Ophthalmology in China ›› 2021, Vol. 30 ›› Issue (2): 85-88.doi: 10.13281/j.cnki.issn.1004-4469.2021.02.002

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Pay attention to the perioperative management of corneal refractive surgery and prevent postoperative corneal ectasia

Zhang Fengju, Sun Mingshen   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing 100730, China

  • Received:2020-12-29 Online:2021-03-25 Published:2021-03-18
  • Contact: Zhang Fengju, Email: zhangfj126@126.com
  • Supported by:
    Research and Transformation Application of Capital Clinical Diagnosis and Treatment Technology by Beijing Municipal Commission of Science and Technology (Z201100005520043); High-level Talent Fund of Beijing Health Government (2013-2-023); Leading Talent Training Fund of Beijing Economic and Technological Development Zone Innovative Project (2018-05-09) 

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Abstract:  In order to prevent the serious complications after corneal refractive surgery, especially the occurrence of corneal ectasia, we should pay attention to the key points of perioperative management and control, and strengthen the links of preoperative screening, surgical design and reasonable postoperative nursing. Combined with corneal biomechanical changes and corneal morphology measurement can assist in screening keratoconus before corneal refractive surgery. The rational selection of corneal refractive surgery indications, personalized design and standardized treatment are keys to effectively prevent the occurrence of complications of corneal ectasia. (Ophthalmol CHN, 2021, 30: 85-88)

Key words:  keratoconus, ectasia, corneal refractive surgery, perioperative period, biomechanics