Zhonghua Yan Ke Za Zhi. 2024 Oct 11;60(10):804-812. doi: 10.3760/cma.j.cn112142-20240123-00041.
Laser corneal refractive surgery has been carried out in China for three decades. The safety, efficacy, predictability, and long-term stability of the surgery have been well established. In the past 10 years, with the wide use of small incision lenticule extraction (SMILE) and trans-epithelial photorefractive keratectomy (T-PRK), the number of corneal laser surgeries in China has increased significantly. Although severe postoperative complications are rare, there is still the possibility of complications. Once complications occur and are not treated in time and effectively, the visual acuity and visual quality of patients would be affected. Paying attention to preoperative risk factors, standardization of the surgery procedure, and timely diagnosis and treatment of postoperative complications can minimize the negative effects. Therefore, the Cornea Group of Ophthalmology Branch of Chinese Medical Association has organized experts and scholars in this field to establish a consensus on the prevention and treatment of complications in laser corneal refractive surgery, providing guidance for the related clinical work.
激光角膜屈光手术在中国已开展三十年。该手术的安全性、有效性、可预测性及长期稳定性已得到充分证实。在过去十年中，随着小切口基质透镜切除术（SMILE）和经上皮准分子原位角膜磨镶术（T-PRK）的广泛应用，中国角膜激光手术的数量显著增加。尽管严重的术后并发症很少见，但仍有发生并发症的可能。一旦并发症发生且未得到及时有效的治疗，患者的视力和视觉质量将会受到影响。关注术前危险因素、规范手术操作以及及时诊断和治疗术后并发症可将负面影响降至最低。因此，中华医学会眼科学分会角膜学组组织该领域的专家学者就激光角膜屈光手术并发症的防治达成共识，为相关临床工作提供指导。
