[1]卢玥浩,夏丽坤.飞秒激光小切口角膜基质透镜取出术矫正近视散光的研究进展[J].眼科新进展,2020,40(9):889-892.[doi:10.13389/j.cnki.rao.2020.0202]
　LU Yuehao,XIA Likun.A review and update in myopic astigmatism correction by small incision lenticule extraction (SMILE)[J].Recent Advances in Ophthalmology,2020,40(9):889-892.[doi:10.13389/j.cnki.rao.2020.0202]
点击复制

飞秒激光小切口角膜基质透镜取出术矫正近视散光的研究进展/HTML
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
40卷
期数:
2020年9期
页码:
889-892
栏目:
文献综述
出版日期:
2020-09-05

文章信息/Info

Title:
A review and update in myopic astigmatism correction by small incision lenticule extraction (SMILE)
作者:
卢玥浩; 夏丽坤
110000　辽宁省沈阳市，中国医科大学附属盛京医院眼科屈光中心
Author(s):
LU Yuehao; XIA Likun
Ophthalmic Laser Operating Center,Shengjing Hospital of China Medical University,Shenyang 110000，Liaoning Province，China
关键词:
小切口角膜基质透镜取出术; 近视散光; 屈光手术
Keywords:
small incision lenticule extraction;  myopic astigmatism;  refractive surgery
分类号:
R778.1
DOI:
10.13389/j.cnki.rao.2020.0202
文献标志码:
A
摘要:
飞秒激光小切口角膜基质透镜取出术（small incision lenticule extraction,SMILE）是一种无瓣的板层角膜屈光手术，由于其优秀的安全性、有效性、可预测性及舒适性，被广大屈光医生及近视散光患者所接受，成为最理想的角膜屈光术式之一。但是这种技术缺乏术中的自动眼球追踪和眼球旋转控制系统，切削中心的精确定位和眼球旋转的轴位补偿基本依靠患者对指示灯的注视和术者的经验决定，故其在矫正近视散光的精确性和有效性上有潜在的风险。本文就SMILE在近视散光矫正中的疗效及影响因素、误差分析及控制、散光的分析方法进行综述。
Abstract:
Small incision lenticule extraction (SMILE) is a flap-free lamellar corneal refractive surgery. It is extensively accepted by surgeons and patients due to its safety, efficiency, predictability and comfort, which makes it one of the most desirable corneal refractive surgeries. However, this technology lacks automated centration and cyclotorsion control systems. Centration of optical zone and compensation of astigmatism axial rely on fixation of patients and experience of surgeons. Several concerns have been raised regarding to its capability to correct myopic astigmatism. This article will review the curative effect and influence factors, analysis and control of error, and measurement methods in astigmatism correction following SMILE.

参考文献/References:

［1］RAEVDAL P,GRAUSLUND J,VESTERGAARD A H.Comparison of corneal biomechanical changes after refractive surgery by noncontact tonometry:small-incision lenticule extraction versus flap-based refractive surgery - a systematic review［J］.Acta Ophthalmol,2018,97 (2):127-136.
［2］　DAMGAARD I B,REFFAT M,HJORTDAL J.Review of corneal biomechanical properties following LASIK and SMILE for myopia and myopic astigmatism［J］.Open Ophthalmol J,2018,12:164-174.
［3］　KOBASHI H,KAMIYA K,SHIMIZU K.Dry eye after small incision lenticule extraction and femtosecond Laser-Assisted LASIK:Meta-analysis［J］.Cornea,2017,36(1):85-91.
［4］　TANERI S,KIEBLER S,ROST A,SCHULTZ T,DICK H B.Small-incision lenticule extraction for the correction of myopic astigmatism［J］.J Cataract Refract Surg,2019,45(1):62-71.
［5］　LAU Y T,SHIH K C,TSE R H,CHAN T C,JHANJI V.Comparison of visual,refractive and ocular surface outcomes between small incision lenticule extraction and laser-assisted in situ keratomileusis for myopia and myopic astigmatism［J］.Ophthalmol Ther,2019,8(3):373-386.
［6］　WONG C W,CHAN C,TAN D,MEHTA J S.Incidence and management of suction loss in refractive lenticule extraction［J］.J Cataract Refract Surg,2014,40(12):2002-2010.
［7］　WONG J X,WONG E P,HTOON H M,MEHTA J S.Intraoperative centration during small incision lenticule extraction (SMILE) ［J］.Medicine (Baltimore),2017,96(16):e6076.
［8］　ALI DEL BARRIO J L,VARGAS V,AL-SHYMALI O,ALI J L.Small incision lenticule extraction (SMILE) in the correction of myopic astigmatism:outcomes and limitations- an update［J］.Eye Vis(Lond),2017,4:26.
［9］　IVARSEN A,HJORTDAL J.Correction of myopic astigmatism with small incision lenticule extraction［J］.J Refract Surg,2014,30(4):240-247.
［10］　ZHANG J,WANG Y,CHEN X.Comparison of moderate- to high-astigmatism corrections using wave front-guided laser in situ keratomileusis and small-incision lenticule extraction［J］.Cornea,2016,35(4):523-530.
［11］　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.
［12］　MIRAFTAB M,HASHEMI H,ASGARI S.Two-year results of femtosecond assisted LASIK versus PRK for different severity of astigmatism［J］.J Curr Ophthalmol,2017,30(1):48-53.
［13］　NIPARUGS M,TANANUVAT N,CHAIDAROON W,TANGMONKONGVORAGUL C,AUSAYAKHUN S.Outcomes of LASIK for myopia or myopic astigmatism correction with the FS200 Femtosecond Laser and EX500 excimer Laser platform［J］.Open Ophthalmol J,2018,12:63-71.
［14］　STANCA H T,MUNTEANU M,JIANU D C,MOTOC A G M,JECAN C R,TBCARU B,et al.Femtosecond-LASIK outcomes using the VisuMax?-MEL? 80 platform for mixed astigmatism refractive surgery［J］.Rom J Morphol Embryol,2018,59(1):277-283.
［15］　CHAN T C,NG A L,CHENG G P,WANG Z,YE C,WOO V C,et al.Vector analysis of astigmatic correction after small-incision lenticule extraction and femtosecond-assisted LASIK for low to moderate myopic astigmatism［J］.Br J Ophthalmol,2016,100(4):553-559.
［16］　KANELLOPOULOS A J.Topography-guided LASIK versus small incision lenticule extraction (smile) for myopia and myopic astigmatism:a randomized,prospective,contralateral eye study［J］.J Refract Surg,2017,33(5):306-312.
［17］　BOHAC M,KONCAREVIC M,DUKIC A,BISCEVIC A,CEROVIC V,MERLAK M,et al.Unwanted astigmatism and high-order aberrations one year after excimer and femtosecond corneal surgery［J］.Optom Vis Sci,2018,95(11):1064-1076.
［18］　EL-MAYAH E,ANIS M,SALEM M,PINERO D,HOSNY M.Comparison between Q-adjusted lasik and small-incision lenticule extraction for correction of myopia and myopic astigmatism［J］.Eye Contact Lens,2018,44:S426-S432.
［19］　HAN T,XU Y,HAN X,ZENG L,SHANG J,CHEN X,et al.Three-year outcomes of small incision lenticule extraction (SMILE) and femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK) for myopia and myopic astigmatism［J］.Br J Ophthalmol,2018,103 (4),565-568.
［20］　CHAN T C Y,WANG Y,NG A L K,ZHANG J,YU M C Y,JHANJI V,et al.Vector analysis of high (≥3 diopters) astigmatism correction using small-incision lenticule extraction and laser in situ keratomileusis［J］.J Cataract Refract Surg,2018,44(7):802-810.
［21］　SIDEROUDI H,LAZARIDIS A,MESSERSCHMIDT-ROTH A,LABIRIS G,KOZOBOLIS V,SEKUNDO W.Corneal irregular astigmatism and curvature changes after small incision lenticule extraction［J］.Cornea,2018,37(7):875-880.
［22］　GYLDENKERNE A,IVARSEN A,HJORTDAL J .Comparison of corneal shape changes and aberrations induced by FS-LASIK and SMILE for myopia［J］.J Refract Surg,2015,31(4):223-229.
［23］　SCHUSTER A K,PFEIFFER N,SCHULZ A,HOEHN R,PONTO K A,WILD P S,et al.Refractive,corneal,and ocular residual astigmatism:distribution in a German population and age dependency—the Gutenberg Health Study［J］.Graefes Arch Clin Exp Ophthalmol,2018,256(2):445-446.
［24］　GAUVIN M,WALLERSTEIN A.Astig MATIC:an auto matic tool for standard astigmatism vector analysis［J］.BMC Ophthalmol,2018,18(1):255.
［25］　QIAN Y S,HUANG J,LIU R,CHU RY,XU Y,ZHOU X T,et al.Influence of internal optical astigmatism on the correction of myopic astigmatism by LASIK［J］.J Refract Surg,2011,27(12):863-868.
［26］　FRINGS A,KATZ T,STEINBERG J,DRUCHKIV V,RICHARD G,LINKE S J.Ocular residual astigmatism:Effects of demographic and ocular parameters in myopic laser in situ keratomileusis［J］.J Cataract Refract Surg,2014,40(2):232-238.
［27］　QIAN Y,HUANG J,CHU R, ZHOU X,OLSZEWSKI E.Influence of intraocular astigmatism on the correction of myopic astigmatism by laser-assisted subepithelial keratectomy［J］.J Cataract Refract Surg,2014,40(4):558-563.
［28］　ARCHER TJ,REINSTEIN DZ,PIERO D P,GOBBE M,CARP G I.Comparison of the predictability of refractive cylinder correction by laser in situ keratomileusis in eyes with low or high ocular residual astigmatism［J］.J Cataract Refract Surg,2015,41(7):1383-1392.
［29］　QIAN Y,HUANG J,CHU R,ZHAO J,LI M,ZHOU X,et al.Influence of intraocular astigmatism on the correction of myopic astigmatism by femtosecond laser small-incision lenticule extraction［J］.J Cataract Refract Surg,2015,41(5):1057-1064.
［30］　CHAN T C Y,WAN K H,ZHANG L,WANG Y.Impact of ocular residual astigmatism on predictability of myopic astigmatism correction after small-incision lenticule extraction［J］.J Cataract Refract Surg,2019,45(4):525-526.
［31］　IVARSEN A,GYLDENKERNE A,HJORTDAL J.Correction of astigmatism with small-incision lenticule extraction:Impact of against-the-rule and with-the-rule astigmatism［J］.J Cataract Refract Surg,2018,44(9):1066-1072.
［32］　PREZ-IZQUIERDO R,RODRGUEZ-VALLEJO M,MATAMOROS A, MARTNEZ J,GARZN N,POYALES F,et al.Influence of preoperative astigmatism type and magnitude on the effectiveness of SMILE correction［J］.J Refract Surg,2019,35(1):40-47.
［33］　YILDIZ B K,URDEM U,GOKSEL ULAS M, YILDIRIM Y,AGCA A,FAZIL K,et al.Correction of myopic astigmatism by small incision lenticule extraction:does laterality matter?［J］.Lasers Med Sci,2019,34(2):311-316.
［34］　QIAN Y,HUANG J,ZHOU X,WANG Y.Comparison of femtosecond laser small-incision lenticule extraction and laser-assisted subepithelial keratectomy to correct myopic astigmatism［J］.J Cataract Refract Surg,2015,41(11):2476-2486.
［35］　GANESH S,BRAR S,PAWAR A.Results of intraoperative manual cyclotorsion compensation for myopic astigmatism in patients undergoing small incision lenticule extraction (SMILE) ［J］. J Refract Surg,2017,33(8):506-512.
［36］　JUN I,KANG D S Y,REINSTEIN D Z,ARBA-MOSQUERA S,ARCHER T J,SEO K Y,et al.Clinical outcomes of SMILE with a triple centration technique and corneal wavefront-guided transepithelial PRK in high astigmatism［J］.J Refract Surg,2018,34(3):156-163.
［37］　KANG D S Y,LEE H,REINSTEIN D Z,ROBERTS C J,ARBA-MOSQUERA S,ARCHER T J,et al.Comparison of the distribution of lenticule decentration following SMILE by subjective patient fixation or triple marking centration［J］.J Refract Surg,2018,34(7):446-452.
［38］　CHEN P,YE Y,YU N,ZHANG X,HE J,ZHENG H,et al.Comparison of small incision lenticule extraction surgery with and without cyclotorsion error correction for patients with astigmatism［J］.Cornea,2019,38(6),723-729.
［39］　CHEN P,YE Y,YU N,ZHANG X,ZHUANG J,YU K.Correction of astigmatism with smile with axis alignment:6-month results from 622 eyes［J］.J Refract Surg,2019,35(3):138-145.
［40］　XU J,LIU F,LIU M,YANG X,WENG S,LIN L,et al.Effect of cyclotorsion compensation with a novel technique in small incision lenticule extraction surgery for the correction of myopic astigmatism［J］.J Refract Surg,2019,35(5):301-308.
［41］　SAVINI G,BARBONI P,CARBONELLI M,HOFFER K J.Agreement between Pentacam and videokeratography in corneal power assessment［J］.J Refract Surg,2009,25(6):534-538.
［42］　QIAN Y,LIU Y,ZHOU X, NAIDU R K.Comparison of cor-neal power and astigmatism between simulated keratometry,true net power,and total corneal refractive power before and after SMILE surgery［J］.J Ophthalmol,2017,2017:9659481.
［43］　ALPINS N A.New method of targeting vectors to treat astigmatism［J］.J Cataract Refract Surg,1997,23(1):65-75.
［44］　REINSTEIN D Z,ARCHER T J,RANDLEMAN J B.JRS standard for reporting astigmatism outcomes of refractive surgery［J］.J Refract Surg,2014,30(10):654-659.

相似文献/References:

[1]李勇,李晶,魏升升,等.正常角膜伴近视散光眼角膜各形态参数分布特征及与全眼屈光参数的关系[J].眼科新进展,2016,36(1):050.[doi:10.13389/j.cnki.rao.2016.0014]
　LI Yong,LI Jing,WEI Sheng-Sheng,et al.Investigation of corneal shape parameters distribution in normd cornea with myopic astigmatism and correlation with ocular refractive parameters[J].Recent Advances in Ophthalmology,2016,36(9):050.[doi:10.13389/j.cnki.rao.2016.0014]
[2]宋学英,李岳美,李庆和,等.SMILE及LASEK治疗近视散光的临床对比研究[J].眼科新进展,2016,36(10):970.[doi:10.13389/j.cnki.rao.2016.0260]
　SONG Xue-Ying,LI Yue-Mei,LI Qing-He,et al.Clinical comparative study of small incision lenticule extraction and laser-assisted subepithelial keratomileusis in correction of myopia astigmatism[J].Recent Advances in Ophthalmology,2016,36(9):970.[doi:10.13389/j.cnki.rao.2016.0260]
[3]邢星,李世洋,赵爱红,等.小切口角膜基质透镜取出术与飞秒激光辅助准分子原位角膜磨镶术对角膜生物力学特性影响的对比分析[J].眼科新进展,2018,38(12):1161.[doi:10.13389/j.cnki.rao.2018.0274]
　XING Xing,LI Shi-Yang,ZHAO Ai-Hong,et al.Comparison of changes in corneal biomechanical properties after small-incision lenticule extraction and femtosecond laser-assisted laser in situ keratomileusis[J].Recent Advances in Ophthalmology,2018,38(9):1161.[doi:10.13389/j.cnki.rao.2018.0274]
[4]李金孝,王雁,徐路路,等.SMILE术后角膜帽的观察研究——基于傅里叶频域光学相干断层扫描（FD-OCT）[J].眼科新进展,2020,40(2):131.[doi:10.13389/j.cnki.rao.2020.0031]
　LI Jinxiao,WANG Yan,XU Lulu,et al.Observation of corneal cap after SMILE by FD-OCT[J].Recent Advances in Ophthalmology,2020,40(9):131.[doi:10.13389/j.cnki.rao.2020.0031]
[5]汪涛,韩欣言.角膜标记法飞秒激光小切口角膜基质透镜取出术对角膜像差的影响[J].眼科新进展,2021,41(7):647.[doi:10.13389/j.cnki.rao.2021.0133]
　WANG Tao,HAN Xinyan.Corneal aberrations after SMILE by the cornea-marking methods[J].Recent Advances in Ophthalmology,2021,41(9):647.[doi:10.13389/j.cnki.rao.2021.0133]
[6]康婷婷,尹连荣,刘沙沙,等.SMILE术中大Kappa角的调整对术后全眼高阶像差的影响[J].眼科新进展,2023,43(10):790.[doi:10.13389/j.cnki.rao.2023.0159]
　KANG Tingting,YIN Lianrong,LIU Shasha,et al.Effects of adjustment of large angle Kappa during small incision lenticule extraction on postoperative total higher-order aberrations[J].Recent Advances in Ophthalmology,2023,43(9):790.[doi:10.13389/j.cnki.rao.2023.0159]

备注/Memo

备注/Memo:
N/A
更新日期/Last Update: 2020-09-05