Abstract
BackgroundThis study compares the clinical outcomes of femtosecond laser small-incision lenticule extraction (SMILE) for the correction of myopia and myopic astigmatism greater than − 10 D, and − 10 D or less respectively.Methods60 eyes/patients were equally selected into group 1 (myopia and myopic astigmatism of − 10 D or less) and group 2 (myopia and myopic astigmatism of over − 10 D), both of which were treated with SMILE. Visual and refractive outcomes, corneal higher-order aberrations, and Bowman’s layer micro-distortions were evaluated preoperatively, 3 months, and 6 months postoperatively.ResultsLogMAR corrected distance visual acuity (CDVA) of group 1 and group 2 was − 0.069 ± 0.047 and − 0.053 ± 0.073 6 months postoperatively (P = 0.48). 100% eyes in group 1 and 97% in group 2 were within 1 D of targeted correction (P = 0.45). Meanwhile, 100% eyes in group 1 and 97% in group 2 had an uncorrected distance visual acuity of 20/25 or better (P = 0.20). Changes in corneal higher-order aberrations root mean square, coma, and trefoil were similar between the two groups but spherical aberration was higher in group 2 (P < 0.01). Micro-distortions were observed in 53% in group 1 and 77% in group 2. More micro-distortions were observed in group 2 (3.40 ± 2.66) than in group 1 (2.07 ± 2.29) (P = 0.041). The total number of micro-distortions was not correlated with postoperative CDVA (P = 0.77).ConclusionsVisual outcomes showed similar results of SMILE for myopic correction of > − 10 D and ≤ − 10 D. Refractive outcomes showed slightly under-correction in higher myopic eyes. Higher myopic treatment tends to induce more spherical aberrations. Micro-distortions had no impact in visual and refractive outcomes.
Highlights
This study compares the clinical outcomes of femtosecond laser small-incision lenticule extraction (SMILE) for the correction of myopia and myopic astigmatism greater than − 10 D, and − 10 D or less respectively
Many existing studies have found that compared with laser in situ keratomileusis (LASIK), SMILE have similar surgical outcomes in terms of safety, efficacy, predictability, and corneal higher-order aberrations [4,5,6]
The aim of this study was to compare the visual and refractive outcomes, higher-order aberrations, and corneal morphological change of SMILE for the treatment of myopia and myopic astigmatism of > − 10 D with those ≤ − 10 D performed by the same experienced surgeon
Summary
This study compares the clinical outcomes of femtosecond laser small-incision lenticule extraction (SMILE) for the correction of myopia and myopic astigmatism greater than − 10 D, and − 10 D or less respectively. Many existing studies have found that compared with laser in situ keratomileusis (LASIK), SMILE have similar surgical outcomes in terms of safety, efficacy, predictability, and corneal higher-order aberrations [4,5,6]. The aim of this study was to compare the visual and refractive outcomes, higher-order aberrations, and corneal morphological change of SMILE for the treatment of myopia and myopic astigmatism of > − 10 D with those ≤ − 10 D performed by the same experienced surgeon
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