早期学习曲线阶段屈光性小切口基质透镜切除术的术中并发症
Intraoperative complications of refractive small incision lenticule extraction in the early learning curve.
作者信息
Hamed Abdelmonem M, Abdelwahab Shereef M, Soliman Tarek T
机构信息
Ebsar Eye Center, Benha, Qalyubia, Egypt.
Ophthalmology Department, Benha University, Benha, Qalyubia, Egypt.
出版信息
Clin Ophthalmol. 2018 Apr 9;12:665-668. doi: 10.2147/OPTH.S157356. eCollection 2018.
PURPOSE
To study the intraoperative complications of refractive small incision lenticule extraction (ReSMILE push-up technique), and to record the mean intraoperative duration time of all surgeries for the refractive surgeon in his early learning curve.
SETTING
Ebsar Eye Center, Benha, Egypt.
DESIGN
A prospective, single-center, cohort clinical study.
METHODS
This prospective, single-center, cohort clinical study was done on patients with myopia and myopic astigmatism, who were enrolled for SMILE surgeries. All the SMILE operations were performed by a single refractive surgeon (AMH), by using only the ReSMILE push-up technique.
RESULTS
A total of 190 eyes were operated upon, using the (ReSMILE push-up technique), with a mean follow-up period of 2 months. The intraoperative complications have been recorded for all patients. The mean operative duration of all cases was 4.45±1.45 minutes.
CONCLUSION
The ReSMILE: push-up technique seems to facilitate visualization of the edge of the lenticule of the SMILE surgery, especially for the refractive surgeon in his early learning curve.
目的
研究屈光性小切口透镜切除术（ReSMILE上推技术）的术中并发症，并记录屈光手术医生在其早期学习曲线阶段所有手术的平均术中持续时间。
地点
埃及本哈市的埃巴萨尔眼科中心。
设计
一项前瞻性、单中心队列临床研究。
方法
这项前瞻性、单中心队列临床研究针对近视和近视散光患者展开，这些患者入选接受小切口飞秒激光基质透镜切除术（SMILE）手术。所有SMILE手术均由一名屈光手术医生（AMH）实施，仅采用ReSMILE上推技术。
结果
共对190只眼实施了（ReSMILE上推技术）手术，平均随访期为2个月。记录了所有患者的术中并发症。所有病例的平均手术时长为4.45±1.45分钟。
结论
ReSMILE上推技术似乎有助于在SMILE手术中清晰看到透镜边缘，尤其对于处于早期学习曲线阶段的屈光手术医生而言。
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