ESCRS Refractive Surgery Guidelines (Pre-recorded video)

Pavel STODULKA Speaker ESCRS Refractive Surgery GuidelinesThe ESCRS refractive surgery guidelines are evidence-based and provide fundamental classifications of ametropia, target refraction, and available refractive surgical procedures. For each procedure, the guidelines outline its variants, indications, advantages, and limitations. They also define safety thresholds and technical limits applicable to refractive surgery. The guidelines describe the key components of the refractive surgery patient journey: (1) screening and patient selection, (2) diagnostic and preoperative evaluation, (3) procedure selection, (4) perioperative management, and (5) postoperative follow-up. Patient education and expectation management, including informed consent, are comprehensively addressed. Systemic and ocular contraindications, as well as dry eye disease and Meibomian gland dysfunction, are also discussed. Common complications and side effects are listed, including both corneal and lens-related issues. The importance of surgeon experience is emphasized. In summary, the refractive surgery guidelines serve as a clinical tool rather than a legal standard. They promote high-quality, well-informed patient care. Future updates will follow emerging evidence, with patient-reported outcome measures (PROMs) and personalized approaches representing key directions for development.