中低度近视SMILE术后超早期视觉质量变化的研究

doi:10.6040/j.issn.1673-3770.1.2020.015

Abstract

Abstract: Objective To observe the changes in visual quality within 24h(the ultra-early stage)after small incision lenticule extraction(SMILE)and explore the possible reasons behind these changes. Methods Forty-six eyes of 23 patients who underwent SMILE were chosen for this study. A subjective visual quality of questionnaire(SVQ)was competed by the patients before the procedure and 24 hours after treatment. The best-corrected visual acuity of the patients(distant vision 5 m, middle vision 60 cm, near vision 33 cm), contrast sensitivity(CS), glare sensitivity(GS), the near point of convergence(NPC)and the amplitude of accommodation(AA)were measured using a Binocular Vision Function Instrument(OCULUS Binoptometer 4p). Results The SVQ score illustrated a decrease in visual quality after SMILE at the ultra-early stage (P=0.001). However, uncorrected distance visual acuity(UCVA)significantly improved (P=0.000 1). When comparing best-corrected visual acuity(BCVA), there was no difference between the distant vision results (P=0.096), but both the middle vision and near vision results were lower than before treatment (P=0.039, 0.003). CS and GS decreased following treatment (P=0.000 1, 0.04), but there was no difference in the NPC and AA (P=0.68, 0.13). Conclusion Patients can expect improved distant vision in the ultra-early stage of SMILE. However, at the ultra-early stage, the middle vision and near vision have not yet recovered. The SVQ changes at the ultra-early stage of SMILE may be related to the changes in CS and GS.

Key words: Small incision lenticule extraction(SMILE), Ultra-early stage, Visual quality, Contrast sensitivity, Glare sensitivity

CLC Number:

R779.63

ZHAO Yang, FU Yanyan, WU Xiaoying,YIN Yewei, XIANG Aiqun, LU Ying,. Changes in visual quality during the ultra-early stage of SMILE for middle and low myopia[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 42-46.

References

[1] Kim J R, Bu K K, Su J M, et al.One-year outcomes of small~incision lenticule extraction(SMILE): mild to moderate myopia vs. High myopia[J].Bmc Ophthalmology, 2015, 15(1): 59. doi:10.1186/s12886-015-0051-x.
[2] 许多,阚秋霞,张国伟,等. SMILE 矫正中度和高度近视散光6个月疗效分析[J]. 眼科, 2014,23(5):295-300. doi:10.13281/j.cnki.issn.1004-4469.2014.05.003. XU Duo, KAN Qiuxia, ZHANG Guowei,et al. Six months effects on SMILE for moderate and high myopia with astigmatism[J]. Ophthalmology in China, 2014, 23(5):295-300. doi:10.13281/j.cnki.issn.1004-4469.2014.05.003.
[3] Piñero DP, Teus MA. Clinical outcomes of small-incision lenticule extraction and femtosecond laser-assisted wavefront-guided laser in situ keratomileusis[J]. Cataract Refract Surg, 2016, 42(7):1078-1093. doi:10.1016/j.jcrs.2016.05.004.
[4] 景聪荣. SMILE和FS-LASIK术后24 h内视力变化[J]. 国际眼科杂志,2019,19(1):172-174. doi:10.3980/j.issn.1672-5123.2019.1.41. JING CongRong. Clinical observation of visual acuity within 24 h after SMILE and femtosecond LASIK[J]. International Eye Science, 2019,19(1):172-174. doi:10.3980/j.issn.1672-5123.2019.1.41.
[5] QianY, Huang J, Zhou X. Corneal power distribution and functional optical zone Following small incision lenticule extraction for myopia[J]. J Refract Surg, 2015, 31(8):532-538. doi:10.3928/1081597X-20150727-03.
[6] 刘太祥, 蔡善君, 宿罡. SMILE治疗近视和近视散光术后24 h内疗效[J]. 中国激光医学杂志,2018,27(2):123-124.
[7] Fraenkel G, Comaish lF, Lawless MA, et al. Development of a questionnaire to assess subjective vision score in myopes seeking refractive surgery[J]. J Refract Surg, 2004,20(1):10-19.
[8] Wilhelm H, Peters T, Durst W, et al. [Assessment of mesopic and contrast vision for driving licences: which cut-off values, which methods are appropriate?[J]. Klin Monbl Augenheilkd, 2013, 230: 1106-13. doi:10.1055/s-0033-1351030.
[9] Raschka C, Rau R, Koch HJ, Influence of choking in Judo on vision in well-trained Judoka: an explorative field study[J]. Nagoya J Med Sci, 2003, 66: 31-38.
[10] Zhang H, Wang Y, Li H et al,Corneal Spherical Aberration and Corneal Asphericity after Small Incision Lenticule Extraction and Femtosecond Laser-Assisted LASIK[J]. J Ophthalmol, 2017,2017:4921090. doi: 10.1155/2017/4921090.
[11] Fan-Paul NI, Li J, Miller JS, et al. Night vision disturbances after corneal refractive surgery[J]. Surv Ophthalmol, 2002, 47(6):533-546. doi:10.1136/bjo.2007.115139.
[12] Endl MJ, Martinez CE, Klyce SD, et al. Effect of larger ablation zone and transition zone on corneal optical aberrations after photorefractive keratectomy[J]. Arch Ophthalmol, 2001, 119(8):1159-1164. doi:10.1001/archopht.119.8.1159.
[13] Freedman KA, Brown SM, Mathews SM, et al. Pupil size and the ablation zone in laser refractive surgery: Considerations based on geometric optics[J]. J Cataract Refract Surg,2003,29(10):1924-1931. doi: 10.1016/s0886-3350(03)00214-1.
[14] Ichhpujani P, Thakur S, Spaeth GL. Contrast Sensitivity and Glaucoma[J]. J Glaucoma, 2020,29(1):71-75. doi:10.1136/bjophthalmol-2019-315273.
[15] 田春慧,雷秀丽,连丽英,等. 对比敏感度在近视初期患者检查中的作用[J]. 中国斜视与小儿眼科杂志,2018,26(4):24-26. doi:10.3969/J.ISSN.1005-328X.2018.04.008. TIAN Chunhui, LEI Xiuli, LIAN Liying, et al. Study on the effect of contrast sensitivity in early myopia patients[J]. Chinese Journal of Strabismus & Pediatric Ophthalmology, 2018, 26(4):24-26. doi:10.3969/J.ISSN.1005-328X.2018.04.008.
[16] Sekundo W, Gertnere J, Bertelmann T, et al. One-year refractive results, contrast sensitivity, high-order aberrations and complications after myopic small-incision lenticule extraction(ReLEx SMILE)[J]. Graefes Arch Clin Exp Ophthalmol, 2014, 252(5):837-843. doi:10.1007/s00417-014-2608-4.
[17] Xia LK, Ma J, Liu HN, et al. Three-year results of small incision lenticule extraction and wavefront-guided femtosecond laser-assisted laser keratomileusis for correction of high myopia and myopic astigmatism[J]. Int J Ophthalmol, 11(3):470-477. doi:10.18240/ijo.2018.03.18.
[18] 魏然, 郑琼芹, 邱乐梅, 等. 高度近视行SMILE与FS-LASIK术后视觉质量比较[J]. 中华眼视光学与视觉科学杂志, 2017,19(4):225-230. doi:10.3760/cma.j.issn.1674-845X.2017.04.006. WEI Ran, ZHENG Qiongqin, QIU Lemei, et al. Visual and refractive outcomes of SMILE and FS-LASIK for high myopia[J]. Chinese Journal of Optometry Ophthalmology and Visual Science, 2017, 19(4):225-230. doi:10.3760/cma.j.issn.1674-845X.2017.04.006.
[19] 檀思蕾, 陈捷敏, 王萌, 等. 单眼视力下降对双眼对比敏感度的影响[J]. 中华眼视光学与视觉科学杂志,2019,21(7):527-533. doi:10.3760/cma.j.issn.1674-845X.2019.07.008. TAN Silei, CHEN Jiemin, WANG Meng, et al. The Effect of Monocular Vision Decline on Binocular Contrast Sensitivity[J]. Chinese Journal of Optometry Ophthalmology and Visual Science, 2019, 21(7):527-533. doi:10.3760/cma.j.issn.1674-845X.2019.07.008.
[20] Roark MW, Stringham JM. Visual Performance in the“Real World”: Contrast Sensitivity,Visual Acuity,and Effects of Macular Carotenoids[J]. Mol Nutr Food Res, 2019,63(15):e1801053. doi:10.1002/mnfr.201801053.
[21] 张丹凤. 青少年近视散瞳前后眼球生物参数变化的分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 121-124. doi: 10.6040/j.issn.1673-3770.0.2018.529. ZHANG Danfeng. Changes in the ocular biometric parameters before and after cycloplegia in juveniles with different degrees of myopia[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 121-124. doi: 10.6040/j.issn.1673-3770.0.2018.529.
[22] 杜凯旋, 吴小影, 文丹, 等. 近视患者SMILE术后双眼视觉功能变化[J]. 中华眼视光学与视觉科学杂志,2019,21(7):521-526. doi:10.3760/cma.j.issn.1674-845X.2019.07.007. DU Kaixuan, WU Xiaoying, WEN Dan, et al. Changes in Binocular Visual Function after SMILE[J]. Chinese Journal of Optometry Ophthalmology and Visual Science, 2019, 21(7):521-526. doi:10.3760/cma.j.issn.1674-845X.2019.07.007.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 10

[1]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 84 -87 .
[2]	NIU Shanli,CHAI Maowen,LI Zhenxiu . Endoscopic rhinoplasty of inferior turbinate in 60 patients with chronic hypertrophic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 16 -18 .
[3]	MENG Qing-guo,LU Yong-tian,FAN Xian-liang . Association of killer cell immunoglobulin-like receptor gene polymorphisms with nasopharyngeal carcinoma [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 196 -199 .
[4]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 199 -199 .
[5]	WAN Li-jia,LU Hai-tao,JIANG Yi-dao,LIU Hui,LI Qin,SHE La-zhi . Effect of H-uvulopalatopharyngoplasty on obstructive sleep apnea hypopnea syndrome[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 204 -205 .
[6]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 222 -224 .
[7]	JI Xiao-bin,DENG Jia-de,ZANG Lin-quan,WANG Lei,XIE Jun . Blood histamine in guinea pigs with allergic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 228 -230 .
[8]	XIANG Deng,LU Yong-tian,SUN Huan-ji . Endoscopic repair for cerebrospinal fluid rhinorrhea in 19 cases and a literature review [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 234 -236 .
[9]	. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 253 -257 .
[10]	YIN Guo-hua,ZHONG Xiao . Long-term effect of laser reduction on lingua adenoids [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 280 -282 .

Changes in visual quality during the ultra-early stage of SMILE for middle and low myopia

RichHTML

PDF (PC)

Abstract

Cite this article

share this article

References

Related Articles 7

Metrics

Comments

Recommended 10

[1]	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.
[2]	LI Jing, ZHANG Hui, WANG Jing. A clinical study on the effect of using different intraocular lens implants on visual quality [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 90-95.
[3]	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.
[4]	WEI Peipei,LI Can. Visual quality and complications after implantation of multifocal intraocular lens [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2): 141-146.
[5]	ZHANG Fengju, LI Yu. Key criteria for screening before corneal refractive surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 7-12.
[6]	Shali YUE,Yingping DENG. Implantable collamer lens implantation for regression of refraction after radical keratotomy:case report [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 85-87.
[7]	WANG Jing, LI Bin, BI Hong-sheng, ZHANG Miao-miao, LI Ying-mei, DING Gang. Comparison of visual performance after implantation of intraocular lenses: accommodative, spherical monofocal and aspheric monofocal [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 68-71.