从解剖部位上来分,屈光手术可以分为角膜屈光手术、晶状体屈光手术和巩膜屈光手术。许多矫正非正视眼的手术主要集中在角膜,如准分子激光角膜原位磨镶术(LASIK)。但其在矫正高度近视和远视时已经显示了它的局限性,如眩光、医源性角膜突出、屈光回退等。而晶状体屈光手术是区别于手术部位在角膜和巩膜上的一类手术,包括有晶状体眼的人工晶状体植入、无晶状体眼的人工晶状体植入以及透明晶状体摘除联合人工晶状体植入术。在此,作者对有晶状体眼的人工晶状体植入术作一综述,并提供一些目前较为一致的观点。 Divided from the anatomical sites, refractive surgery can be divided into corneal refractive surgery, refractive lens surgery and scleral refractive surgery. Many corrective non-orthoptic surgery focuses on the cornea, such as laser in situ keratomileusis (LASIK). But its correction of high myopia and hyperopia has shown its limitations, such as glare, iatrogenic keratosis, refractive regression and so on. The lens refractive surgery is different from the surgical site in the cornea and sclera on a class of surgery, including phakic intraocular lens implantation, aphakic intraocular lens implantation and clear lens ablation combined with intraocular lens implantation. Here, the authors review the IOLs with phakic eyes and provide some of the more current perspectives.