ESCRS refractive surgery guidelines navigate gray areas in which evidence is lacking

BARCELONA, Spain — ESCRS guidelines for refractive surgery are a work in progress, expected to be released in 2025. Experts are using a structured methodology, but there are challenges and many unanswered questions.
Beatrice Cochener-Lamard, MD, PhD, said there are few randomized controlled trials for refractive surgery, and the quality of evidence is low.
Many identified results had limited scientific proof and leave remaining questions, so this required moving to what is called expert opinion, she said at the European Society of Cataract and Refractive Surgeons meeting.
She shared