PURPOSE To provide an update for postoperative pain control strategies to help ophthalmic surgeons establish a more effective management plan for patients who underwent advanced surface ablation surgeries. METHODS Google Scholar, Scopus, ScienceDirect, and PubMed were the main resources used to search the medical literature. RESULTS The postoperative cornea's healing process is accompanied by intense pain as the chief complaint in the first days after the operation. Several strategies were developed to relieve postoperative pain after surface ablation procedures. These strategies included different preoperative, intraoperative, and postoperative methods. Considering the preoperative demographic and emotional factors, underlying dry eye, alternative epithelial removal techniques, bandage contact lenses, and topical or oral therapeutic agents are some examples of postoperative pain treatments after surface ablation procedures. CONCLUSIONS The current review revealed that despite the development of numerous protocols to relieve postoperative pain following surface ablations, the best approach could be a combination of different strategies. In practice, no validated and standardized strategy is available for total elimination of postoperative pain following advanced surface ablation surgeries. [J Refract Surg. 2021;37(11):782-790.].

中文翻译：

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高级表面消融后的疼痛管理更新。

目的提供术后疼痛控制策略的更新，以帮助眼外科医生为接受高级表面消融手术的患者制定更有效的管理计划。方法 Google Scholar、Scopus、ScienceDirect 和 PubMed 是用于搜索医学文献的主要资源。结果术后角膜愈合过程以术后头几天剧烈疼痛为主。开发了几种策略来缓解表面消融手术后的术后疼痛。这些策略包括不同的术前、术中和术后方法。考虑术前人口统计学和情绪因素、潜在干眼症、替代上皮去除技术、绷带隐形眼镜、和局部或口服治疗剂是表面消融手术后的术后疼痛治疗的一些例子。结论 目前的审查表明，尽管制定了许多减轻表面消融术后疼痛的方案，但最好的方法可能是不同策略的组合。在实践中，没有经过验证和标准化的策略可用于完全消除高级表面消融手术后的术后疼痛。[J 屈光手术。2021;37(11):782-790.]。没有经过验证和标准化的策略可用于完全消除高级表面消融手术后的术后疼痛。[J 屈光手术。2021;37(11):782-790.]。没有经过验证和标准化的策略可用于完全消除高级表面消融手术后的术后疼痛。[J 屈光手术。2021;37(11):782-790.]。