摘要
目的 探究波前像差引导的准分子激光原位角膜磨镶术(WF-LASIK)与飞秒激光小切口角膜基质透镜取出术(SMILE)手术对屈光不正患者视觉质量及泪膜稳定的影响。方法 选取2020年1月-2023年1月我院诊治的屈光不正患者60例(120只眼)作为研究对象。根据手术方式不同分为WF-LASIK组(30例,60只眼)与SMILE组(30例,60只眼),比较2组裸眼视力、屈光度、视觉质量、泪膜稳定及并发症。结果 经重复测量方差分析:两组裸眼视力、球镜、柱镜、等效球镜的时间效应有统计学意义(P<0.05),且WF-LASIK组术后1、3mo裸眼视力高于SMILE组(P<0.05);两组球差、水平彗差、垂直彗差、总高阶像差、泪膜破裂时间、泪液分泌试验的时间效应、组间效应及交互效应均有统计学意义(P<0.05),且WF-LASIK组术后1、3mo球差大于SMILE组(P<0.05),水平彗差、垂直彗差、泪膜破裂时间、泪液分泌试验低于SMILE组(P<0.05)。两组并发症总发生率比较无统计学意义(P>0.05)。结论 屈光不正患者通过WF-LASIK与SMILE手术均能获得良好视力效果,其中WF-LASIK手术在视觉质量方面具有较明显优势,SMILE手术在泪膜稳定性方面具有明显优势。
Objective to investigate the effects of wavefront aberration-guided excimer laser in situ keratomylusis(WF-LASIK)and femtosecond laser small incision corneal stromal lens removal(SMILE)on visual quality and tear film stability in patients with refractive error.MethodsA total of 60 patients with refractive error diagnosed and treated by our hospital from January 2020 to January 2023 were selected as the study subjects.According to the different surgical methods,they were divided into WF-LASIK group(30 cases,60 eyes)and SMILE group(30 cases,60 eyes),and the two groups were compared with naked eye visual acuity,diopter,visual quality,tear film stability and complications.ResultsThe ANOVA analysis of repeated measurement data showed that the time effects of naked-eye visual acuity,spherical lenscopy,cylindrical scope and equivalent spherical lens in the two groups were statistically significant(P<0.05),and the naked-eye visual acuity in the WF-LASIK group was higher than that in the SMILE group(P<0.05).The spherical aberration,horizontal coma,vertical coma,total high-order aberration,tear film rupture time,temporal effect of tear secretion test,between-group effect and interaction effect of the two groups were statistically significant(P<0.05),and the 1 and 3 mo spherical aberration in the WF-LASIK group was greater than that in the SMILE group(P<0.05),and the horizontal coma,vertical coma,tear film rupture time and tear secretion test were lower than those in the SMILE group(P<0.05).There was no significant comparison in the total incidence of complications between the two groups(P>0.05).ConclusionPatients with refractive error can obtain good visual results through WF-LASIK and SMILE surgery,among which WF-LASIK surgery has obvious advantages in visual quality,and SMILE surgery has obvious advantages in tear film stability.
作者
韩宝军
HAN Bao-jun(Anyang Eye Hospital,Anyang 455000,Henan Province,China)
出处
《罕少疾病杂志》
2024年第6期26-28,共3页
Journal of Rare and Uncommon Diseases
关键词
波前像差
准分子激光原位角膜磨镶术
飞秒激光小切口角膜基质透镜取出术
屈光不正
视觉质量
泪膜稳定性
Wavefront Aberration
Excimer Laser Keratomylustu Keratomylus
Femtosecond Laser Small Incision Corneal Stromal Lens Removal
Refractive Error
Visual Quality
Tear Film Stability
