|
|
Change and Prediction in Intraocular Pressure after SMILE |
Ce Shi, Likun Xia, Henan Liu, Yu Di, Lu Liu, Changhong Du, Guixin Zhang |
Department of Ophthalmology, Shengjing Hospital of China Medical University, Shenyang 110004, China |
|
|
Abstract 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.
|
|
Corresponding Authors:
Likun Xia, Department of Ophthalmology, Shengjing Hospital of China Medical University, Shenyang 110004, China (Email: xialk@sj-hospital.org)
|
|
|
|
[1] |
余文娟, 王成, 任秋实, 等. 飞秒激光在眼屈光手术中的应用. 中华眼科杂志, 2006, 42(9): 862-864. DOI: 10.3760/j:issn:0412-4081.2006.09.024.
|
[2] |
Bae HW, Seo SJ, Lee SY, et al. Risk factors for visual field progression of normal-tension glaucoma in patients with myopia. Can J Ophthalmol, 2017, 52(1): 107-113. DOI:
|
10 |
1016/j.jcjo.2016.08.011.
|
[3] |
Jonas JB, Weber P, Nagaoka N, et al. Glaucoma in high myopia and parapapillary delta zone. PLoS One, 2017, 12(4): e0175120.DOI: 10.1371/journal.pone.0175120.
|
[4] |
Nitta K, Sugiyama K, Wajima R, et al. Is high myopia a risk factor for visual field progression or disk hemorrhage in primary open-angle glaucoma? Clin Ophthalmol, 2017, 11: 599-604.DOI: 10.2147/OPTH.S131370.
|
[5] |
Kim JR, Hwang HB, Mun SJ, et al. Efficacy, predictability, and safety of small incision lenticule extraction: 6-months prospective cohort study. BMC Ophthalmol, 2014, 14: 117.
|
|
DOI: 10.1186/1471-2415-14-117.
|
10 |
1016/j.jcjo.2016.08.011.
|
[3] |
Jonas JB, Weber P, Nagaoka N, et al. Glaucoma in high myopia and parapapillary delta zone. PLoS One, 2017, 12(4): e0175120.DOI: 10.1371/journal.pone.0175120.
|
[4] |
Nitta K, Sugiyama K, Wajima R, et al. Is high myopia a risk factor for visual field progression or disk hemorrhage in primary open-angle glaucoma? Clin Ophthalmol, 2017, 11: 599-604.DOI: 10.2147/OPTH.S131370.
|
[5] |
Kim JR, Hwang HB, Mun SJ, et al. Efficacy, predictability, and safety of small incision lenticule extraction: 6-months prospective cohort study. BMC Ophthalmol, 2014, 14: 117.
|
[6] |
Chansue E, Tanehsakdi M, Swasdibutra S, et al. Safety and efficacy of VisuMax? circle patterns for flap creation and enhancement following small incision lenticule extraction. Eye
|
|
DOI: 10.1186/1471-2415-14-117.
|
|
Vis (Lond), 2015, 2: 21. DOI: 10.1186/s40662-015-0031-5.
|
[7] |
许多, 阚秋霞, 张国伟, 等. 飞秒微透镜边缘阶梯对视觉质量的影响. 中华眼视光学与视觉科学杂志, 2014,16(4): 206-210.DOI: 10.3760/cma.J.issn.1674-845X.2014.04.004.
|
[8] |
李华, 王雁, 窦瑞, 等. 飞秒激光小切口角膜基质透镜取出术后眼压测量及其影响因素分析. 中华眼科杂志, 2016, 52(1):22-29. DOI: 10.3760/cma.j.issn.0412-4081.2016.01.008.
|
[9] |
Jethani J, Dave P, Jethani M, et al. The applicability of correction factor for corneal thickness on non-contact tonometer measured intraocular pressure in LASIK treated eyes.
|
[6] |
Chansue E, Tanehsakdi M, Swasdibutra S, et al. Safety and efficacy of VisuMax? circle patterns for flap creation and enhancement following small incision lenticule extraction. Eye
|
|
Saudi J Ophthalmology, 2016, 30(1): 25-28. DOI: 10.1016/j.sjopt.2015.11.001.
|
|
Vis (Lond), 2015, 2: 21. DOI: 10.1186/s40662-015-0031-5.
|
[7] |
许多, 阚秋霞, 张国伟, 等. 飞秒微透镜边缘阶梯对视觉质量的影响. 中华眼视光学与视觉科学杂志, 2014,16(4): 206-210.DOI: 10.3760/cma.J.issn.1674-845X.2014.04.004.
|
[8] |
李华, 王雁, 窦瑞, 等. 飞秒激光小切口角膜基质透镜取出术后眼压测量及其影响因素分析. 中华眼科杂志, 2016, 52(1):22-29. DOI: 10.3760/cma.j.issn.0412-4081.2016.01.008.
|
[10] |
Schallhorn JM, Schallhorn SC, Ou Y. Factors that influence intraocular pressure changes after myopic and hyperopic LASIK and photorefractive keratectomy: a large population
|
|
study. Ophthalmology, 2015, 122(3): 471-479. DOI: 10.1016/j.ophtha.2014.09.033.
|
[11] |
周少博, 胡群英, 路晓明, 等. 近视眼激光原位角膜磨镶术后眼压变化及真实眼压评估. 中国实用眼科杂志, 2007, 25(9):986-988. DOI: 10.3760/cma.J.issn.1006-4443.2007.09.016.
|
[12] |
张潇, 李莹. 近视及散光眼LASIK后非接触眼压计测量值的影响因素及其预测. 中国实用眼科杂志, 2008, 26(9): 930-934.DOI: 10.3760/cma.j.issn.1006-4443.2008.09.016.
|
[9] |
Jethani J, Dave P, Jethani M, et al. The applicability of correction factor for corneal thickness on non-contact tonometer measured intraocular pressure in LASIK treated eyes.
|
[13] |
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.
|
|
Saudi J Ophthalmology, 2016, 30(1): 25-28. DOI: 10.1016/j.sjopt.2015.11.001.
|
[14] |
Osman IM, Helaly HA, Abdalla M, et al. Corneal biomechanical changes in eyes with small incision lenticule extraction and laser assisted in situ keratomileusis. BMC Ophthalmol, 2016, 16: 123.DOI: 10.1186/s12886-016-0304-3.
|
[10] |
Schallhorn JM, Schallhorn SC, Ou Y. Factors that influence intraocular pressure changes after myopic and hyperopic LASIK and photorefractive keratectomy: a large population
|
|
study. Ophthalmology, 2015, 122(3): 471-479. DOI: 10.1016/j.ophtha.2014.09.033.
|
[11] |
周少博, 胡群英, 路晓明, 等. 近视眼激光原位角膜磨镶术后眼压变化及真实眼压评估. 中国实用眼科杂志, 2007, 25(9):986-988. DOI: 10.3760/cma.J.issn.1006-4443.2007.09.016.
|
[12] |
张潇, 李莹. 近视及散光眼LASIK后非接触眼压计测量值的影响因素及其预测. 中国实用眼科杂志, 2008, 26(9): 930-934.DOI: 10.3760/cma.j.issn.1006-4443.2008.09.016.
|
[13] |
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.
|
[14] |
Osman IM, Helaly HA, Abdalla M, et al. Corneal biomechanical changes in eyes with small incision lenticule extraction and laser assisted in situ keratomileusis. BMC Ophthalmol, 2016, 16: 123.DOI: 10.1186/s12886-016-0304-3.
|
|
|
|