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在FS-LASIK和SMILE治疗近视后五年内对角膜和视网膜厚度的研究

Jiayu Li¹, Jie Qin¹, Xiaotong Lv¹

¹Beijing Tongren Hospital, Beijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Tongren Eye Center, Capital Medical University, Beijing, China.

BMC ophthalmology

|September 5, 2024

概括

近视手术5年后,女性秒激光辅助在位角膜切除术 (FS-LASIK) 显示了比小切口镜片提取 (SMILE) 更不均的上皮厚度. 这可能会影响折射状态,但不会影响视觉质量或视网膜厚度.

科学领域:

眼科医生眼科眼科
折射手术是一种折射手术.
角膜生理学角膜生理学

背景情况:

Femtosecond激光辅助的 in situ keratomileusis (FS-LASIK) 和小切口镜片提取 (SMILE) 是近视的常见折射手术程序.
这些程序对角膜和视网膜结构的长期影响具有重大意义.
了解表皮重塑对于评估折射结果和视觉质量至关重要.

研究的目的:

为了评估角膜和视网膜厚度5年后FS-LASIK和微笑近视.
研究表皮重塑对折射状态和视觉质量的影响.
为了比较视网膜厚度在不同的 fundus tessellation 等级.

主要方法:

一项涉及每组177名患者的横截面研究 (FS-LASIK与FS-LASIK对比. 微笑) 与倾向分数相匹配,手术后5年.
综合性眼科检查,包括视敏度,折射,角膜和视网膜厚度测量,角膜高阶异常 (HOA) 和 fundus摄影.
使用视觉质量 (QoV) 调查问卷评估视觉质量和满意度.

主要成果:

与SMILE相比,FS-LASIK在中央和周边中心区域之间的上皮厚度有更大的差异.
这种上皮质厚度差异与术后球形等价物 (SE) 有负相关,与球形异常有正相关.
两组之间没有发现侧膜或全角膜厚度的显著差异;视网膜厚度是可比的,不受手术方法或 fundus tessellation 等级的影响.

结论:

与SMILE相比,FS-LASIK后的更明显的中央上皮质加厚可能会导致近视回归和HOA变化,特别是高近视.
表皮厚度分布对主观视觉质量和患者满意度的影响最小.
视网膜厚度不受FS-LASIK或SMILE的显著影响,并且不作为近视回归或底部变化的指标.

关键词:

角膜的厚度角膜的厚度在FS-LASIKIK中使用.基金组织特斯拉化.近视回归的近视回归视网膜的厚度视网膜的厚度微笑微笑微笑视觉质量视觉质量视觉质量

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