Muhammad Irfan Kamaruddin, Ucok Parlindungan Pasaribu, Tjahyono Darminto Gondhowiardjo
{"title":"影响小晶状体提取Pro®（VISUMAX 800）后视力结果的因素。","authors":"Muhammad Irfan Kamaruddin, Ucok Parlindungan Pasaribu, Tjahyono Darminto Gondhowiardjo","doi":"10.3341/kjo.2025.0040","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to report factors affected visual outcome after small incision lenticule extraction (SMILE) in the early experience of treating eyes with VISUMAX 800 (Carl Zeiss Meditec AG).</p><p><strong>Methods: </strong>This is a retrospective study with cross-sectional design of eyes underwent SMILE Pro® using VISUMAX 800 in JEC @Kedoya Eye Hospital Jakarta, Indonesia. Patients 40 years old or younger with the corrected distance visual acuity (CDVA) of >20/25, manifest refractive spherical equivalent (SE) ≤10.0 diopters (D), cylinder refraction <5.0 D were included. Evaluation of visual outcome was conducted at 1 day and 1 month postoperatively. All statistical analyses were performed using the SPSS v. 26.0 software (IBM Corp.) based on data normality.</p><p><strong>Results: </strong>A total of 258 eyes from 132 patients were analyzed. 94% of eyes achieve uncorrected distance visual acuity (UDVA) 20/20 1-month post operatively. 81% of high myopic eye achieve UDVA 20/20 following by 97% and 99% in moderate and low myopic eyes, respectively. Spherical equivalent refraction (SER) (r = 0.273; p < 0.01), optic zone (OZ) (r = 0.260; p < 0.01), cap thickness (r = 0.209; p < 0.01), and residual stromal thickness (RST) (r = 0.256; p < 0.01) showed a statistically significant but weak correlation with UDVA 1 month postoperatively. There is increasing risk to get <20/20 UDVA in right eyes (OR 3.101; p<0.045), eyes with high myopia (OR 9.964; p<0.01), 100µm cap thickness (OR 4.578; p<0.01), ≤ 6mm OZ (OR 10.556; p<0.01), and <300µm RST (OR 9.100; p<0.01) 1-month post operatively.</p><p><strong>Conclusions: </strong>SMILE Pro® give promising visual outcome in early post operative period. Low-moderate myopia give better visual outcome than high myopia patient. Small OZ, thin cap thickness, and low RST could increase risk for not getting a maximum visual outcome after SMILE. Study with prospective design and longer follow up time which included comprehensive variables were needed to fully understand factors affecting VA after SMILE.</p>","PeriodicalId":101356,"journal":{"name":"Korean journal of ophthalmology : KJO","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors Affecting Visual Outcome After Small Lenticule Extraction Pro® (VISUMAX 800).\",\"authors\":\"Muhammad Irfan Kamaruddin, Ucok Parlindungan Pasaribu, Tjahyono Darminto Gondhowiardjo\",\"doi\":\"10.3341/kjo.2025.0040\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study aimed to report factors affected visual outcome after small incision lenticule extraction (SMILE) in the early experience of treating eyes with VISUMAX 800 (Carl Zeiss Meditec AG).</p><p><strong>Methods: </strong>This is a retrospective study with cross-sectional design of eyes underwent SMILE Pro® using VISUMAX 800 in JEC @Kedoya Eye Hospital Jakarta, Indonesia. Patients 40 years old or younger with the corrected distance visual acuity (CDVA) of >20/25, manifest refractive spherical equivalent (SE) ≤10.0 diopters (D), cylinder refraction <5.0 D were included. Evaluation of visual outcome was conducted at 1 day and 1 month postoperatively. All statistical analyses were performed using the SPSS v. 26.0 software (IBM Corp.) based on data normality.</p><p><strong>Results: </strong>A total of 258 eyes from 132 patients were analyzed. 94% of eyes achieve uncorrected distance visual acuity (UDVA) 20/20 1-month post operatively. 81% of high myopic eye achieve UDVA 20/20 following by 97% and 99% in moderate and low myopic eyes, respectively. Spherical equivalent refraction (SER) (r = 0.273; p < 0.01), optic zone (OZ) (r = 0.260; p < 0.01), cap thickness (r = 0.209; p < 0.01), and residual stromal thickness (RST) (r = 0.256; p < 0.01) showed a statistically significant but weak correlation with UDVA 1 month postoperatively. There is increasing risk to get <20/20 UDVA in right eyes (OR 3.101; p<0.045), eyes with high myopia (OR 9.964; p<0.01), 100µm cap thickness (OR 4.578; p<0.01), ≤ 6mm OZ (OR 10.556; p<0.01), and <300µm RST (OR 9.100; p<0.01) 1-month post operatively.</p><p><strong>Conclusions: </strong>SMILE Pro® give promising visual outcome in early post operative period. Low-moderate myopia give better visual outcome than high myopia patient. Small OZ, thin cap thickness, and low RST could increase risk for not getting a maximum visual outcome after SMILE. 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引用次数: 0
摘要
目的：本研究旨在报告使用VISUMAX 800 （Carl Zeiss Meditec AG）治疗眼睛的早期经验中影响小切口晶状体摘除（SMILE）后视力结果的因素。方法：这是一项回顾性研究，在印度尼西亚雅加达JEC @Kedoya眼科医院使用VISUMAX 800进行SMILE Pro®手术。患者年龄在40岁及以下，矫正距离视力（CDVA）为bbb20 /25，明显屈光球等效(SE)≤10.0屈光度(D)，圆柱体屈光。结果：分析132例患者共258眼。术后1个月未矫正距离视力（UDVA）达到20/20的94%。高度近视眼UDVA达到20/20的比例为81%，中度近视眼为97%，低度近视眼为99%。球等效折射（SER） （r = 0.273, p < 0.01）、视区（OZ） （r = 0.260, p < 0.01）、帽帽厚度（r = 0.209, p < 0.01）、残余间质厚度（RST） （r = 0.256, p < 0.01）与术后1个月UDVA的相关性较弱，但有统计学意义。结论：SMILE Pro®在术后早期具有良好的视觉效果。低中度近视患者的视力优于高度近视患者。小体积，薄帽厚度和低RST可能增加SMILE后不能获得最大视力结果的风险。为充分了解影响SMILE术后VA的因素，需要前瞻性设计和较长随访时间，包括综合变量。
Factors Affecting Visual Outcome After Small Lenticule Extraction Pro® (VISUMAX 800).
Purpose: This study aimed to report factors affected visual outcome after small incision lenticule extraction (SMILE) in the early experience of treating eyes with VISUMAX 800 (Carl Zeiss Meditec AG).
Methods: This is a retrospective study with cross-sectional design of eyes underwent SMILE Pro® using VISUMAX 800 in JEC @Kedoya Eye Hospital Jakarta, Indonesia. Patients 40 years old or younger with the corrected distance visual acuity (CDVA) of >20/25, manifest refractive spherical equivalent (SE) ≤10.0 diopters (D), cylinder refraction <5.0 D were included. Evaluation of visual outcome was conducted at 1 day and 1 month postoperatively. All statistical analyses were performed using the SPSS v. 26.0 software (IBM Corp.) based on data normality.
Results: A total of 258 eyes from 132 patients were analyzed. 94% of eyes achieve uncorrected distance visual acuity (UDVA) 20/20 1-month post operatively. 81% of high myopic eye achieve UDVA 20/20 following by 97% and 99% in moderate and low myopic eyes, respectively. Spherical equivalent refraction (SER) (r = 0.273; p < 0.01), optic zone (OZ) (r = 0.260; p < 0.01), cap thickness (r = 0.209; p < 0.01), and residual stromal thickness (RST) (r = 0.256; p < 0.01) showed a statistically significant but weak correlation with UDVA 1 month postoperatively. There is increasing risk to get <20/20 UDVA in right eyes (OR 3.101; p<0.045), eyes with high myopia (OR 9.964; p<0.01), 100µm cap thickness (OR 4.578; p<0.01), ≤ 6mm OZ (OR 10.556; p<0.01), and <300µm RST (OR 9.100; p<0.01) 1-month post operatively.
Conclusions: SMILE Pro® give promising visual outcome in early post operative period. Low-moderate myopia give better visual outcome than high myopia patient. Small OZ, thin cap thickness, and low RST could increase risk for not getting a maximum visual outcome after SMILE. Study with prospective design and longer follow up time which included comprehensive variables were needed to fully understand factors affecting VA after SMILE.
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