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在小切割镜片提取以纠正近视之前和之后,眼睛高阶偏差的差异:系统性审查和元分析

Yifan Du¹, Yu Di¹, Shan Yang¹

¹Department of Ophthalmology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

Frontiers in medicine

|April 11, 2024

概括

对近视的小切口镜片提取 (SMILE) 可以诱导高阶偏差 (HOA),但小于FS-LASIK. 诸如近视,眼和角膜厚度等因素会影响微笑后HOA的发展.

科学领域:

眼科医生眼科眼科
折射手术是一种折射手术.
角膜外科手术角膜外科手术

背景情况:

小切口镜片提取 (SMILE) 是近视的流行折射手术.
高级偏差 (HOA) 可以影响折射手术后的视觉质量.
了解SMILE中HOA诱导对于患者的治疗结果至关重要.

研究的目的:

分析SMILE中高阶偏差 (HOA) 的原因和因素.
为了比较SMILE和其他角膜折射手术之间的HOA诱导.
进行现有研究的系统审查和元分析.

主要方法:

在PubMed,Embase,Web of Science和谷歌学者的系统搜索 (2015年1月至2023年2月).
包括19项研究,包括1503只眼睛.
临床数据的元分析,以评估HOA诱导和影响因素.

主要成果:

微笑显著诱导了总HOA (tHOA),球形偏差 (SA) 和昏迷偏差 (CA).
与FS-LASIK相比,SMILE诱导的tHOA显著减少,而与波引导手术相比没有显著差异.
近视水平,标,眼镜片厚度,CCT和随访持续时间显著影响了tHOA诱导.

结论:

微笑与HOA的显著诱导有关,尽管比FS-LASIK少.
患者特异性因素和手术参数会影响SMILE后的术后HOA.
需要进一步的研究,以尽量减少HOA诱导与微笑程序.

关键词:

昏迷失常态变异 (Coma Aberration) 是一个高层次的偏差是高阶的偏差.短视近视近视近视近视近视近视近视近小切口镜片提取小切口镜片提取球形偏差是指球形偏差.三叶树的变异变异.

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