Two decades of clinical retrospective studies have proven that myopic corneal refractive surgery is safe,effective and predictable.Ninety-eight percent of patients could obtain good refractive correction after the surgery with a long-term complication rate lower than 2%.And 96% of patients undergoing the surgery were content with postoperative outcomes,which were closely related to painlessness during the surgery,quick recovery and good uncorrected visual acuity after the surgery,advanced technology,various kinds of equipment,and an individualized operation plan.However,no more than 50% of the people were confident about the long-term safety of the surgery.Postoperative complications,refractive changes in high myopic patients,refractive regression,residual corneal turbidity and poor postoperative care should all account for this situation.Crucial factors that could enhance patient satisfaction and improve the degree of trust in myopic surgery include improvement of surgical safety,protection of the high quality of surgery,paying close attention to long-term changes in corneal and ocular status,and enhancement of the quality of care.Today in China,we should focus our problem-solving efforts on strict training of the surgical staff on standard operations,timely updates of surgical instruments and equipment,special care for the ocular changes in patients whose myopia is extremely high,and establishment of a policy to report serious surgical complications.
李莹. 角膜近视屈光手术的安全性与信任度[J]. 中华眼视光学与视觉科学杂志, 2012, 14(9): 513-516.
LI Ying. Safety and credibility of myopic corneal refractive surgery. Chinese Journal of Optometry Ophthalmology and Visual science, 2012, 14(9): 513-516. DOI: 10.3760/cma.j.issn.1674-845X.2012.09.001