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人工晶状体植入术、小切口透镜切除术和准分子原位角膜磨镶术视觉效果与并发症的比较分析:一项综述

Comparative Analysis of Visual Outcomes and Complications in Intraocular Collamer Lens, Small-Incision Lenticule Extraction, and Laser-Assisted In Situ Keratomileusis Surgeries: A Comprehensive Review.

作者信息

Swaminathan Uma, Daigavane Sachin

机构信息

Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Apr 22;16(4):e58718. doi: 10.7759/cureus.58718. eCollection 2024 Apr.

Abstract

This review provides a comparative analysis of visual outcomes and complications associated with three prominent refractive surgical techniques: intraocular collamer lens (ICL) implantation, small-incision lenticule extraction (SMILE), and laser-assisted in situ keratomileusis (LASIK). Refractive surgeries aim to correct myopia, hyperopia, and astigmatism, offering patients an alternative to corrective lenses. The review highlights the importance of comparing these procedures to guide clinical decision-making effectively. Each technique is described, emphasizing its unique advantages and considerations. While LASIK remains widely favored for its rapid visual recovery and high patient satisfaction, ICL is suitable for patients with higher refractive errors or corneal irregularities. Although relatively newer, SMILE shows promise with potential benefits such as corneal biomechanical stability and a reduced risk of dry eye syndrome. However, each procedure carries its distinct complications, reinforcing the need for personalized patient care and informed decision-making. Understanding these techniques' relative efficacy and safety profiles is essential for optimizing outcomes and enhancing patient satisfaction. Continued advancements in technology and surgical techniques promise further improvements in refractive surgery outcomes, underscoring the importance of ongoing research and innovation.

摘要

本综述对三种主要屈光手术技术相关的视觉效果和并发症进行了比较分析

人工晶状体植入术(ICL)、小切口基质透镜切除术(SMILE)和准分子原位角膜磨镶术(LASIK)。屈光手术旨在矫正近视、远视和散光,为患者提供矫正眼镜之外的另一种选择。该综述强调了比较这些手术以有效指导临床决策的重要性。文中描述了每种技术,强调了其独特的优势和注意事项。虽然LASIK因其视觉恢复快和患者满意度高而仍然广受青睐,但ICL适用于屈光不正度数较高或角膜不规则的患者。SMILE虽然相对较新,但显示出具有潜力的益处,如角膜生物力学稳定性和干眼综合征风险降低。然而,每种手术都有其独特的并发症,这进一步凸显了个性化患者护理和明智决策的必要性。了解这些技术的相对疗效和安全性概况对于优化手术效果和提高患者满意度至关重要。技术和手术技术的持续进步有望进一步改善屈光手术的效果,突出了持续研究和创新的重要性。

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