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SMILE 矫正散光

Astigmatism Correction Using SMILE.

机构信息

Department of Ophthalmology, Grantham Hospital, Hong Kong, China.

Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.

出版信息

Asia Pac J Ophthalmol (Phila). 2019 Sep-Oct;8(5):391-396. doi: 10.1097/01.APO.0000580140.74826.f5.

DOI:10.1097/01.APO.0000580140.74826.f5
PMID:31490198
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6784860/
Abstract

Small incision lenticule extraction (SMILE) was introduced in the recent decade for the treatment of myopia and myopic astigmatism. This flap-free technique has a high efficacy and safety profile and also carries potential advantages over laser in situ keratomileusis such as a better corneal biomechanical stability, reduction in dry eyes rate, and the avoidance of flap complications. However, there have been concerns regarding the precision of astigmatism correction that undercorrection has been reported to be apparent. Various factors that affect astigmatism correction have been identified in the literature. The purpose of this review is to discuss the factors that affect astigmatism correction in SMILE and several techniques to improve the refractive outcomes.

摘要

微切口透镜切除术 (SMILE) 是近年来用于治疗近视和近视散光的一种方法。这种无瓣技术具有高效和安全的特点，并且相对于激光原位角膜磨镶术 (LASIK) 具有潜在优势，例如更好的角膜生物力学稳定性、干眼症发生率降低以及避免瓣并发症。然而，人们对散光矫正的精确性存在担忧，据报道，这种手术存在明显的欠矫现象。文献中已经确定了影响散光矫正的各种因素。本文的目的是讨论影响 SMILE 散光矫正的因素以及几种改善屈光效果的技术。

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Astigmatism Correction Using SMILE.SMILE 矫正散光
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2
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BMC Ophthalmol. 2025 Jul 1;25(1):388. doi: 10.1186/s12886-025-04209-2.
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Transl Vis Sci Technol. 2025 May 1;14(5):26. doi: 10.1167/tvst.14.5.26.
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BMC Ophthalmol. 2025 Mar 11;25(1):121. doi: 10.1186/s12886-025-03948-6.
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本文引用的文献

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Surface Ablation Versus CIRCLE for Myopic Enhancement After SMILE: A Matched Comparative Study.SMILE 术后近视增强的表面消融与 CIRCLE 的对比：一项配对比较研究。
J Refract Surg. 2019 May 1;35(5):294-300. doi: 10.3928/1081597X-20190416-02.
2
Impact of ocular residual astigmatism on predictability of myopic astigmatism correction after small-incision lenticule extraction.小切口透镜切除术治疗近视散光后，眼残余散光对近视散光矫正可预测性的影响
J Cataract Refract Surg. 2019 Apr;45(4):525-526. doi: 10.1016/j.jcrs.2019.01.028.
3
Comparative study of wave-front aberration and corneal Asphericity after SMILE and LASEK for myopia: a short and long term study.飞秒激光微小切口基质透镜切除术（SMILE）和准分子激光上皮下角膜磨镶术（LASEK）治疗近视后波前像差与角膜非球面性的对比研究：短期和长期研究
BMC Ophthalmol. 2019 Mar 20;19(1):80. doi: 10.1186/s12886-019-1084-3.
4
Small-incision lenticule extraction for the correction of myopic astigmatism.微切口角膜基质透镜取出术治疗近视散光。
J Cataract Refract Surg. 2019 Jan;45(1):62-71. doi: 10.1016/j.jcrs.2018.08.030. Epub 2018 Nov 10.
5
Effect of corneal curvature on optical zone decentration and its impact on astigmatism and higher-order aberrations in SMILE and LASIK.角膜曲率对小切口基质透镜切除术（SMILE）和准分子原位角膜磨镶术（LASIK）中光学区偏心的影响及其对散光和高阶像差的影响。
Graefes Arch Clin Exp Ophthalmol. 2019 Jan;257(1):233-240. doi: 10.1007/s00417-018-4165-8. Epub 2018 Oct 27.
6
Small incision lenticule extraction (SMILE) techniques: patient selection and perspectives.微小切口基质透镜切除术（SMILE）技术：患者选择与观点
Clin Ophthalmol. 2018 Sep 5;12:1685-1699. doi: 10.2147/OPTH.S157172. eCollection 2018.
7
Correction of astigmatism with small-incision lenticule extraction: Impact of against-the-rule and with-the-rule astigmatism.小切口微透镜取出术矫正散光：逆规散光和规则散光的影响。
J Cataract Refract Surg. 2018 Sep;44(9):1066-1072. doi: 10.1016/j.jcrs.2018.06.029. Epub 2018 Aug 2.
8
Vector analysis of high (≥3 diopters) astigmatism correction using small-incision lenticule extraction and laser in situ keratomileusis.小切口微透镜取出术与准分子激光原位角膜磨镶术矫正高度（≥3 屈光度）散光的向量分析。
J Cataract Refract Surg. 2018 Jul;44(7):802-810. doi: 10.1016/j.jcrs.2018.04.038. Epub 2018 Jun 13.
9
CIRCLE Enhancement After Myopic SMILE.近视性全飞秒激光微小切口基质透镜切除术术后的环形增强效应
J Refract Surg. 2018 May 1;34(5):304-309. doi: 10.3928/1081597X-20180308-02.
10
Clinical Outcomes of SMILE With a Triple Centration Technique and Corneal Wavefront-Guided Transepithelial PRK in High Astigmatism.采用三重定心技术的全飞秒激光微小切口基质透镜切除术及角膜波前引导的经上皮准分子激光原位角膜磨镶术治疗高度散光的临床疗效
J Refract Surg. 2018 Mar 1;34(3):156-163. doi: 10.3928/1081597X-20180104-03.