100年来为永久性矫正屈光不正已作了许多努力,然而迄今尚无公认的安全有效方法。角膜曲率矫正和睫状肌麻痹剂的非手术疗法,效果均未能充分肯定。作用于非角膜部位的手术复杂而并发症严重。近10年来,较多开展的是改变角膜屈光力的屈光性角膜成形术,包括角膜磨镶术、表层角膜镜片术和放射状角膜切开术,后者目前开展较多。本文对各种近视疗法的历史发展、具体方法、主要文献资料、存在问题和未来远景进行评述。 Over the past 100 years, many efforts have been made to permanently correct refractive errors. However, there is no recognized safe and effective method so far. Corneal curvature correction and cycloplegic agents of non-surgical treatment, the results are not fully affirmed. The surgery on non-corneal parts is complicated and the complications are serious. In the past 10 years, more have been carried out to change the corneal refractive power of keratoplasty, including keratomileusis, surface keratomileusis and radial keratotomy, which currently carried out more. This article reviews the historical development, specific methods, main literature, problems and future prospects of various myopathic treatments.