(白皮書)
來自 EuroEyes 的專家觀點
The technology behind modern vision, refined for how we live today.
Laser eye surgery has been around for decades, but how it works in 2025 is very different to how most people imagine it. Today, treatment is no longer based on a standard prescription alone. It is guided by detailed diagnostics, shaped by personalised data, and delivered using technology capable of correcting vision with remarkable speed and precision.
This white paper explores how modern laser eye surgery works today, what has changed in recent years, and why procedures such as SMILE® Pro, advanced LASIK, and PRK now offer safer, more refined outcomes than ever before. Whether you are researching your options or preparing for treatment, this guide is designed to give you clarity in a space that is often misunderstood.
摘要
Laser eye surgery has been performed safely for over three decades, but the way it works in 2025 reflects a major shift in both technology and patient expectations. Modern procedures such as LASIK, PRK, and SMILE® Pro are no longer standardised treatments. They are highly personalised interventions, guided by advanced diagnostics, refined laser platforms, and data-driven planning. This report explores how today’s techniques differ from earlier generations, what patients can expect from modern treatment, and how ongoing innovation is shaping vision correction into 2026 and beyond.
簡介
「雷射眼科手術的原理是什麼？」這是患者在考慮治療時最常問的問題之一。雖然基本原理仍然相同，即重塑角膜以改善光線聚焦在視網膜上的方式，但手術工具和方法已大幅演進。
在 2025 年，EuroEyes 等診所使用最新的蔡司平台、AI 驅動的診斷和個人化的治療規劃，以更低的風險和更快的恢復速度提供更清晰的效果。本文將說明現今手術過程中會發生什麼，與早期技術有何不同，以及技術進步為何會重塑病患體驗。
In 2026, patients are no longer simply asking whether laser eye surgery works. They are asking how it has improved, what technology is being used, and whether newer procedures offer better outcomes for their lifestyle. This shift has driven rapid innovation across the field.
Who This Guide Is For
This guide is designed for patients who want to understand how laser eye surgery works today, not just in theory, but in real clinical practice.
- Are considering laser eye surgery and want a clear explanation of the process
- Are comparing treatments such as LASIK, PRK, and SMILE® Pro
- Want to understand how modern technology has improved safety and outcomes
- Are concerned about recovery time, side effects, or long-term results
- Are exploring whether 2025 technology makes surgery more suitable for them
If you are looking for more than a basic explanation, and want to understand how laser eye surgery fits into modern life, this guide will help you make a more informed decision.
步驟說明：現代雷射眼科手術的原理
診斷與規劃
每次治療都從先進的掃描開始：角膜地形圖、波前分析、上皮厚度測圖和淚膜評估。AI 驅動的平台現在可分析數千個資料點，以預測您的角膜反應，並客製化治療方案。
程序本身
- LASIK: 利用飛秒雷射製造一個薄薄的角膜瓣，再利用準分子雷射重塑角膜瓣下的角膜，最後更換角膜瓣。
- PRK / LASEK：輕輕地去除角膜表層，使用準分子雷射重塑角膜，然後讓角膜自然癒合。
- SMILE Pro：SMILE (Small Incision Lenticule Extraction) 的最新演進。飛秒雷射透過微小切口製造並移除一小塊鏡片狀組織，無需製造角膜瓣即可重塑角膜。
恢复
大多數 LASIK 和 SMILE Pro 患者會在 24-48 小時內察覺到療效。PRK 復原時間較長，但仍然有效，通常適用於角膜較薄或不規則的患者。2025 年，改良的方案和消炎療法讓所有的恢復過程都比以前更快、更舒適。
雷射眼科手術的演進
| 年代 | 技術 | 主要功能 | 病人結果 |
|---|---|---|---|
| 1990 年代至 2000 年代 | LASIK(早期准分子) | 角膜瓣 + 消融 | 有效，但乾眼症和光暈的風險較高 |
| 2000 年代-2010 年代 | 進階 LASIK、PRK | 提高準分子精確度，波前導引 | 更高的精確度、更佳的夜視效果 |
| 2010 年代-2020 年代 | 微笑 | 鎖孔技術，無皮瓣 | 減少乾眼症、加快癒合 |
| 2025 | SMILE Pro(VisuMax 800) | 更快速、更廣泛的處方、AI 導向的規劃 | 更清晰的結果、最小的侵入性 |
2025 年的變化
- SMILE Pro：使用 Zeiss VisuMax 800，SMILE Pro 可將治療時間縮短至幾秒鐘，擴大可治療的度數範圍，並提高精確度。
- AI 診斷：演算法解釋角膜地圖，並建議最安全的消融模式，降低矯正過度或不足的風險。
- 節省組織的技術：新的消融模式可保留更多的角膜厚度，保護眼睛的長期健康。
- 適合乾眼症的方法：與舊式 LASIK 相比，更小的切口和更溫和的雷射輪廓，意味著更少的病患會出現手術後乾眼的問題。
- 擴大適用範圍：曾被排除在外的高度近視或散光患者現在也有可能成為候選人。
歐洲眼科手術經驗
EuroEyes 的外科醫師已在歐洲進行超過一百萬次的眼科手術，讓我們成為全球最大的資料庫之一。在倫敦，我們結合了 Zeiss VisuMax 800、MEL90 excimer 平台和地形圖導引的 Contoura LASIK，以確保每位患者都能接受最先進的手術。
身為外科醫師，我們每天都能看到現代的雷射手術比起十年前來得更快速、更舒適。病人可以更快回到工作崗位，在昏暗的光線下看得更清楚，光暈或眩光等副作用也更少。
With over 1 million procedures performed across Europe, EuroEyes has been directly involved in the evolution of laser eye surgery from early excimer systems to today’s fully integrated, high-speed femtosecond platforms. This experience allows for more precise treatment selection and consistently refined patient outcomes.
2025 年雷射眼科手術的適用對象
2025 年安全嗎？
現代的雷射眼科手術是最安全的選擇性醫療程序之一。ESCRS 2024 資料顯示，LASIK 和 SMILE 的併發症發生率低於 0.5%，滿意度超過 95%。與早期的手術相比，診斷與手術精準度的提升進一步降低了風險。
乾眼症、眩光或夜暈等潛在副作用仍有可能發生，但通常是輕微和暫時性的。謹慎的篩選可確保只有適合的患者才能進行手術。
未來：2026 年及其後
- AI 導航雷射，可在手術過程中即時調整。
- 光學可調節鏡片 (LAL) 作為老花眼的替代方案。
- 以角膜和晶體再生為目標的基因和幹細胞療法。
EuroEyes 持續參與國際研究與訓練，確保我們在倫敦和歐洲各地的病患，總能受惠於最新的成熟進展。
結論
2025 年，雷射眼科手術仍是矯正視力的安全、高效方式，但已不再是單一、統一的手術。有了 SMILE Pro、先進的 LASIK、PRK 精細度以及老花眼解決方案，患者現在可以受益於由 AI 引導的高度個人化療程菜單，並提供無與倫比的精確度。
對於考慮接受手術的人來說，了解雷射眼科手術目前的運作方式及其改變，是對未來視力做出明智決定的第一步。
Laser eye surgery today is not defined by a single technique, but by a combination of technology, data, and surgical expertise working together to create a personalised result.
閉幕感言：Fadi Kherdaji，醫學博士
"對於詢問雷射眼科手術如何運作的患者而言，答案既簡單又非凡。我們仍在使用雷射重塑角膜，但手術的精準度、安全性和個人化程度，是上一代人無法想像的。
身為外科醫師，我們有幸能與 SMILE Pro 和先進 LASIK 平台等技術合作，這些技術不僅能恢復視力，還能改變病患的生活方式。我的職責是引導每個人選擇適合他們眼睛、生活方式和未來的方案。
在 2025 年及以後，雷射眼科手術不僅僅是矯正視力，而是讓人們在日常生活的每個環節都能享有自由、獨立和自信」。
常見問題
Q: How does laser eye surgery work in 2025?
A: Laser eye surgery in 2025 uses advanced diagnostics and femtosecond or excimer lasers to reshape the cornea. Modern platforms such as SMILE Pro and Contoura LASIK allow highly personalised treatments, guided by AI, with faster recovery and fewer side effects than earlier techniques.
Q: What is SMILE Pro and how is it different from LASIK?
A: SMILE Pro is the latest version of keyhole laser surgery, performed with the Zeiss VisuMax 800. Unlike LASIK, it does not create a corneal flap. Instead, a tiny lenticule of tissue is removed through a micro-incision, reducing the risk of dry eye and speeding recovery.
Q: Is laser eye surgery safe in 2025?
A: Yes. Data from ESCRS in 2024 shows complication rates under 0.5 percent for LASIK and SMILE, with patient satisfaction above 95 percent. Safety has improved with AI-assisted diagnostics, tissue-preserving techniques, and advanced laser platforms.
Q: How long does it take to recover from laser eye surgery in 2025?
A: Most patients notice improved vision within 24–48 hours after LASIK or SMILE Pro. PRK recovery is longer, usually one to two weeks, but modern post-op care makes it more comfortable than before.
Q: What is the future of laser eye surgery beyond 2025?
A: By 2026 and beyond, expect AI-guided lasers that adjust in real time, light-adjustable lenses for presbyopia, and early gene or stem cell therapies aimed at regenerative eye care.
