重视角膜屈光手术围手术期干眼的防治管理

Attention Should Be Paid to the Prevention and Management of Dry Eye during Perioperative Period of Corneal Refractive Surgery

近年来,愈来愈多的患者选择角膜屈光手术矫正屈光不正。随着手术量的不断增加,角膜屈光手术围手术期干眼引起了广泛关注和重视。角膜屈光手术围手术期干眼可影响术前检查结果,术后效果以及患者的视觉质量乃至生活质量。笔者详细介绍了如何防治与管理角膜屈光手术围手术期干眼,包括术前眼表状态评估与个性化术式设计,术中眼表损伤的机制与保护措施,以及术后干眼的药物治疗与物理治疗,以期规范化管理角膜屈光手术围手术期干眼,为临床实践提供指导。

These years,more and more patients have been opting for corneal refractive surgery to correct refractive errors.With the continuous increase in the number of related surgeries,perioperative dry eye caused by corneal refractive surgery has attracted widespread attention.Perioperative dry eye caused by corneal refractive surgery can affect preoperative examination results,postoperative outcomes,as well as patient visual quality and overall quality of life.This article provides a detailed overview of how to prevent and manage perioperative dry eye in terms of corneal refractive surgery,which includes preoperative assessment of ocular surface conditions and personalized surgical design,mechanisms and protective measures for intraoperative ocular surface damage,as well as pharmacological and physical treatments for postoperative dry eye.The aim is to standardize the management of perioperative dry eye in corneal refractive surgery and provide guidance for clinical practice.