Abstract：
Phakic intraocular lenses (pIOL) are recommended when counselling refractive surgery candidates presenting with high ametropia or ocular surface and/or corneal conditions that contraindicate corneal refractive surgery. This review aims to present the state-of-the-art regarding pIOL models currently available in Europe, addressing their newer indications and recent design innovations. These include, in the case of posterior chamber pIOLs, the addition of a central hole to improve aqueous humour circulation, the availability of larger optical zones, and multifocal optics for the compensation of presbyopia. The review also highlights their good safety and efficacy results, as well as the role of patient education to ensure adequate outcomes in the medium-long term. The indications of pIOLs in special situations, as well as bi-lensectomy, a procedure that most pIOL patients may eventually require as they age and develop cataracts, are also addressed.
摘要：
建议在为屈光不正或眼表和/或禁止角膜屈光手术的屈光手术候选人提供咨询时，建议使用晶状体人工晶状体（pIOL）。这篇综述旨在介绍目前在欧洲可用的关于pIOL模型的最新技术，解决他们的新适应症和最近的设计创新。这些包括,在后房型人工晶状体的情况下，增加了一个中心孔来改善房水循环，更大的光学区的可用性，和多焦点光学补偿老花眼。审查还强调了它们良好的安全性和有效性结果，以及患者教育的作用，以确保在中期长期的适当结果。特殊情况下PIOL的适应症，以及双晶状体切除术，大多数PIOL患者随着年龄增长和发展白内障最终可能需要的程序，也解决了。
