中国角膜屈光手术围手术期干眼诊疗专家共识(2021年)

Expert consensus on the diagnosis and treatment of dry eye during perioperative period of corneal refractive surgery in China(2021)

我国角膜屈光手术的数量逐年递增,手术质量也在不断提升,呈现出多元化、规范化的趋势。干眼仍然是各种角膜屈光手术前后较为常见及需要解决的问题之一。在角膜屈光手术的围手术期对干眼进行规范化诊断和治疗,对于提高患者术后视觉质量和满意度具有重要意义,也是眼科医疗质量控制和规范化管理的重要内容。为此中华医学会眼科学分会眼视光学组与中国医师协会眼科医师分会眼视光学组、屈光手术学组携手,针对角膜屈光手术前后干眼的发病机制、术前评估和处理、术后护理和治疗等,结合国内外研究结果和我国临床实际情况,经过充分、认真讨论形成专家共识意见,以供眼科医师在临床工作中参考。(中华眼科杂志,2021,57:644-650)

The number of corneal refractive surgery in China is increasing year by year,and the quality of surgery is also improved with the trend of diversification and standardization.Dry eye is still one of the common problems associated with corneal refractive surgery.The standardized diagnosis and treatment of dry eye during the perioperative period of corneal refractive surgery is of great significance to improve the postoperative visual quality and satisfaction of patients,and it is also an important part of medical quality control and standardized management in ophthalmology.Therefore,Chinese Optometric Association of Chinese Ophthalmological Society,and the Refractive Surgery Group and the Optometry Group of Chinese Ophthalmologist Association have worked together to address the pathogenesis of dry eye,its evaluation and management before corneal refractive surgery and postoperative nursing care and treatment.The domestic and foreign research findings and the actual clinical situation in China have been considered fully to form this experts′consensus,which could be used as a reference for medical personnel in clinical practice.(Chin J Ophthalmol,2021,57:644-650)