The Impact of Horizontal Marking on the VisuMax Surgical Bed Headrest on the Outcomes of Myopic Astigmatism Correction With Small Incision Lenticule Extraction.

IF 1.8 4区 医学 Q3 OPHTHALMOLOGY
Journal of Ophthalmology Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI:10.1155/joph/8431610
Yun Wang, Xiaofeng Zhang, Wenwen Pan, Li Wang, Jing Lou, Yue Xu
{"title":"The Impact of Horizontal Marking on the VisuMax Surgical Bed Headrest on the Outcomes of Myopic Astigmatism Correction With Small Incision Lenticule Extraction.","authors":"Yun Wang, Xiaofeng Zhang, Wenwen Pan, Li Wang, Jing Lou, Yue Xu","doi":"10.1155/joph/8431610","DOIUrl":null,"url":null,"abstract":"<p><p><b>Aims:</b> To investigate the impact of horizontal markings on the VisuMax surgical bed headrest on the accuracy of astigmatism correction in small incision lenticule extraction (SMILE). <b>Methods:</b> This retrospective study categorized preoperative astigmatism severity into low-astigmatism (-0.25 to -1.75 D) and moderate-to-high astigmatism (-2.00 to -4.50 D). A preoperative patient fixation training regimen coupled with applying horizontal markings on the VisuMax surgical bed headrest was introduced to improve the precision of astigmatism correction. The effectiveness of SMILE was compared to femtosecond laser-assisted in situ keratomileusis (FS-LASIK) in correcting astigmatism by using Alpins vector analysis, as well as the higher-order aberrations were measured. <b>Results:</b> This study included 170 patients (56 eyes in the low-astigmatism group and 31 eyes in the moderate-to-high astigmatism group of SMILE; 47 eyes in the low-astigmatism group and 36 eyes in the moderate-to-high astigmatism group of FS-LASIK). At 6 months postoperatively, safety and efficacy indices between SMILE and FS-LASIK showed no significant differences for either astigmatism group (<i>p</i> > 0.05). However, significant differences were observed in surgically induced astigmatism (SIA), magnitude of error (ME), and correction index (CI). A considerable difference in equivalent spherical (SE) was found in the low-astigmatism group (<i>p</i> < 0.05). No significant differences were noted in the angle of error (AE) and its absolute value (|AE|) between the two procedures (<i>p</i> > 0.05). Both techniques increased total higher-order aberrations, spherical aberration, and vertical coma, with SMILE associated with a significantly higher increase in vertical coma than FS-LASIK (<i>p</i> < 0.05). <b>Conclusions:</b> Augmented by precise preoperative strategies, including headrest marking and fixation training, SMILE achieves astigmatism axis correction efficacy comparable to FS-LASIK. SMILE and FS-LASIK are effective and comparable in correcting moderate-to-high astigmatism, highlighting their safety, efficacy, and predictability as corrective measures for myopic astigmatism.</p>","PeriodicalId":16674,"journal":{"name":"Journal of Ophthalmology","volume":"2025 ","pages":"8431610"},"PeriodicalIF":1.8000,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944840/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1155/joph/8431610","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Aims: To investigate the impact of horizontal markings on the VisuMax surgical bed headrest on the accuracy of astigmatism correction in small incision lenticule extraction (SMILE). Methods: This retrospective study categorized preoperative astigmatism severity into low-astigmatism (-0.25 to -1.75 D) and moderate-to-high astigmatism (-2.00 to -4.50 D). A preoperative patient fixation training regimen coupled with applying horizontal markings on the VisuMax surgical bed headrest was introduced to improve the precision of astigmatism correction. The effectiveness of SMILE was compared to femtosecond laser-assisted in situ keratomileusis (FS-LASIK) in correcting astigmatism by using Alpins vector analysis, as well as the higher-order aberrations were measured. Results: This study included 170 patients (56 eyes in the low-astigmatism group and 31 eyes in the moderate-to-high astigmatism group of SMILE; 47 eyes in the low-astigmatism group and 36 eyes in the moderate-to-high astigmatism group of FS-LASIK). At 6 months postoperatively, safety and efficacy indices between SMILE and FS-LASIK showed no significant differences for either astigmatism group (p > 0.05). However, significant differences were observed in surgically induced astigmatism (SIA), magnitude of error (ME), and correction index (CI). A considerable difference in equivalent spherical (SE) was found in the low-astigmatism group (p < 0.05). No significant differences were noted in the angle of error (AE) and its absolute value (|AE|) between the two procedures (p > 0.05). Both techniques increased total higher-order aberrations, spherical aberration, and vertical coma, with SMILE associated with a significantly higher increase in vertical coma than FS-LASIK (p < 0.05). Conclusions: Augmented by precise preoperative strategies, including headrest marking and fixation training, SMILE achieves astigmatism axis correction efficacy comparable to FS-LASIK. SMILE and FS-LASIK are effective and comparable in correcting moderate-to-high astigmatism, highlighting their safety, efficacy, and predictability as corrective measures for myopic astigmatism.

求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of Ophthalmology
Journal of Ophthalmology MEDICINE, RESEARCH & EXPERIMENTAL-OPHTHALMOLOGY
CiteScore
4.30
自引率
5.30%
发文量
194
审稿时长
6-12 weeks
期刊介绍: Journal of Ophthalmology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to the anatomy, physiology and diseases of the eye. Submissions should focus on new diagnostic and surgical techniques, instrument and therapy updates, as well as clinical trials and research findings.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信