(白皮书）
欧洲之眼的专家见解
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.
导言
"激光眼科手术是如何进行的？"这是患者在考虑治疗时最常问的问题之一。虽然基本原理没有改变，即重塑角膜以改善光线在视网膜上的聚焦方式，但手术工具和方法已经发生了巨大变化。
2025 年，像欧陆眼科这样的诊所将使用最新的蔡司平台、人工智能驱动的诊断技术和个性化的治疗计划，以更低的风险和更快的恢复速度实现更清晰的效果。本文介绍了当今手术过程中发生的情况、与早期技术的不同之处，以及技术进步重塑患者体验的原因。
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.
步骤：现代激光眼科手术的原理
诊断和规划
每次治疗都从先进的扫描开始：角膜地形图、波前分析、上皮厚度图和泪膜评估。现在，人工智能平台可以分析数千个数据点，预测角膜的反应，并定制治疗方案。
程序本身
- 激光角膜屈光手术（LASIK）：飞秒激光制作一个薄薄的角膜瓣，准分子激光在角膜瓣下重塑角膜形状，然后更换角膜瓣。
- 角膜屈光手术（PRK）/激光近视手术（LASEK）：轻轻去除角膜表层，用准分子激光重塑角膜，然后让角膜自然愈合。
- SMILE Pro：SMILE（小切口皮瓣摘除术）的最新发展。飞秒激光通过微切口制作并移除一小块镜片状组织，无需角膜瓣即可重塑角膜。
恢复
大多数 LASIK 和 SMILE Pro 患者在 24-48 小时内就会发现手术效果有所改善。PRK 恢复时间较长，但仍然有效，通常适用于角膜较薄或不规则的患者。2025 年，经过改进的方案和消炎疗程使所有恢复过程比以前更快、更舒适。
激光眼科手术的发展
| 时代 | 技术 | 主要功能 | 患者成果 |
|---|---|---|---|
| 1990 年代至 2000 年代 | LASIK（早期准分子） | 角膜瓣+消融术 | 有效，但出现干眼症和光晕的风险较高 |
| 2000 年代至 2010 年代 | 高级 LASIK、PRK | 提高准分子精确度，波前引导 | 精度更高，夜视能力更强 |
| 2010 年代至 2020 年代 | 微笑 | 锁孔技术，无皮瓣 | 减少干眼症，加快愈合 |
| 2025 | SMILE Pro（VisuMax 800） | 更快、更广的处方，人工智能指导规划 | 效果更清晰，创口更小 |
2025 年的变化
- SMILE Pro：SMILE Pro 使用蔡司 VisuMax 800，可将治疗时间缩短到几秒钟，扩大了可治疗的度数范围，并提高了精确度。
- 人工智能诊断：算法解读角膜地图，提出最安全的消融模式，降低过度矫正或矫正不足的风险。
- 组织保存技术：新的消融模式能保留更多的角膜厚度，保护眼睛的长期健康。
- 干眼症友好型方法：与老式 LASIK 相比，切口更小、激光轮廓更柔和，这意味着受术后干眼症困扰的患者更少。
- 资格扩大：曾经被排除在外的高度近视或散光患者现在也有可能接受治疗。
欧洲眼科手术体验
EuroEyes 的外科医生已在欧洲进行了 100 多万例眼科手术，是全球数据量最大的外科医生之一。在伦敦，我们将蔡司 VisuMax 800、MEL90 准分子平台和地形图引导的 Contoura LASIK 结合起来，确保每位患者都能接受最先进的手术。
作为外科医生，我们每天都能看到，与十年前相比，现代激光手术是多么快捷和舒适。患者可以更快地恢复工作，在昏暗的光线下也能看得更清楚，光晕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 年激光眼科手术的适应人群
2025 年安全吗？
现代激光眼科手术是最安全的选择性医疗手术之一。ESCRS 2024 数据显示，LASIK 和 SMILE 的并发症发生率低于 0.5%，满意度超过 95%。与前几代产品相比，诊断和手术精确度的提高进一步降低了风险。
干眼症、眩光或夜晕等潜在的副作用仍有可能出现，但通常是轻微和暂时的。仔细的筛选确保只有合适的人选才能进行手术。
未来：2026 年及以后
- 人工智能引导的激光器，可在手术过程中实时调整。
- 光调节镜片（LAL）作为老花眼的替代品。
- 针对角膜和晶状体再生的基因和干细胞疗法。
欧陆眼科继续参与国际研究和培训，确保伦敦和欧洲各地的患者始终受益于最新的成熟进展。
结论
2025 年，激光眼科手术仍然是一种安全、高效的视力矫正方式，但它不再是单一、统一的手术。有了 SMILE Pro、先进的 LASIK、PRK 精细化手术和老花眼解决方案，患者现在可以受益于由人工智能指导的高度个性化的治疗方案，并获得无与伦比的精确度。
对于那些考虑手术的人来说，了解激光眼科手术目前的工作原理及其变化，是对自己视力的未来做出明智决定的第一步。
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.
结束语法迪-凯尔达吉医学博士
"对于询问激光眼科手术如今如何运作的患者，答案既简单又非凡。我们仍在使用激光重塑角膜，但其精确度、安全性和个性化程度是上一代人无法想象的。
作为外科医生，我们有幸使用 SMILE Pro 等技术和先进的 LASIK 平台，它们不仅能恢复视力，还能改变患者的生活方式。我的职责是指导每个人选择适合自己眼睛、生活方式和未来的方案。
在 2025 年及以后，激光眼科手术将不仅仅是矫正视力，而是让人们在日常生活的方方面面都获得自由、独立和自信。
常见问题
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.
