[1]王嘉南,肖玥言,郗平,等.FS-LASIK与SMILE矫正近视术后角膜高阶像差的变化[J].眼科新进展,2019,39(6):540-543.[doi:10.13389/j.cnki.rao.2019.0124]
　WANG Jia-Nan,XIAO Yue-Yan,XI Ping,et al.Changes in higher order aberrations after FS-LASIK versus SMILE for myopia[J].Recent Advances in Ophthalmology,2019,39(6):540-543.[doi:10.13389/j.cnki.rao.2019.0124]
点击复制

FS-LASIK与SMILE矫正近视术后角膜高阶像差的变化/HTML
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
39卷
期数:
2019年6期
页码:
540-543
栏目:
应用研究
出版日期:
2019-06-05

文章信息/Info

Title:
Changes in higher order aberrations after FS-LASIK versus SMILE for myopia
作者:
王嘉南; 肖玥言; 郗平; 高博; 金玉梅; 龙琴
101300　北京市，北京市顺义区空港医院眼科（王嘉南，肖玥言，郗平，高博）；100730　北京市，中国医学科学院北京协和医院眼科（金玉梅，龙琴）
Author(s):
WANG Jia-Nan; XIAO Yue-Yan; XI Ping; GAO Bo; JIN Yu-Mei; LONG Qin
Department of Ophthalmology，Beijing Airport Hospital(WANG Jia-Nan,XIAO Yue-Yan,XI Ping,GAO Bo)，Beijing 101300，China；Department of Ophthalmology，Chinese Academy of Medical Sciences，Peking Union Medical College Hospital(JIN Yu-Mei,LONG Qin)，Beijing 100730，China
关键词:
近视; 飞秒激光制瓣准分子激光原位角膜磨镶术; 小切口飞秒激光基质透镜切除术; 波前像差
Keywords:
myopia; femtosecond-assisted laser in situ keratomileusis; small incision lenticule extraction; wavefront aberrations
分类号:
R778
DOI:
10.13389/j.cnki.rao.2019.0124
文献标志码:
A
摘要:
目的　比较飞秒激光制瓣准分子激光原位角膜磨镶术（femtosecond-assisted laser in situ keratomileusis，FS-LASIK）与小切口飞秒激光基质透镜切除术（small incision lenticule extraction，SMILE）术后角膜高阶像差的变化。方法　选取行FS-LASIK患者22例（22眼）及行SMILE患者30例（30眼）作为研究对象，测量并对比2种术式患者术前及术后1周、1个月的角膜波前像差。结果　FS-LASIK术后1周球差、倾斜三叶草分别为(0.517±0.193)μm、(0.096±0.146)μm，与术前相比均增大，差异均有统计学意义（均为P<0.05）。FS-LASIK术后1个月球差、水平彗差、倾斜三叶草分别为（0.534±0.178)μm、（0.151±0.263)μm、（0.088±0.152)μm，与术前相比均增大，差异均有统计学意义（均为P<0.05）。SMILE术后1周球差、倾斜三叶草分别为（0.361±0.189)μm、（0.017±0.147)μm，与术前相比均增大，差异均有统计学意义（均为P<0.05）。SMILE术后1个月球差为（0.382±0.178)μm，与术前相比增大，差异有统计学意义（P<0.05）。术后1个月2组间球差、倾斜三叶草、总高阶像差均方根值差异均有统计学意义（t=3.043、2.647、2.391，均为P<0.05）。结论　FS-LASIK术后早期角膜高阶像差改变以球差、彗差、倾斜三叶草为主；SMILE术后早期角膜高阶像差改变以球差为主。FS-LASIK和SMILE术后早期球差、倾斜三叶草、总高阶像差有显著差异。
Abstract:
Objective　To explore the changes in higher order aberrations in cornea after femtosecond-assisted laser in situ keratomileusis (FS-LASIK) versus small incision lenticule extraction (SMILE).Methods　There were 22 eyes of 22 patients who underwent FS-LASIK and 30 eyes of 30 patients who underwent SMILE selected as the subjects.The wavefront aberrations were measured and compared between the two groups preoperatively,one month and six months postoperatively.Results　At one week in the FS-LASIK group，spherical aberration and vertical trefoil were （0.517±0.193)μm and （0.096±0.146）μm,respectively，which had significantly increased compared with the pre-operative data (both P<0.05).At one month in the FS-LASIK group，spherical aberration，horizontal coma and vertical trefoil were (0.534±0.178)μm，(0.151±0.263)μm and (0.088±0.152)μm,respectively，which had significantly increased compared with the pre-operative data(all P<0.05).At one week in the SMILE group，spherical aberration and vertical trefoil were (0.361±0.189)μm and (0.017±0.147)μm,respectively，which had significantly increased compared with the pre-operative data(both P<0.05).One month in the SMILE group，spherical aberration was (0.382±0.178)μm，which had significantly increased compared with the pre-operative data (P<0.05).There were significant differences in the spherical aberration，vertical trefoil and total higher order aberrations between the two groups（t=3.043，2.647，2.391，all P<0.05）.Conclusion　The mainly changes in corneal high order aberration are spherical aberration，coma，vertical trefoil in the early stage after LASIK surgery.The mainly changes in corneal high order aberration are spherical aberration in the early stage after SMILE surgery.There are significant differences in spherical aberration，vertical trefoil and total higher order aberrations between FS-LASIK and SMILE surgery.

参考文献/References:

［1］　XU F，ZHAO S Z.Application of femtosecond laser for corneal refraction surgery［J］.Chin J Optom Ophthalmol，2007，9（3）：210-216.
徐凤，赵少贞.飞秒激光在角膜屈光手术中的应用进展［J］.眼视光学杂志，2007，9（3）：210-216.
［2］　MEIDANI A，TZAVARA C，DIMITRAKAKI C，PESUDOVS K，TOUNTAS Y.Femtosecond laser-assisted LASIK improves quality of life［J］.J Refract Surg，2012，28（5）：319-326.
［3］　YAO P J，LI M Y，ZHAO J，TIAN M，SHEN Y，ZHOU X T.Analysis of spherical aberrations after small incision lenticule extraction for high myopia［J］.Chin Ophthalmol Otorhinolaryngol，2015，15（6）：399-402.
姚佩君，李美燕，赵婧，田蜜，沈阳，周行涛.全飞秒小切口透镜取出术矫正高度近视术后像差初步分析［J］.中国眼耳鼻喉科杂志，2015，15（6）：399-402.
［4］　WANG J，REN Y，LIANG K，JIANG Z，TAO L.Changes of corneal high-order aberrations after femtosecond laser-assisted in situ keratomileusis［J］.Medicine，2018，97（18）：e0618.
［5］　QIN B，LI M，CHEN X，SEKUNDO W，ZHOU X.Early visual outcomes and optical quality after femtosecond laser small-incision lenticule extraction for myopia and myopic astigmatism correction of over -10 dioptres［J］.Acta Ophthalmol，2018，96（3）：e341-346.
［6］　HAN T，ZHENG K，CHEN Y，GAO Y，HE L，ZHOU X.Four-year observation of predictability and stability of small incision lenticule extraction［J］.BMC Ophthalmol，2016，16（1）：149.
［7］　LI X，WANG Y，DOU R.Aberration compensation between anterior and posterior corneal surfaces after small incision lenticule extraction and femtosecond laser-assisted laser in-situ keratomileusis［J］.Ophthalmic Physiol Opt，2015，35（5）：540-551.
［8］　PEDERSEN I B，IVARSEN A，HJORTDAL J.Changes in astigmatism，densitometry，and aberrations after smile for low to high myopic astigmatism：a 12-month prospective study［J］.J Refract Surg，2017，33（1）：11-17.
［9］　LI X J，WANG Y，DOU R，ZHANG J M，LI H.Changes in higher-order aberrations in the anterior and posterior corneal surfaces and total cornea after 2 mm micro-incision SMILE and 3-5 mm SMILE［J］.Chin J Optom Ophthalmol Vis Sci，2015，17（10）：609-613.
李晓晶，王雁，窦瑞，张佳媚，李华.2 mm微切口与3～5 mm切口SMILE术后角膜高阶像差的比较［J］.中华眼视光学与视觉科学杂志，2015，17（10）：609-613.
［10］　PEDERSEN I B，IVARSEN A，HJORTDAL J.Three-year results of small incision lenticule extraction for high myopia：refractive outcomes and aberrations［J］.J Refract Surg，2015，31（11）：719-724.
［11］　HU Y K，LI W J，GAO X W，DONG J，GUO Y L.Effects of femtosecond laser small incision lenticule extraction on corneal wavefront aberration in the treatment of myopia［J］.Rec Adv Ophthalmol，2013，33（7）：651-655.
胡裕坤，李文静，高晓唯，董晶，郭云林.飞秒激光微小切口角膜基质透镜切除术治疗近视对角膜波前像差的影响［J］.眼科新进展，2013，33（7）：651-655.
［12］　YE M J，LIU C Y，LIAO R F，GU Z Y，ZHAO B Y，LIAO Y.SMILE and wavefront-guided LASIK out-compete other refractive surgeries in ameliorating the induction of high-order aberrations in anterior corneal surface［J］.J Ophthalmol，2016，2016：8702162.
［13］　LIU M，CHEN Y，WANG D，ZHOU Y，ZHANG X，HE J，et al.Clinical outcomes after SMILE and femtosecond laser-assisted LASIK for myopia and myopic astigmatism：a prospective randomized comparative study［J］.Cornea，2016，35（2）：210-216.
［14］　GYLDENKERNE A，IVARSEN A，HJORTAL J O.Comparison of corneal shape changes and aberrations induced by FS-LASIK and SMILE for myopia［J］.J Refract Surg，2015，31（4）：223-229.
［15］　ZHU X，ZOU L，YU M，QIU C，CHEN M，DAI J.Comparison of postoperative visual quality after SMILE and LASEK for high myopia：A 1-year outcome［J］.PLoS One，2017，12（8）：e0182251.
［16］　CHEN X，WANG Y，ZHANG J，YANG S N，LI X，ZHANG L.Comparison of ocular higher-order aberrations after SMILE and wavefront-guided femtosecond LASIK for myopia［J］.BMC Ophthalmol，2017，17（1）：42.

相似文献/References:

[1]计垣.近视的分子遗传学研究进展[J].眼科新进展,2012,32(6):000.
[2]张卫霞 曾照年 唐秀侠 孙宏霞 李洪润.Zywave波前像差仪在近视屈光不正测量中的应用[J].眼科新进展,2012,32(7):000.
[3]闵红波 刘小红 花雷 韩文龙 储明慧 邵娟英.近视对OCT测量视网膜神经纤维层厚度的影响[J].眼科新进展,2012,32(12):000.
[4]刘太祥 李海祥 石容 王铮.ORK程序中两种切削模式治疗近视术后角膜像差变化及对视觉功能的影响[J].眼科新进展,2013,33(1):000.
[5]陈月芹 黄振平 薛春燕 葛轶睿.有晶状体眼虹膜固定型人工晶状体植入术后房角宽度的改变[J].眼科新进展,2013,33(6):000.
[6]王凌飞 杨瑞波 赵少贞.CACHET有晶状体眼人工晶状体植入术后视觉质量的临床评价[J].眼科新进展,2013,33(6):000.
[7]胡裕坤 李文静 高晓唯 董晶 郭云林.飞秒激光微小切口角膜基质透镜切除术治疗近视对角膜波前像差的影响[J].眼科新进展,2013,33(7):000.
[8]许瑶 曾骏文.近视眼药物治疗研究进展[J].眼科新进展,2013,33(7):000.
[9]汤勇 刘才远.LASIK、Epi-LASIK、SBK、Fem-LASIK及SMILE术中角膜切削误差的对比研究[J].眼科新进展,2013,33(9):000.
[10]吴玉伟 李筱荣 张琰 赵雅丽 王晓燕.无酒精LASEK治疗近视和近视散光的临床疗效[J].眼科新进展,2013,33(9):000.

备注/Memo

备注/Memo:
北京市自然科学基金资助（编号：7172173）；卫生部近视眼重点实验室开放课题（编号：EENTM-15-01）
更新日期/Last Update: 2019-06-05