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Updated: Feb 12, 2026

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在双边顺序 SMILE 和 LASEK 后评价角膜不规则纹和视觉质量:为期六年的比较研究
1Department of Ophthalmology, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China, tongji.edu.cn.
Journal of ophthalmology
|February 11, 2026
概括
小切口镜片提取 (SMILE) 和激光亚皮质角膜切除 (LASEK) 对近视是安全的. 拉塞克减少了纹,而微笑在手术后六年引起的水平昏迷较少.
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:
- 轻度至中度近视需要有效的折射校正.
- 小切口镜片提取 (SMILE) 和激光亚皮质角膜切除 (LASEK) 是受欢迎的手术选择.
- 这些程序后对角膜变化和视觉质量的长期比较数据是有价值的.
研究的目的:
- 为了比较角膜球形成分,正确的纹,不规则的纹和视觉质量,在SMILE和LASEK治疗轻度至中度近视后六年.
主要方法:
- 对35只眼睛 (SMILE) 和36只眼睛 (LASEK) 的回顾性比较研究.
- 角膜地形 (扫描源OCT) 和波浪偏差在手术前和手术后6年被评估.
- 进行了角质测量参数的富里埃分析和线性相关性分析.
主要成果:
- 在6年后,SMILE和LASEK的安全性和有效性指数相似.
- 拉塞克导致了显著的前角膜平整,并减少了正规的纹.
- 与LASEK相比,微笑诱导的水平昏迷显著减少.
结论:
- 微笑和LASEK对于轻度至中度近视是安全有效的.
- 拉塞克在前角膜平坦化和常规纹减轻方面具有优势.
- 微笑在尽量减少诱导水平昏迷方面表现出优越性.
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