[Chinese expert consensus on laser corneal refractive surgery for correction of refractive errors with age-related accommodation deficiency (2021)].

For people receiving laser corneal refractive surgery for refractive errors combined with age-related accommodation deficiency, more attention should be given to avoid wearing reading spectacles prematurely for presbyopia after no spectacles for distant vision are needed. Cautious preoperative screening, personalized and reasonable surgical design and postoperative care should be ensured to achieve satisfactory results. This expert consensus is written by the experts from the Refractive Surgery Group of Chinese Ophthalmologist Association based on the clinical experience and research findings. Selection of indications, methods and significance of the monocular tolerance test, customized surgical design, evaluation of postoperative visual quality and specific nursing are described, with an aim to provide guidance for the clinical standardization of laser corneal refractive surgery in the correction of refractive errors with age-related accommodation deficiency. (Chin J Ophthalmol, 2021, 57: 651-657).伴年龄相关性调节不足的屈光不正人群，在接受激光角膜屈光手术后摘掉矫正屈光不正眼镜的同时，需要避免因出现老视症状而过早配戴“老花镜”。因此，该人群在激光角膜屈光手术围手术期需要进行更为严格的术前筛查，采用更为合理的个性化手术方案和术后护理模式，方能获得满意的手术疗效。为此，中国医师协会眼科医师分会屈光手术学组联合中华医学会眼科学分会相关专家，在总结临床经验的基础上，参考国内外相关研究结果，经过认真讨论和反复修改，形成本共识意见，旨在为临床规范开展激光角膜屈光手术矫正伴年龄相关性调节不足人群的屈光不正提供指导和参考。（中华眼科杂志，2021，57：651-657）.