摘要未矫正的屈光不正(uncorrected refractive error，URE)是引发视力损伤最常见的原因，是中重度视力损伤的主要原因之一。虽然其治疗相对简单，但URE容易被忽视，从而对社会造成巨大的负担。目前儿童URE已被广泛关注，然而老年人URE仍是亟需重视的社会卫生问题。除了年龄之外，性别、患者经济条件等因素也与URE发生率息息相关。URE的社会影响广泛，会引起各个层面的人群生活质量下降和心理健康问题，对于特殊人群，还容易引起儿童弱视、老者摔伤等伤害。为改善URE现况，需加强屈光服务和眼镜护理的提供。通过自行验光、使用摄影验光等多种验光方法可以减轻初级视力筛查的负担。远程医疗可以在医疗资源薄弱地区改善屈光服务。通过供应现成的眼镜、使用自调节眼镜等方案来满足眼镜的供货不足。 (国际眼科纵览，2025, 49：51-56)

abstractsUncorrected refractive error (URE) is the most prevalent cause of visual impairment, particularly among moderate to severe cases. Despite its relatively simple treatment, URE poses a significant social burden without insufficient attention and early intervention. URE in children is a widely concerned issue, while URE in the elderly is still in a blind spot that urgently needs attention. Beyond age, factors such as gender and economic status are also closely related to URE. The social impact of URE is extensive. Across all demographic groups, URE may lead to a decrease in quality of life and psychological health issues. For specific populations, such as children, URE can result in amblyopia, while for the elderly it can increase the risk of falls and other accidental injuries. To improve the current situation of URE, the provision of refractive services and spectacles needs to be enhanced. The burden of primary vision screening can be reduced through a variety of optometric methods such as self-correction of refractive error and the application of photorefraction technology. Telemedicine can improve refractive services in areas with poor medical resources. Options to enhance spectacles provision include the provision of ready-made spectacles and the use of self-adjustable glasses. ( Int Rev Ophthalmol, 2025, 49: 51-56)