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在FS-LASIK和SMILE治疗近视症5年后,对角膜高阶异常和有效光区的地形图案进行分析

Jie Qin¹, Jiayu Li¹, Yushan Xu¹

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

Photodiagnosis and photodynamic therapy

|September 19, 2025

概括

小切口镜片提取 (SMILE) 提供了较少的角膜高阶异常比 Femtosecond激光辅助 in situ 角质疏散 (FS-LASIK). 实现定期有效的光学区域和监测上皮质厚度对于预防高近视患者近视回归至关重要.

科学领域:

眼科医生眼科眼科
折射手术是一种折射手术.
角膜异常角膜异常

背景情况:

评估角膜高阶异常 (HOA) 在近视纠正手术后五年.
通过比较秒激光辅助的 in situ 角膜切除 (FS-LASIK) 和小切口镜片提取 (SMILE).
调查影响近视回归和有效光区 (EOZ) 形态的因素.

研究的目的:

评估和比较五年术后FS-LASIK和SMILE之间的角膜HOA.
确定EOZ形态,折射结果和近视回归之间的相关性.
评估上皮质厚度 (ET) 对折射稳定的影响.

主要方法:

横截面研究分析了来自116个FS-LASIK和126个SMILE眼睛的数据.
收集的数据包括折射结果,角膜地形,HOA,ET和视力质量 (QoV) 问卷.
基于曲率图的EOZ形态分类 (均,领,半圆形,钥匙孔,不规则).

主要成果:

FS-LASIK显示的球形偏差比SMILE更大.
半圆形的EOZ模式与水平分散和昏迷增加相关.
钥匙洞EOZ模式与更负面的球形偏差,焦点困难和高近视的近视回归风险显著增加有关.
表皮厚度的差异增加了近视回归的可能性.

结论:

与FS-LASIK相比,微笑似乎会导致较少的HOA.
在高近视症中,实现中心,规律的EOZ对于视觉质量至关重要.
监测上皮质重塑是防止近视后手术回归的关键.

关键词:

表面皮质的厚度表面皮质的厚度在FS-LASIKIK中使用.更高阶的异常异常.近视回归的近视回归微笑微笑微笑地形图案的地形图案.

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