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Two‐years results of small‐incision lenticule extraction and wavefront‐guided laser in situ keratomileusis for Myopia
Purpose To compare the 2‐years visual and refractive outcomes between small‐incision lenticule extraction (SMILE) and wavefront‐guided laser in situ keratomileusis (LASIK) in eyes with myopia and myopic astigmatism. Methods Our retrospective case–control study examined 30 eyes of 30 patients with th...
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Published in: | Acta ophthalmologica (Oxford, England) England), 2018-03, Vol.96 (2), p.e119-e126 |
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creator | Kobashi, Hidenaga Kamiya, Kazutaka Igarashi, Akihito Takahashi, Masahide Shimizu, Kimiya |
description | Purpose
To compare the 2‐years visual and refractive outcomes between small‐incision lenticule extraction (SMILE) and wavefront‐guided laser in situ keratomileusis (LASIK) in eyes with myopia and myopic astigmatism.
Methods
Our retrospective case–control study examined 30 eyes of 30 patients with the manifest refraction spherical equivalent (MRSE) of −3.71 ± 1.83 dioptres (D) who underwent SMILE and 30 eyes of 30 patients with MRSE of −3.81 ± 1.40 D who underwent wavefront‐guided LASIK. We assessed the 2‐years clinical outcomes.
Results
Logarithm of the minimal angle of resolution (LogMAR)‐corrected distance visual acuity (CDVA) was −0.23 ± 0.07 in the SMILE group and −0.24 ± 0.07 in the wavefront‐guided LASIK group 2 years postoperatively (p = 0.82). Logarithm of the minimal angle of resolution‐uncorrected distance visual acuity (UDVA) was −0.18 ± 0.09 and −0.15 ± 0.11 (p = 0.30, respectively). In the SMILE and wavefront‐guided LASIK groups 2 years postoperatively, 100% and 73% of eyes, respectively, were within 0.5 D of the prompted MRSE correction (p = 0.005). Changes in the MRSE of −0.10 ± 0.30 D and −0.23 ± 0.51 D occurred from 3 months to 2 years (p = 0.40, respectively). We found a significant correlation between myopic regression and the changes in the keratometric readings from 3 months to 2 years after wavefront‐guided LASIK (r = −0.48, p = 0.002), but not after SMILE (r = −0.004, p = 0.90).
Conclusion
Small‐incision lenticule extraction offers better refractive outcomes than wavefront‐guided LASIK during a 2‐years follow‐up for the correction of myopia and myopic astigmatism. |
doi_str_mv | 10.1111/aos.13470 |
format | article |
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To compare the 2‐years visual and refractive outcomes between small‐incision lenticule extraction (SMILE) and wavefront‐guided laser in situ keratomileusis (LASIK) in eyes with myopia and myopic astigmatism.
Methods
Our retrospective case–control study examined 30 eyes of 30 patients with the manifest refraction spherical equivalent (MRSE) of −3.71 ± 1.83 dioptres (D) who underwent SMILE and 30 eyes of 30 patients with MRSE of −3.81 ± 1.40 D who underwent wavefront‐guided LASIK. We assessed the 2‐years clinical outcomes.
Results
Logarithm of the minimal angle of resolution (LogMAR)‐corrected distance visual acuity (CDVA) was −0.23 ± 0.07 in the SMILE group and −0.24 ± 0.07 in the wavefront‐guided LASIK group 2 years postoperatively (p = 0.82). Logarithm of the minimal angle of resolution‐uncorrected distance visual acuity (UDVA) was −0.18 ± 0.09 and −0.15 ± 0.11 (p = 0.30, respectively). In the SMILE and wavefront‐guided LASIK groups 2 years postoperatively, 100% and 73% of eyes, respectively, were within 0.5 D of the prompted MRSE correction (p = 0.005). Changes in the MRSE of −0.10 ± 0.30 D and −0.23 ± 0.51 D occurred from 3 months to 2 years (p = 0.40, respectively). We found a significant correlation between myopic regression and the changes in the keratometric readings from 3 months to 2 years after wavefront‐guided LASIK (r = −0.48, p = 0.002), but not after SMILE (r = −0.004, p = 0.90).
Conclusion
Small‐incision lenticule extraction offers better refractive outcomes than wavefront‐guided LASIK during a 2‐years follow‐up for the correction of myopia and myopic astigmatism.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/aos.13470</identifier><identifier>PMID: 28631305</identifier><language>eng</language><publisher>England</publisher><subject>Aberrometry ; Adult ; Astigmatism - physiopathology ; Astigmatism - surgery ; Case-Control Studies ; Corneal Stroma - surgery ; Corneal Wavefront Aberration ; Female ; Humans ; Keratomileusis, Laser In Situ - methods ; laser in situ keratomileusis ; Lasers, Excimer - therapeutic use ; Male ; Microsurgery - methods ; Middle Aged ; myopia ; Myopia - physiopathology ; Myopia - surgery ; Refraction, Ocular - physiology ; refractive regression ; Retrospective Studies ; small‐incision lenticule extraction ; Treatment Outcome ; Visual Acuity - physiology ; Young Adult</subject><ispartof>Acta ophthalmologica (Oxford, England), 2018-03, Vol.96 (2), p.e119-e126</ispartof><rights>2017 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd</rights><rights>2017 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3410-3485bc1738dc78719e182c0bf6b813d7745e3e5a8b9476145b12e55cf0bbc3693</citedby><cites>FETCH-LOGICAL-c3410-3485bc1738dc78719e182c0bf6b813d7745e3e5a8b9476145b12e55cf0bbc3693</cites><orcidid>0000-0002-0767-4214</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28631305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kobashi, Hidenaga</creatorcontrib><creatorcontrib>Kamiya, Kazutaka</creatorcontrib><creatorcontrib>Igarashi, Akihito</creatorcontrib><creatorcontrib>Takahashi, Masahide</creatorcontrib><creatorcontrib>Shimizu, Kimiya</creatorcontrib><title>Two‐years results of small‐incision lenticule extraction and wavefront‐guided laser in situ keratomileusis for Myopia</title><title>Acta ophthalmologica (Oxford, England)</title><addtitle>Acta Ophthalmol</addtitle><description>Purpose
To compare the 2‐years visual and refractive outcomes between small‐incision lenticule extraction (SMILE) and wavefront‐guided laser in situ keratomileusis (LASIK) in eyes with myopia and myopic astigmatism.
Methods
Our retrospective case–control study examined 30 eyes of 30 patients with the manifest refraction spherical equivalent (MRSE) of −3.71 ± 1.83 dioptres (D) who underwent SMILE and 30 eyes of 30 patients with MRSE of −3.81 ± 1.40 D who underwent wavefront‐guided LASIK. We assessed the 2‐years clinical outcomes.
Results
Logarithm of the minimal angle of resolution (LogMAR)‐corrected distance visual acuity (CDVA) was −0.23 ± 0.07 in the SMILE group and −0.24 ± 0.07 in the wavefront‐guided LASIK group 2 years postoperatively (p = 0.82). Logarithm of the minimal angle of resolution‐uncorrected distance visual acuity (UDVA) was −0.18 ± 0.09 and −0.15 ± 0.11 (p = 0.30, respectively). In the SMILE and wavefront‐guided LASIK groups 2 years postoperatively, 100% and 73% of eyes, respectively, were within 0.5 D of the prompted MRSE correction (p = 0.005). Changes in the MRSE of −0.10 ± 0.30 D and −0.23 ± 0.51 D occurred from 3 months to 2 years (p = 0.40, respectively). We found a significant correlation between myopic regression and the changes in the keratometric readings from 3 months to 2 years after wavefront‐guided LASIK (r = −0.48, p = 0.002), but not after SMILE (r = −0.004, p = 0.90).
Conclusion
Small‐incision lenticule extraction offers better refractive outcomes than wavefront‐guided LASIK during a 2‐years follow‐up for the correction of myopia and myopic astigmatism.</description><subject>Aberrometry</subject><subject>Adult</subject><subject>Astigmatism - physiopathology</subject><subject>Astigmatism - surgery</subject><subject>Case-Control Studies</subject><subject>Corneal Stroma - surgery</subject><subject>Corneal Wavefront Aberration</subject><subject>Female</subject><subject>Humans</subject><subject>Keratomileusis, Laser In Situ - methods</subject><subject>laser in situ keratomileusis</subject><subject>Lasers, Excimer - therapeutic use</subject><subject>Male</subject><subject>Microsurgery - methods</subject><subject>Middle Aged</subject><subject>myopia</subject><subject>Myopia - physiopathology</subject><subject>Myopia - surgery</subject><subject>Refraction, Ocular - physiology</subject><subject>refractive regression</subject><subject>Retrospective Studies</subject><subject>small‐incision lenticule extraction</subject><subject>Treatment Outcome</subject><subject>Visual Acuity - physiology</subject><subject>Young Adult</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kM1O3DAQxy3Uiu9DXwD5WA67eNZ2nBwR4kui4lAqcYscZ4JcnHjxJCwrceAReASehUfpkzR0gVvnMqOZn37S_Bn7BmIKYx3YSFOQyog1tglG64k0Wf7lc9bXG2yL6LcQGWSZWmcbszyTIIXeZI9Xi_jn6XmJNhFPSEPoiceGU2tDGA--c5587HjArvduCMjxoU_W9W9L29V8Ye-xSbHrR_pm8DXWPFjCxH33-kK-H_gtJtvH1gccyBNvYuI_lnHu7Q772thAuPvet9mvk-Oro7PJxeXp-dHhxcRJBWIiVa4rB0bmtTO5gQIhnzlRNVmVg6yNURolaptXhTIZKF3BDLV2jagqJ7NCbrPvK-88xbsBqS9bTw5DsB3GgUooAIwwqlAjur9CXYpECZtynnxr07IEUb6FXY5hl__CHtm9d-1QtVh_kh_pjsDBCliMvy__byoPL3-ulH8BfHuPBw</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Kobashi, Hidenaga</creator><creator>Kamiya, Kazutaka</creator><creator>Igarashi, Akihito</creator><creator>Takahashi, Masahide</creator><creator>Shimizu, Kimiya</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0767-4214</orcidid></search><sort><creationdate>201803</creationdate><title>Two‐years results of small‐incision lenticule extraction and wavefront‐guided laser in situ keratomileusis for Myopia</title><author>Kobashi, Hidenaga ; Kamiya, Kazutaka ; Igarashi, Akihito ; Takahashi, Masahide ; Shimizu, Kimiya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3410-3485bc1738dc78719e182c0bf6b813d7745e3e5a8b9476145b12e55cf0bbc3693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aberrometry</topic><topic>Adult</topic><topic>Astigmatism - physiopathology</topic><topic>Astigmatism - surgery</topic><topic>Case-Control Studies</topic><topic>Corneal Stroma - surgery</topic><topic>Corneal Wavefront Aberration</topic><topic>Female</topic><topic>Humans</topic><topic>Keratomileusis, Laser In Situ - methods</topic><topic>laser in situ keratomileusis</topic><topic>Lasers, Excimer - therapeutic use</topic><topic>Male</topic><topic>Microsurgery - methods</topic><topic>Middle Aged</topic><topic>myopia</topic><topic>Myopia - physiopathology</topic><topic>Myopia - surgery</topic><topic>Refraction, Ocular - physiology</topic><topic>refractive regression</topic><topic>Retrospective Studies</topic><topic>small‐incision lenticule extraction</topic><topic>Treatment Outcome</topic><topic>Visual Acuity - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kobashi, Hidenaga</creatorcontrib><creatorcontrib>Kamiya, Kazutaka</creatorcontrib><creatorcontrib>Igarashi, Akihito</creatorcontrib><creatorcontrib>Takahashi, Masahide</creatorcontrib><creatorcontrib>Shimizu, Kimiya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kobashi, Hidenaga</au><au>Kamiya, Kazutaka</au><au>Igarashi, Akihito</au><au>Takahashi, Masahide</au><au>Shimizu, Kimiya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two‐years results of small‐incision lenticule extraction and wavefront‐guided laser in situ keratomileusis for Myopia</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><addtitle>Acta Ophthalmol</addtitle><date>2018-03</date><risdate>2018</risdate><volume>96</volume><issue>2</issue><spage>e119</spage><epage>e126</epage><pages>e119-e126</pages><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>Purpose
To compare the 2‐years visual and refractive outcomes between small‐incision lenticule extraction (SMILE) and wavefront‐guided laser in situ keratomileusis (LASIK) in eyes with myopia and myopic astigmatism.
Methods
Our retrospective case–control study examined 30 eyes of 30 patients with the manifest refraction spherical equivalent (MRSE) of −3.71 ± 1.83 dioptres (D) who underwent SMILE and 30 eyes of 30 patients with MRSE of −3.81 ± 1.40 D who underwent wavefront‐guided LASIK. We assessed the 2‐years clinical outcomes.
Results
Logarithm of the minimal angle of resolution (LogMAR)‐corrected distance visual acuity (CDVA) was −0.23 ± 0.07 in the SMILE group and −0.24 ± 0.07 in the wavefront‐guided LASIK group 2 years postoperatively (p = 0.82). Logarithm of the minimal angle of resolution‐uncorrected distance visual acuity (UDVA) was −0.18 ± 0.09 and −0.15 ± 0.11 (p = 0.30, respectively). In the SMILE and wavefront‐guided LASIK groups 2 years postoperatively, 100% and 73% of eyes, respectively, were within 0.5 D of the prompted MRSE correction (p = 0.005). Changes in the MRSE of −0.10 ± 0.30 D and −0.23 ± 0.51 D occurred from 3 months to 2 years (p = 0.40, respectively). We found a significant correlation between myopic regression and the changes in the keratometric readings from 3 months to 2 years after wavefront‐guided LASIK (r = −0.48, p = 0.002), but not after SMILE (r = −0.004, p = 0.90).
Conclusion
Small‐incision lenticule extraction offers better refractive outcomes than wavefront‐guided LASIK during a 2‐years follow‐up for the correction of myopia and myopic astigmatism.</abstract><cop>England</cop><pmid>28631305</pmid><doi>10.1111/aos.13470</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0767-4214</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aberrometry Adult Astigmatism - physiopathology Astigmatism - surgery Case-Control Studies Corneal Stroma - surgery Corneal Wavefront Aberration Female Humans Keratomileusis, Laser In Situ - methods laser in situ keratomileusis Lasers, Excimer - therapeutic use Male Microsurgery - methods Middle Aged myopia Myopia - physiopathology Myopia - surgery Refraction, Ocular - physiology refractive regression Retrospective Studies small‐incision lenticule extraction Treatment Outcome Visual Acuity - physiology Young Adult |
title | Two‐years results of small‐incision lenticule extraction and wavefront‐guided laser in situ keratomileusis for Myopia |
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