Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (2): 1-6.doi: 10.6040/j.issn.1673-3770.1.2020.001

    Next Articles

A discussion on the choice of surgical methods for correction of myopia

LI Ying, JIANG Yang   

  1. Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Published:2020-04-07

RichHTML

173

PDF (PC)

239

Abstract: Adult myopia refractive surgery has developed rapidly over the past 30 years, and the number of operations has increased yearly. The main surgical methods include laser corneal refractive surgery and posterior chamber intraocular lens implantation(ICL). Laser corneal refractive surgery is suitable for low to moderate myopia and high myopia customized correction, which is safe, effective, and predictable and provides good long-term stability. Some special cases, however, including high refractive diopters, high corneal curvature, high corneal astigmatism, high corneal topography asymmetry, and thin corneal thickness, as well as too small a corneal diameter and irregular corneal shape, are not appropriate for laser corneal refractive surgery. For these cases, ICL provides many advantages, such as wide range of correction, stable effect, no need to remove corneal tissue, small effect of aberration, and good visual quality. ICL has been widely used in clinical practice, and the number of operations has increased year by year. However, ICL is not recommended for conditions such as insufficient anterior chamber depth, large corneal aberration, intraocular structural variation, and special occupation. These two surgical methods complement each other, widening the scope of refractive surgery indications and correction, and therefore, patients can receive the best choice of operation.

Key words: Myopia, Cornea, Laser, Refractive surgery, Posterior chamber intraocular lens implantation

CLC Number: 

  • R778
[1] Choi JH, Lim DH, Nam SW, et al. Ten-year clinical outcomes after implantation of a posterior chamber phakic intraocular Lens for myopia[J]. J Cataract Refract Surg, 2019, 45(11): 1555-1561. doi:10.1016/j.jcrs.2019.06.015.
[2] 徐静静, 郭海科. 有晶体眼后房型人工晶体植入与飞秒激光微小切口角膜基质透镜切除术矫正高度近视对眼表影响分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 18-20. doi:10.6040/j.issn.1673-3770.1.2017.030. XU Jingjing, GUO Haike. Analysis of the effects of implantable contact Lens and femtosecond laser small incision lenticule extraction for high myopia on ocular surface[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(4): 18-20. doi:10.6040/j.issn.1673-3770.1.2017.030.
[3] 中华医学会眼科学分会角膜病学组. 激光角膜屈光手术临床诊疗专家共识(2015年)[J]. 中华眼科杂志, 2015, 51(4): 249-254. doi:10.3760/cma.j.issn.0412-4081.2015.04.003.
[4] 中华医学会眼科学分会眼视光学组.我国飞秒激光小切口角膜基质透镜取出手术规范专家共识(2018年)[J]. 中华眼科杂志, 2018, 54(10):729-736.
[5] 中华医学会眼科学分会眼视光学组. 中国有晶状体眼后房型人工晶状体植入术专家共识(2019年)[J]. 中华眼科杂志, 2019, 55(9): 652-657. doi:10.3760/cma.j.issn.0412-4081.2019.09.005.
[6] 徐婧, 李莹, 王忠海, 等. 经上皮准分子激光角膜切削术治疗近视的临床疗效[J]. 中华眼视光学与视觉科学杂志, 2015, 17(12): 717-721. doi:10.3760/cma.j.issn.1674-845X.2015.12.004. XU Jing, LI Ying, WANG Zhonghai, et al. Clinical results of transepithelial photorefractive keratectomy for myopia[J]. Chinese Journal of Optometry Ophthalmology and Visual Science, 2015, 17(12): 717-721. doi:10.3760/cma.j.issn.1674-845X.2015.12.004.
[7] 张军燕, 李莹. 智能脉冲技术辅助的激光角膜屈光手术早期效果[J]. 中华眼视光学与视觉科学杂志, 2016, 18(12): 709-713. doi:10.3760/cma.j.issn.1674-845X.2016.12.002. ZHANG Junyan, LI Ying. Comparison of short term visual outcomes of TPRK and FS-LASIK with or without the assistance of SmartPulse Technology[J]. Chinese Journal of Optometry & Ophthalmology, 2016, 18(12): 709-713. doi:10.3760/cma.j.issn.1674-845X.2016.12.002.
[8] 李莹. 多元化屈光手术的设计与抉择[J]. 中华眼视光学与视觉科学杂志, 2016, 18(12): 705-708. doi:10.3760/cma.j.issn.1674-845X.2016.12.001. LI Ying. The design and choice of diversification of refractive surgery[J]. Chinese Journal of Optometry & Ophthalmology, 2016, 18(12): 705-708. doi:10.3760/cma.j.issn.1674-845X.2016.12.001.
[9] 张钰, 陈跃国, 夏英杰. WaveLight FS200飞秒激光制瓣的LASIK手术并发症临床分析[J]. 中华眼科杂志, 2016, 52(1): 41-46. doi:10.3760/cma.j.issn.0412-4081.2016.01.011. ZHANG Yu, CHEN Yueguo, XIA Yingjie. Clinical analysis of complications of LASIK using the WaveLight FS200 femtosecond laser[J]. Chinese Journal of Ophthalmology, 2016, 52(1): 41-46. doi:10.3760/cma.j.issn.0412-4081.2016.01.011.
[10] 李莹. 重视激光角膜屈光手术快速发展中的手术并发症问题[J]. 中华眼科杂志, 2018, 54(10): 721-725. doi:10.3760/cma.j.issn.0412-4081.2018.10.001. LI Ying. Keep an eye on standardized management of laser refractive surgery under its rapid development[J]. Chinese Journal of Ophthalmology, 2018, 54(10): 721-725. doi:10.3760/cma.j.issn.0412-4081.2018.10.001.
[11] 阳珊, 李莹, 姜洋. 飞秒激光小切口角膜基质透镜取出术后角膜链球菌感染一例[J]. 中华眼科杂志, 2018, 54(6): 464-465. doi:10.3760/cma.j.issn.0412-4081.2018.06.013.
[12] 吕帆, 王勤美, 瞿佳. 进一步重视屈光手术的安全性和有效性研究[J]. 中华眼科杂志, 2005, 41(6): 482-485. doi:10.3760/j.issn.0412-4081.2005.06.002. LÜ Fan, WANG Qinmei, QU Jia. Focus on safety and efficiency of refractive surgery[J]. Chinese Journal of Ophthalmology, 2005, 41(6): 482-485. doi:10.3760/j:issn:0412-4081.2005.06.002.
[13] 张丰菊,李玉.角膜屈光手术术前的筛查要点[J].山东大学耳鼻喉眼学报, 2020, 34(2):7-12. ZHANG Fengju, LI Yu. Key points of screening before corneal refractive surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2):7-12.
[14] 周跃华. 要重视准分子激光角膜屈光手术围手术期的用药规范[J].中华实验眼科杂志,2016,34(5):385-388. doi:10.3760/cma.j.issn.2095-0160.2016.05.001. ZHOU Yuehua.Importance of rational drug use after corneal refractive surgery[J]. Chinese Journal Of Experimental Ophthalmology, 2016,34(5):385-388. doi:10.3760/cma.j.issn.2095-0160.2016.05.001.
[15] 李莹, 钟刘学颖, 王铮, 等. bFGF对LASIK后角膜上皮、内皮和神经修复作用的临床研究[J]. 眼科新进展, 2008, 28(2): 125-130. doi:10.3969/j.issn.1003-5141.2008.02.014. LI Ying, ZHONG Liuxueying, WANG Zheng, et al. Clinical study of repairing effect of basic fibroblast growth factor on epithelium, endothelium and nerves after laser assisted in situ keratomileusis[J]. Recent Advances in Ophthalmology, 2008, 28(2): 125-130. doi:10.3969/j.issn.1003-5141.2008.02.014.
[16] 张丰菊, 李玉. 慎重开展有晶状体眼人工晶状体植入术治疗中低度近视眼[J]. 中华眼科杂志, 2018, 54(10): 726-728. doi:10.3760/cma.j.issn.0412-4081.2018.10.002. ZHANG Fengju, LI Yu. Carefully performing the phakic intraocular Lens implantation for moderate and low myopia[J]. Chinese Journal of Ophthalmology, 2018, 54(10): 726-728. doi:10.3760/cma.j.issn.0412-4081.2018.10.002.
[17] 王宁利. 眼内屈光手术学[M]. 北京: 人民卫生出版社, 2012: 83-95.
[18] 徐婧, 罗岩, 林燕楠, 等. 有晶状体眼后房型人工晶状体植入术后拱高的变化及相关影响因素[J]. 中华眼视光学与视觉科学杂志, 2016, 18(12): 714-718. doi:10.3760/cma.j.issn.1674-845X.2016.12.003. XU Jing, LUO Yan, LIN Yannan, et al. Changes in the central vault after collamer Lens implantation and its impact[J]. Chinese Journal of Optometry Ophthalmology and Visual Science, 2016, 18(12): 714-718. doi:10.3760/cma.j.issn.1674-845X.2016.12.003.
[19] Elshafei AM, Genaidy MM, Moharram HM. In vivo positional analysis of implantable collamer Lens using ultrasound biomicroscopy[J]. J Ophthalmol, 2016, 2016: 4060467. doi:10.1155/2016/4060467.
[20] Niu L, Miao H, Han T, et al. Visual outcomes of Visian ICL implantation for high myopia in patients with shallow anterior chamber depth[J]. BMC Ophthalmol, 2019, 19(1): 121. doi:10.1186/s12886-019-1132-z.
[21] Eissa SA, Sadek SH, El-Deeb MW. Anterior chamber angle evaluation following phakic posterior chamber collamer Lens with CentraFLOW and its correlation with ICL vault and intraocular pressure[J]. J Ophthalmol, 2016, 2016: 1383289. doi:10.1155/2016/1383289.
[22] Sridhar MS. Toxic anterior segment syndrome following implantable contact Lens surgery[J]. JCRS Online Case Rep, 2013, 1(1): e6-e8. doi:10.1016/j.jcro.2013.05.003.
[23] 周行涛,王晓瑛, 褚仁远. 飞秒激光、LASEK/EP-LASIK及ICL手术[M]. 上海:复旦大学出版社,2010:115-125.
[24] 中国微循环委员会眼微循环屈光专业委员会. 中国激光角膜屈光手术围手术期用药专家共识(2019年)[J]. 中华眼科杂志, 2019, 55(12):896-903.
[25] 宋森, 李莹, 丁欣, 等. 飞秒激光小切口基质透镜取出术后早期视力恢复的相关因素分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 77-79. doi:10.6040/j.issn.1673-3770.0.2017.298. SONG Sen, LI Ying, DING Xin, et al. Early visual acuity recovery and related factors in myopic patients after small incision lenticule extraction[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(4): 77-79. doi:10.6040/j.issn.1673-3770.0.2017.298.
[26] 王忠海,李莹,王若蛟,等.三种准分子激光角膜屈光手术后视觉质量的比较[J]. 中华眼视光学与视觉科学杂志, 2014,16(1):10-14. doi:10.3760/cma.j.issn.1674-845X.2014.01.003 WANG Zhonghai, LI Ying, WANG Ruojiao, et al. Jin YumeiA comparative study of visual quality after treatment with three different excimer laser corneal refractive surgeries[J]. Chinese Journal of Optometry & Ophthalmology, 2014,16(1):10-14. doi:10.3760/cma.j.issn.1674-845X.2014.01.003.
[1] HU Zunxia, SIMA Jing, QIN Bo, CAO Jiaguo, PAN Wei. Comparative study on the use of contact lens in Nd: YAG laser posterior capsulotomy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 41-45.
[2] WANG Xu, GAO Xin, ZHANG Yuguang. Clinical study of accelerated corneal collagen crosslinking in the treatment of fungal keratitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 51-57.
[3] DAI ChengOverview,LI BinzhongGuidance. Advances in multifocal soft corneal contact lens research [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 100-105.
[4] LI Lijie, TIAN Xiufen. Forty cases of early glottic cancer treated by CO2 laser surgery combined with radiofrequency ablation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 79-85.
[5] ZHANG Taoran, WANG Wei, LI Mingming, HUANG Yingxiang. Subfoveal choroidal thickness changes following intravitreal ranibizumab treatment in choroidal neovascularization due to pathological myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 68-71.
[6] PAN Yanli, LI Yuanbin. Treatment of pseudygium with anti-VEGF corneal matrix injection combined with operation: a case report [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 96-99.
[7] PENG Jiao, ZHONG Dingjuan, CHEN Jiao, ZUO Jun, WANG Hua. The effect of the relationship between the diameter of the optical zone and the diameter of the dark pupil on the visual quality of patients with different degrees of myopia after SMILE [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 100-107.
[8] LONG Ting, LIU Yuwei, WANG Shengcai, ZHANG Jie, LI Yanzhen, ZHANG Xuexi, LIU Qiaoyin, LIU Zhiyong, SUN Nian, NI Xin. A clinical analysis on children with congenital pyriform sinus fistula treated through microscopic laryngoscopy with CO2 laser cauterization [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 125-130.
[9] LI Ying. Importance of standardized methods in corneal refractive surgery and the prevention of complications [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 1-6.
[10] WANG Lixiang,LI Ying, DENG Yingping. The application of corneal stromal lenticules extracted from small incision lenticule extraction surgery for hyperopia correction [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 7-12.
[11] Huang Tianze, Chen Di,LI Ying. Advances of machine learning in the diagnosis of ocular surface diseases and guiding corneal surgical procedures [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 13-19.
[12] CHEN Tao, LI Yaoyu, YANG Majun, YAN Hongxin, LIU Guangyi, ZHAI Changbin. Active suction loss to treat complications of small-incision lenticule extraction [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 20-24.
[13] XIA Yanyun, ZHONG Dingjuan, WANG Hua, LI Mengting, LI Qian, CHEN Jiao, HE Shuxi. Effect of high-energy accelerated corneal collagen cross-linking on the ocular surface of keratoconus [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 42-51.
[14] ZHANG Ying, LEI Yulin, MA Zhixing, YANG Xinghua, ZHANG Jing, HOU Jie. Early clinical observation of corneal densitometry after SMILE combined with rapid corneal cross-linking [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 52-58.
[15] WEI Shengsheng, LI Jing, LIU Jianguo, WANG Li, DU Jing, GAO Jinrong, LI Yong. Experience and lessons of evaluation of corneal morphologic parameters following laser in situ keratomileusis combined with corneal cross-linking surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 59-64.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] LIN Bin,WANGHui-ge . Functional endoscopic sinus surgery, FESS[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(6): 481 -487 .
[2] GONG Lei,SUN Jie,XUE Zi-chao,LI Jing-hua,XUE Wei-guo . DNA analysis of the cell cycle in sino-nasal neoplasm[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 193 -195 .
[3] CHEN Wen-wen . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(5): 472 -472 .
[4] LUAN Jiangang,LIANG Chuanyu,WEN Yanjun,LI Jiong . Construction of RNAi expressing plasmid vector of pSIRENshuttle for EGFR gene silencing[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 4 -8 .
[5] MA Jing, ZHONG Cui-ping . Surgical method for nasopharyngeal fibroangioma encroaching on fossa pterygopalatina: with a report of 5 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 30 -32 .
[6] LIU Qiang-he,LUO Xiang-lin,GENG Wan-ping,CHEN Chen,LEI Xun,LIU Fang-xian,DENG Ming . Age-related spiral ganglion neuron damages and hearing loss in senescence accelerated mice[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 215 -217 .
[7] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 223 -226 .
[8] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 246 -247 .
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 250 -252 .
[10] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 260 -262 .
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd