SMILE与飞秒激光制瓣LASIK矫正近视的疗效对比

doi:10.3760/cma.j.issn.1674-845X.2014.08.008

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (554 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract

Objective To compare and evaluate the postoperative outcomes of small incision lenticule extraction （SMILE） and laser in situ keratomileusis with femtosecond laser （FS-LASIK） for myopia． Methods Thirty-six patients （72 eyes） with myopia were selected for small incision lenticule extraction （SMILE group） and another 35 patients （70 eyes） were selected for laser in situ keratomileusis with femtosecond laser （FS-LASIK group）． Uncorrected visual acuity （UCVA）， best corrected visual acuity （BCVA）， spherical equivalent （SE） and wavefront aberration were measured preoperatively and at 1 day and 7 days and 1 month， 3 months and 6 months postoperatively． Total higher order aberrations （HOAs）， horizontal and vertical comas， and spherical aberrations were recorded with the Zywave system． Data were analyzed using a chi square test and independent samples t test. Results The UCVA in the FS-LASIK group was better than the UCVA for the SMILE group at postoperative 1 day. The 2 groups had similar UCVAs at 7 days and 1 month postoperatively. The UCVA in the SMILE group was better than UCVA for the FS-LASIK group at 3 months postoperatively. At different time points after the operations， there were no significant differences in UCVA≥preoperative BCVA between the 2 groups. Differencs in SE between the 2 groups were not statistically significant at 7 days and 6 months postoperatively. Total HOA root mean square （RMS） showed an increase in both groups postoperatively， and a decline at 3 months and 6 months postoperatively. The HOA of the SMILE group was lower than that of the FS-LASIK group， but the difference between the 2 groups was not statistically significant. The spherical aberrations of the 2 groups increased significantly at 1 day， 7 days， 1 month and 6 months postoperatively but declined by 6 months postoperatively. Vertical coma increased in the 2 groups after the operations but declined after 3 months postoperatively， falling close to preoperative levels at 6 months postoperatively. Horizontal coma in the two groups increased significantly after the oper

Key words： Femtosecond laser Small incision lenticule extraction Keratomileusis laser in situ Myopia Wavefront aberration

Corresponding Authors: Wang yuliang，Email：wyl0601@126.com

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Li Kai
	Wang yuliang
	Zhang Chuanwei
	Wu Jing
	Huang haiyan

Cite this article:

Li Kai,Wang yuliang,Zhang Chuanwei等. Comparison of SMILE surgery and femtosecond laser LASIK for myopia[J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2014, 16(8): 478-482.

URL:

https://www.cjoovs.com/EN/10.3760/cma.j.issn.1674-845X.2014.08.008 OR https://www.cjoovs.com/EN/Y2014/V16/I8/478

[1]	Soong HK， Malta JB． Femtosecond lasers in ophthalmology[J]．Am J Ophthalmol，2009，147：189-197.
[2]	周行涛，王晓瑛，褚仁远，等．飞秒激光、LASEK／Epi-LASIK及ICL手术[M]．上海：复旦大学出版社，2010：14．
[3]	Buzzonetti L， Petrocelli G， Valente P， et al． Comparison of corneal aberration changes after laser in situ keratomileusis performed with mechanical microkeratome and IntraLase femtosecond laser： 1-year follow-up[J]． Cornea，2008，27：174-179.
[4]	Von JB， Kohnen T． Corneal architecture of femtosecond laser and microkeratome flaps imaged by anterior segment optical coherence tomography[J]． J Cataract Refract Surg，2009，35：35-41.
[5]	赵婧，许烨，周行涛，等． VisuMax飞秒激光准分子激光原位角膜磨镶术矫正高度近视术后角膜前后表面高阶像差变化[J]．中华眼耳鼻喉科杂志，2011，11：281-284.
[6]	Randleman JB， Dawson DG， Grossniklaus HE， et al． Depth-dependent cohesive tensile strength in human donor corneas： implications for refractive surgery[J]. J Refract Surg，2008， 24：S85-89.
[7]	Shah R， Shah S． Effect of scanning patterns on the results of femtosecond laser lenticule extraction refractive surgery[J]． J Cataract Refract Surg，2011，37：1636-1647.
[8]	Marcos S． Aberrations and visual performance following standard laser vision correction[J]． J Refract Surg，2001，l7：S596-601．
[9]	Applegate RA， Hilmantel G， Howland HC， et al． Corneal first surface optical aberrations and visual performance[J]． J Refract Surg，2000，16：507-514．
[10]	Yamane N， Miyata K， Samejima T， et al． Ocular higher-order aberrations and contrast sensitivity after conventional laser in situ keratomileusis[J]． Invest Ophthalmol Vis Sci，2004，45：3986-3990．
[11]	Chalita MR， Krueger RR． Correlation of aberrations with visual acuity and symptoms[J]． Ophthalmol Clin North Am，2004，17：135-142．
[12]	Sekundo W， Kunert KS， Blum M. Small incision corneal refractive surgery using the small incision lenticule extraction （SMILE） procedure for the correction of myopia and myopic astigmatism： results of a 6 month prospective study[J]. Br J Ophthalmol，2011，95：335-339.
[13]	Shah R， Shah S， Sengupta S． Results of small incision lenticule extraction：all-in-one femtosecond laser refractive surgery[J]． J Cataract Refract Surg，2011，37：127-137.
[14]	王雁，赵堪兴. 波前像差与临床视觉矫正[M]. 北京：人民卫生出版社，2011：213.

[1]

Chinese Optometric Association, Chinese Ophthalmological Society; Ophthalmology and Optometry Committee, Ophthalmologists Association, Chinese Doctor Association; et al. Expert Consensus on Multifocal Soft Contact Lens Fitting for Myopia Control (2023)[J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2023, 25(8): 561-567.