Zhang Jing, Zhou Yue-Hua, Zheng Yan, Liu Qian
Beijing Tongren Eye Center, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Int J Ophthalmol. 2017 Oct 18;10(10):1566-1572. doi: 10.18240/ijo.2017.10.14. eCollection 2017.
To compare the speed of visual recovery following myopic thin-flap LASIK with four femtosecond lasers.
Eighty-eight eyes of 46 patients who were consecutively scheduled for bilateral LASIK with the IntraLase FS60 (Group 1), Femto LDV Crystal Line (Group 2), Wavelight FS200 (Group 3) and VisuMax (Group 4) femtosecond lasers were enrolled in. Monocular uncorrected distance visual acuity (UDVA), best-corrected distant visual acuity (CDVA), refraction, contrast sensitivity and higher-order aberrations (HOAs) were evaluated at 1, 3d, 1wk and 1mo postoperatively.
Sixteen eyes (72.7%) achieved 20/16 and 8 eyes (36.4%) were 20/12.5 at 1d in Group 2, which was significantly more than other 3 groups. At 1wk, 20 eyes (90.9%) achieved 20/16 in Groups 2 and 4. At 1mo, 20 eyes (90.9%) achieved 20/16 in Group 2 and Group 4, which were significantly more than other two groups. While by 1 mo, the difference of the residual spherical equivalent (SE) was not statistically significant among 4 groups (=0.121). The induction of spherical aberration (SA) were significantly less for Groups 2, 3, 4 than for Group 1 one day after surgery (=0.015). The differences among 4 groups were not statistically significant before and after surgery on every time points (all >0.05).
The thin-flap LASIK procedure using the Femto LDV Crystal Line and VisuMax femtosecond laser show faster visual performance recovery.
比较使用四种飞秒激光进行近视薄瓣准分子原位角膜磨镶术(LASIK)后视力恢复的速度。
纳入46例连续计划行双侧LASIK手术的患者的88只眼,分别使用IntraLase FS60飞秒激光(第1组)、Femto LDV Crystal Line飞秒激光(第2组)、Wavelight FS200飞秒激光(第3组)和VisuMax飞秒激光(第4组)。术后1天、3天、1周和1个月时评估单眼未矫正远视力(UDVA)、最佳矫正远视力(CDVA)、屈光、对比敏感度和高阶像差(HOAs)。
第2组在术后1天时,16只眼(72.7%)达到20/16,8只眼(36.4%)达到20/12.5,显著多于其他3组。在术后1周时,第2组和第4组有20只眼(90.9%)达到20/16。在术后1个月时,第2组和第4组有20只眼(90.9%)达到20/16,显著多于其他两组。而到术后1个月时,4组之间的残余球镜等效度(SE)差异无统计学意义(P=0.121)。术后1天,第2组、第3组、第4组的球差(SA)诱导明显少于第1组(P=0.015)。在各个时间点手术前后4组之间的差异均无统计学意义(均P>0.05)。
使用Femto LDV Crystal Line和VisuMax飞秒激光的薄瓣LASIK手术显示出更快的视力恢复。