SMILE 和 LASIK 后的低对比度视力结果。

IF 2.9 3区医学 Q1 OPHTHALMOLOGY

Journal of refractive surgery Pub Date : 2024-09-01 DOI:10.3928/1081597x-20240723-04

Rose K Sia,Isabel Eaddy,Hind Beydoun,Jennifer B Eaddy,Alexis Hogan,Zachary P Skurski

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引用次数: 0

摘要

目的比较小切口皮瓣摘除术（SMILE）与激光原位角膜磨镶术（LASIK）在低对比度视力方面的早期视觉质量。方法使用两个已完成的前瞻性队列研究中的统一数据集进行二次分析，研究对象是接受小切口皮瓣摘除术（SMILE）（37人）、波前引导（WFG）LASIK（51人）或波前优化（WFO）LASIK（56人）的现役军人。结果与经 SMILE 治疗的眼睛相比，经 WFG LASIK 治疗的眼睛在术后 1 个月的夜视能力和光度低对比度视力（LCVA）明显更好（分别为：β=-0.039，P=.016；β=-0.043，P=.007）。WFO LASIK治疗的眼睛在术后1个月时的光视LCVA明显更好（β=-0.039，P=.012），但与SMILE治疗的眼睛相比，术后3个月时的中视LCVA更差（β=0.033，P=.015）。[J Refract Surg. 2024;40(9):e667-e671.].

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Low Contrast Acuity Outcomes After SMILE and LASIK.

PURPOSE To compare early visual quality of small incision lenticule extraction (SMILE) versus laser in situ keratomileusis (LASIK) in terms of low contrast acuity. METHODS A secondary analysis was performed using a harmonized dataset derived from two completed prospective cohort studies on active-duty military service members undergoing either SMILE (n = 37), wavefront-guided (WFG) LASIK (n = 51), or wavefront-optimized (WFO) LASIK (n = 56). Night vision and photopic and mesopic low contrast visual acuity (LCVA) up to 3 months postoperatively were compared between groups. RESULTS Compared to SMILE-treated eyes, WFG LASIK-treated eyes had significantly better night vision and photopic LCVA at 1 month postoperatively (beta = -0.039, P = .016; beta = -0.043, P = .007, respectively). WFO LASIK-treated eyes had significantly better photopic LCVA at 1 month postoperatively (beta = -0.039, P = .012) but had worse mesopic LCVA at 3 months postoperatively (beta = 0.033, P = .015) versus SMILE-treated eyes. CONCLUSIONS SMILE and LASIK, on either a WFG or WFO laser platform, yielded excellent outcomes, but LCVA seemed to recover quicker following LASIK compared to SMILE. [J Refract Surg. 2024;40(9):e667-e671.].

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来源期刊

$Journal of refractive surgery$

Journal of refractive surgery 医学-外科

CiteScore

5.10

自引率

12.50%

发文量

160

审稿时长

4-8 weeks

期刊介绍： The Journal of Refractive Surgery, the official journal of the International Society of Refractive Surgery, a partner of the American Academy of Ophthalmology, has been a monthly peer-reviewed forum for original research, review, and evaluation of refractive and lens-based surgical procedures for more than 30 years. Practical, clinically valuable articles provide readers with the most up-to-date information regarding advances in the field of refractive surgery. Begin to explore the Journal and all of its great benefits such as: • Columns including “Translational Science,” “Surgical Techniques,” and “Biomechanics” • Supplemental videos and materials available for many articles • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance.