中国激光角膜屈光手术并发症防治专家共识(2024年)  

Chinese expert consensus on the prevention and treatment of complications of laser corneal refractive surgery(2024)

作　　者：中华医学会眼科学分会角膜病学组 史伟云 Cornea Group of Ophthalmology Branch of Chinese Medical Association;Shi Weiyun(不详;Eye Institute of Shandong First Medical University,Eye Hospital of Shandong First Medical University(Shandong Eye Hospital),State Key Laboratory Cultivation Base,Shandong Provincial Key Laboratory of Ophthalmology,School of Ophthalmology,Shandong First Medical University,Jinan 250021,China)

机构地区：[1]不详 [2]山东第一医科大学附属眼科研究所,山东第一医科大学附属眼科医院(山东省眼科医院)山东省眼科学重点实验室-省部共建国家重点实验室培育基地山东第一医科大学眼科学院,济南250021

出　　处：《中华眼科杂志》2024年第10期804-812,共9页Chinese Journal of Ophthalmology

基　　金：国家自然科学基金(82271058);山东省重点研发计划(2022CXGC010505);泰山学者攀登计划(tspd20221110)。

摘　　要：激光角膜屈光手术在我国开展30余年, 手术的安全性、有效性、可预测性以及远期疗效的稳定性, 均已得到临床证实, 成为矫正成人近视眼等屈光不正的主要方法, 尤其随着技术不断进步, 手术量逐年大幅度提升。虽然严重手术并发症少见, 但手术并发症一旦发生, 将影响患者的视力和视觉质量, 必须给予及时有效规范的处理。为此, 中华医学会眼科学分会角膜病学组组织该领域相关专家学者, 根据我国临床特点, 围绕激光角膜屈光手术中的角膜相关并发症, 针对其预防、诊断和治疗, 达成共识性意见, 以期指导临床进一步提高手术疗效和患者满意度。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.

关 键 词：屈光外科手术 手术后并发症 诊疗准则(主题) 

分 类 号：R779.6[医药卫生—眼科]