自适应光学(AO)技术是一种旨在通过实时测量和校正光学系统的光学像差以提高光学系统性能的技术。随着屈光手术技术的不断进步，患者对手术效果的期望日益提高，如何精准实施个性化屈光手术成为热点。AO技术的引入，为屈光手术提供了新的技术支持。自适应光学视觉模拟器(VAO)通过实时测量和校正人眼的波前像差，进行屈光手术前准确的客观验光和主觉验光并提高验光效率； 对个性化屈光手术后像差进行有效预测； 帮助医生在手术前进行更为精准的决策； 不同的屈光手术术式的对比研究； 直观评价不同个性化屈光手术术后患者视觉质量。文章对VAO在屈光手术中的应用进展进行综述，并分析其临床优势与技术局限。

Adaptive optics(AO)is a technology designed to enhance the performance of optical systems through real-time measurement and correction of optical aberrations. With continuous advancements in refractive surgery techniques and rising patient expectations for surgical outcomes, the precise implementation of personalized refractive corrections has become a critical focus. The integration of AO technology into refractive surgery provides novel technical support. Specifically, the adaptive optics vision simulator(VAO)facilitates accurate preoperative objective and subjective refraction by dynamically measuring and correcting ocular wavefront aberrations, thereby improving refractive efficiency. Additionally, it enables effective prediction of postoperative aberrations for personalized procedures, assists clinicians in making data-driven preoperative decisions, facilitates comparative analysis of different surgical techniques, and allows intuitive evaluation of postoperative visual quality. This review comprehensively examines the advances in VAO applications for refractive surgery and analyzes both its clinical advantages and technical limitations.

四川省医学科研课题(No.S21011); 成都市医学科研课题(No.2024268); 爱尔眼科医院集团临床研究所科研基金项目(No.AIG2306D01)