山东大学耳鼻喉眼学报 ›› 2025, Vol. 39 ›› Issue (6): 148-153.doi: 10.6040/j.issn.1673-3770.0.2024.218

• 论著 • 上一篇    

SMILE矫正PRK术后屈光回退1例并文献复习

陈涛1,姜洋2,李莹2   

  1. 1.北京丰联嘉悦丽格眼科, 北京 100020;
    2.中国医学科学院/北京协和医学院/北京协和医院 眼科, 北京 100730
  • 发布日期:2025-11-19
  • 通讯作者: 李莹. E-mail:liyingpumch@126.com

SMILE correction of refractive regression after PRK surgery: a case report and literature review

CHEN Tao, JIANG Yang, LI Ying   

  1. 1. Bei Jing Feng Lian Jia Yue Li Ge Ophthalmology, Beijing 100020, China 2. Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Published:2025-11-19

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摘要： 目的 报道1例PRK术后23年屈光回退行SMILE补矫病例,探究SMILE作为表层屈光手术后屈光回退二次补矫手段的可行性。 方法 本例23年前因近视行双眼PRK,术后屈光回退,眼部条件符合SMILE专家共识要求,行SMILE二次补矫手术,并结合相关文献进行总结。 结果 术中激光扫描顺利,角膜基质透镜分离取出顺利,术后随访双眼裸眼视力均超过术前最佳矫正视力。 结论 本病例旨在为临床开展以SMILE作为表层屈光手术后屈光回退二次补矫手段提供参考。

关键词: 准分子激光屈光性角膜切削术, 飞秒激光小切口角膜基质透镜取出术, 角膜基质, 角膜外科手术

Abstract: Objective To explore the feasibility of SMILE as a corrective procedure for refractive regression after surface refractive surgery, based on a case of refractive regression 23 years post-PRK. Methods A retrospective case study of a patient who underwent binocular PRK for myopia correction 23 years ago and experienced refractive regression postoperatively. The patient met the criteria outlined in the SMILE expert consensus, and underwent secondary SMILE corrective surgery. Relevant literature was reviewed and summarized. Results Intraoperative scanning proceeded smoothly, and the corneal stromal lenticules were successfully separated and extracted. During postoperative follow-up, uncorrected distance visual acuity of both eyes exceeded the preoperative best-corrected distance visual acuity. Conclusion This case sims to serve as a reference for SMILE as secondary corrective surgery following surface refractive surgery in clinical practice.

Key words: Photorefractive keratectomy, Femtosecond laser small incision lenticule extraction, Corneal stroma, Corneal surgery

中图分类号: 

  • R779
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