角膜屈光手术的技术日益成熟，在帮助越来越多的近视眼患者摘掉眼镜的同时，所导致的术后视疲劳也较为普遍，特别是在术后早期的视疲劳症状较重，这与角膜屈光手术前后的调节功能的突然变化有关。眼的调节功能可以提供聚焦于视网膜的清晰图像，用于神经系统对眼球运动的精确控制以及用于对深度的感知。调节相关的参数，包括调节幅度、正负相对调节、调节灵敏度、调节反应及调节性集合与调节的比率等。这些参数在术后短期的突然变化和长期恢复趋势对于评估患者术后近距离工作的疲劳、指导术前的手术方式设计具有重要的指导意义。本文中笔者就目前常见的几种角膜屈光手术如小切口角膜基质透镜取出术(SMILE)、飞秒激光辅助下的准分子激光原位角膜磨镶术(FS-LASIK)和准分子激光原位角膜磨镶术(LASIK)对调节功能相关参数的影响进行评述，以促进角膜屈光手术的个性化设计和追求更好的视觉效果。

The technology of corneal refractive surgery is increasingly mature. While corneal refractive surgery was helpful to remove glasses for more and more patients with myopia, the postoperative visual fatigue caused by it is also common, especially in the early postoperative period, It is related to the sudden changes in the accommodation function before and after the corneal refractive surgery. The eye′s accommodation function had the ability to provide a clear image focused on the retina, which was used for precise nervous system control of eye movements and for depth perception. The parameters related to accommodation include amplitude of accommodation, positive and negative relative accommodation, accommodation facility, accommodative response, AC/A ratio, etc. The short-term sudden change and long-term recovery trend of these parameters after corneal refractive surgery were important to evaluate patients′postoperative close work fatigue and guide preoperative design of operation method. In this paper, the effects of several common corneal refractive surgeries, such as small incision lenticule extraction(SMILE), femtosecond laser-assisted laser in situ keratomileusis(FS-LASIK) and laser-assisted laser in situ keratomileusis(LASIK), on the parameters related to accommodation function were reviewed, in order to promote the personalized design of corneal refractive surgery and pursue better visual effects.