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
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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.

VisuMax手术床头枕水平标记对小切口晶状体摘除矫正近视散光效果的影响。
目的:探讨VisuMax手术床头枕水平标记对小切口晶状体摘除(SMILE)散光矫正精度的影响。方法:回顾性研究将术前散光严重程度分为低散光(-0.25 ~ -1.75 D)和中高散光(-2.00 ~ -4.50 D)。术前患者固定训练方案结合在VisuMax手术床头枕上应用水平标记,以提高散光校正的精度。采用Alpins矢量分析比较SMILE与飞秒激光辅助原位角膜磨圆术(FS-LASIK)矫正散光的效果,并测量高阶像差。结果:本研究纳入170例患者,其中SMILE低散光组56眼,中高散光组31眼;FS-LASIK低散光组47眼,中高散光组36眼。术后6个月,散光组和SMILE组安全性、有效性指标比较,差异均无统计学意义(p < 0.05)。然而,两组在手术性散光(SIA)、误差幅度(ME)和校正指数(CI)方面存在显著差异。低散光组等效球面(SE)差异有统计学意义(p < 0.05)。两种方法的误差角(AE)及其绝对值(|AE|)差异无统计学意义(p > 0.05)。两种技术都增加了总高阶像差、球差和垂直昏迷,SMILE与FS-LASIK相比,垂直昏迷的增加明显更高(p < 0.05)。结论:通过精确的术前策略,包括头枕标记和固定训练,SMILE达到了与FS-LASIK相当的散光轴矫正效果。SMILE和FS-LASIK在矫正中高度数散光方面是有效的,具有可比性,突出了它们作为近视散光矫正措施的安全性、有效性和可预测性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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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.
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