中国激光角膜屈光手术术前验光及单眼视模拟专家共识(2023)

Expert consensus on preoperative refraction and simulation of monocular vision for laser vision correction in China(2023)

近年来,激光在临床治疗中的应用日益广泛,激光角膜屈光手术已成为矫治近视及老视等屈光不正的重要方式之一,为我国成年人屈光不正的矫正提供了重要的技术支撑。目前,不断提高相关患者的视觉和生活质量仍是激光角膜屈光手术追求的最终目标,而精确的术前验光和单眼视耐受性模拟是保证手术有效性、实现患者最优视觉质量、同时达到患者术后舒适性的重要环节,但目前我国仍缺乏规范的验光流程、术前相关检查项目及结果判断的标准化,以及术前与患者进行有效沟通的要点。为规范从事屈光临床研究者及相关从业人员的术前检查流程和检查方法,中国民族卫生协会眼学科分会屈光学组组织我国相关领域专家,在复习和研究国内外循证医学研究文献的基础上,归纳我国临床存在的、亟待解决的相关问题,结合本专业领域专家的临床实践,充分讨论并制定《中国激光角膜屈光手术术前验光及单眼视模拟专家共识(2023)》,就激光角膜屈光手术前主觉验光、客观验光、主客观结合验光、主视眼判断、双眼视觉功能检查及单眼视耐受性试戴模拟等临床问题提出专家推荐意见,旨在提高从事屈光诊疗的专业人员及相关从业人员对激光角膜屈光手术术前验光和单眼视试戴模拟的精确度及合理评估患者的耐受程度,使我国激光角膜屈光手术验光诊疗工作更加规范化、个性化和人文化。

With the widespread application of laser vision correction in clinical treatment,it has become one of the important treatment methods for the correction of refractive errors,such as myopia and presbyopia,and provides important technical support for the treatment for refractive errors in Chinese adults.At present,continuously improving the visual acuity and quality of life is still the ultimate goal pursued by refractive surgeons.Accurate preoperative refraction and simulation of monocular vision are important procedures to ensure surgical effectiveness,achieve optimal visual quality,and achieve postoperative comfort for patients.However,up to now,there is no prefer practice pattern for refraction in China,standardized preoperative examination or effective consultations with patients before surgery.In order to standardize the preoperative examination for clinical researchers and practitioners engaged in laser vision correction,the Division of Refractive Surgery Branch of Ophthalmology,China National Health Association organized experts to review evidence-based literature nationally and internationally,summarize the clinical problems that need to be solved in clinical practice.After discussion,the experts develop the Expert consensus on preoperative refraction and simulation of monocular vision for laser vision correction in China(2023)and provide recommendations on clinical issues such as subjective refraction,objective refraction,subjective combined with objective refraction,dominant eye evaluation,binocular visual function examination,and monocular vision simulation before laser vision correction.The aim of this consensus is to improve the accuracy of preoperative refraction and monocular vision test for laser vision correction,and to make laser vision correction more standardized,personalized and humanistic in China.