Objective: To evaluate the change in intraocular pressure (IOP) measured by non-contact tonometer after small incision lenticule extraction (SMILE), and to calculate a regression equation for estimating IOP. Methods: In this prospective case-series study, 87 patients (171 eyes) who underwent SMILE from April to
December 2016 were enrolled. IOP, refractive error, central corneal thickness (CCT) and corneal curvature were measured preoperatively and postoperatively. We analyzed the relationship to different variables and calculated a correction formula for IOP after SMILE. Results: The mean IOP values were 13.6±3.1 mmHg and 8.7±2.1 mmHg before and after SMILE 6 months. Postoperative IOP decreased by 4.9±2.5 mmHg, and a t test showed that the difference was significant (t =25.93, P<0.001). Postoperative IOP was positively correlated with preoperative IOP and postoperative CCT (r =0.608, 0.237, P<0.01). Postoperative IOP was negatively correlated with preoperative spherical equivalent(SE), maximum lenticule thickness, and the rate of change rate of CCT and corneal curvature, △Km and △CCT (r =-0.190, -0.170, -0.200, -0.240, -0.250,-0.201, P<0.05). The multiple linear regression equation is IOPpos=5.021+0.414×IOPpre-0.018×maximumlenticule thickness (F=57.78, P<0.05, R2=0.400). Conclusions: Postoperative IOP is underestimated after
SMILE. The proposed correction formula may be used to predict postoperative IOP measurement.
史策,夏丽坤,刘鹤南,底煜,刘璐,杜长虹,张桂新. SMILE术后眼压测量值变化及预测[J]. 中华眼视光学与视觉科学杂志, 2018, 20(1): 53-57.
Ce Shi, Likun Xia, Henan Liu, Yu Di, Lu Liu, Changhong Du, Guixin Zhang. Change and Prediction in Intraocular Pressure after SMILE. Chinese Journal of Optometry Ophthalmology and Visual science, 2018, 20(1): 53-57. DOI: 10.3760/cma.j.issn.1674-845X.2018.01.010
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Li H, Wang Y, Dou R, et al. Intraocular Pressure changes and relationship with corneal biomechanics after SMILE and FSLASIK.Invest Ophthalmol Vis Sci, 2016, 57(10): 4180-4186.DOI: 10.1167/iovs.16-19615.
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