Lenticule intrastromal keratoplasty (LIKE) was introduced clinically in the 1980s as a refractive surgery. With the advancements of femtosecond laser, LIKE has been significantly revitalized. Currently, femtosecond laser-assisted LIKE has been demonstrated to be a safe and effective surgical procedure to correct hyperopia, but the predictability is still a major limitation. In this article, we review the history, procedures, influencing factors of predictability and challenge of LIKE to provide reference for clinical practice of femtosecond laser-assisted LIKE.
角膜基质透镜移植术（LIKE）于20世纪80年代作为一种屈光手术应用于临床后，飞秒激光技术的发展显著促进了该手术的复兴和提高。目前，飞秒激光辅助LIKE矫正远视的安全性、有效性已得到证实，但其预测性有待进一步探索。本文汇总国内外最新相关研究结果，针对飞秒激光辅助LIKE的发展史、手术方式分类、预测性的影响因素以及未来的挑战和发展方向4个方面进行总结和探讨，以期为临床进一步开展飞秒激光辅助LIKE矫正远视提供参考。.