Laser corneal refractive surgery is currently the most mainstream surgery to correct refractive errors.In recent years, the laser corneal refractive surgery has been developed rapidly in China.Femtosecond laser small incision lenticule extraction (SMILE) and the femtosecond laser flap laser in situ keratomileusis (LASIK) are greatly improving the safety of the laser lamellar corneal refractive surgery, and trans-epithelial photorefractive keratectomy (Trans PRK) is also taking the surface ablation of excimer laser to a new level.Compared with traditional excimer laser corneal refractive surgery, the above methods are more safe, stable and reliable.Trans PRK, SMILE and femtosecond flap LASIK combined with riboflavin corneal cross-linking provides a safe guarantee for the myopic patients with thin cornea and abnormal corneal topography.As rapid progress and upgrading of laser corneal refractive surgery technologies, selection of operation methods is a new challenge.Ophthalmologists should comprehensively evaluate the corneal anatomical characteristics, individual needs of patients, performance of operating equipment and indications of different surgeries to pay more attention to the precise and personalized selection of laser corneal refractive surgery to improve the postoperative visual quality of patients with ametropia.
Cite as Chin J Exp Ophthalmol, 2019,37(7): 497-500.
Lasers, excimer/therapeutic use; Corneal refractive surgery; Visual quality; Personalize
Academy of Ophthalmology, Chengdu University of TCM, Chengdu 610036, China; Beijing Ming Vision and Ophthalmology, Beijing 100062, China
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