Academic Journal
Epithelial Remodeling and Epithelial Wavefront Aberrometry after Spherical vs. Cylindrical Myopic Small Incision Lenticule Extraction (SMILE)
| العنوان: | Epithelial Remodeling and Epithelial Wavefront Aberrometry after Spherical vs. Cylindrical Myopic Small Incision Lenticule Extraction (SMILE) |
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| المؤلفون: | Barbara S. Brunner, Lukas Feldhaus, Wolfgang J. Mayer, Jakob Siedlecki, Martin Dirisamer, Siegfried G. Priglinger, Stefan Kassumeh, Nikolaus Luft |
| المصدر: | Journal of Clinical Medicine, Vol 13, Iss 13, p 3970 (2024) |
| بيانات النشر: | MDPI AG |
| سنة النشر: | 2024 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | epithelial remodeling, myopia, astigmatism, refractive surgery, laser refractive surgery, small incision lenticule extraction (SMILE), Medicine |
| الوصف: | Background/Objectives : To compare the epithelial thickness changes and the changes in epithelial wavefront aberrometry following spherical versus astigmatic myopic small incision lenticule extraction (SMILE). Methods : Eighty-six eyes of 86 patients who underwent SMILE were included in this retrospective study. A total of 43 eyes underwent myopic spherical correction (spherical group) and 43 eyes underwent myopic cylindrical correction (cylindrical group). The groups were matched according to the spherical equivalent of surgically corrected refraction. Subjective manifest refraction as well as high-resolution anterior segment optical coherence tomography (MS-39; CSO; Florence, Italy) were obtained preoperatively as well as 3 months postoperatively. The latter was utilized for computing epithelial wavefront aberrometry in addition to epithelial thickness mapping. Results: Epithelial thickness increased significantly in both groups after SMILE ( p < 0.01). In the cylindrical group, epithelial thickening was more pronounced on the flat meridian compared to the steep meridian ( p = 0.04). In both groups, epithelial wavefront aberrometry showed a significant postoperative increase in the epithelium’s spherical refractive power, causing a myopization of −0.24 ± 0.42 diopters (D) in the spherical group ( p < 0.01) and −0.41 ± 0.52 D in the cylindrical group ( p < 0.0001). While no significant changes in epithelial cylindrical refractive power were observed in the spherical group, a significant increase was noted in the cylindrical group from −0.21 ± 0.24 D to −0.37 ± 0.31 D ( p = 0.01). In both groups, epithelial higher-order aberrations increased significantly ( p < 0.001). Conclusions : Postoperative epithelial remodeling after SMILE alters lower-order (sphere and cylinder) and higher-order aberrations of the corneal epithelial wavefront and might contribute to refractive undercorrection, especially in astigmatic corrections. Epithelial wavefront aberrometry can be used to quantify the refractive effect ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2077-0383 |
| Relation: | https://www.mdpi.com/2077-0383/13/13/3970; https://doaj.org/toc/2077-0383; https://doaj.org/article/c8be6b222e724f30a2b56a0460912ed0 |
| DOI: | 10.3390/jcm13133970 |
| الاتاحة: | https://doi.org/10.3390/jcm13133970 https://doaj.org/article/c8be6b222e724f30a2b56a0460912ed0 |
| رقم الانضمام: | edsbas.F977DAF5 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 20770383 |
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| DOI: | 10.3390/jcm13133970 |