effective method for the treatment of presbyopia, but it lacks multicenter randomized controlled trials and evidence-based medicine evidence to evaluate the safety and effectiveness.更多还原