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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.

DOI:10.7759/cureus.58718
PMID:38779265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11110473/
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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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.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
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The visual quality of patients with myopia and presbyopia after ICL V4c implantation and FS-LASIK using monovision design.采用单眼视设计的ICL V4c植入术和FS-LASIK术后近视合并老花眼患者的视觉质量
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Early postoperative changes in corneal densitometry after SMILE with 120-μm and 130-μm cap thickness: a comparative study.120μm和130μm帽厚度的小切口基质透镜切除术(SMILE)术后早期角膜密度测量的变化:一项比较研究。
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本文引用的文献

1
A case of delayed recurrent hyphema following Implantable Collamer Lens (ICL) surgery.一例可植入式胶原晶状体(ICL)手术后迟发性复发性前房积血病例。
Am J Ophthalmol Case Rep. 2024 Sep 12;36:102158. doi: 10.1016/j.ajoc.2024.102158. eCollection 2024 Dec.
2
Something to SMILE about. Is small incision lenticule extraction (SMILE) ready to become the gold standard in laser refractive surgery? no.值得一笑的事。小切口基质透镜切除术(SMILE)准备好成为激光屈光手术的金标准了吗?还没有。
Eye (Lond). 2024 Mar;38(4):633-635. doi: 10.1038/s41433-023-02746-y. Epub 2023 Sep 20.
3
Four-year visual outcomes and optical quality of SMILE and implantable collamer lens V4c (EVO-ICL) implantation for high myopia: a retrospective study.SMILE 和可植入 Collamer 透镜 V4c(EVO-ICL)植入治疗高度近视的四年视觉结果和光学质量:一项回顾性研究。
BMC Ophthalmol. 2023 Jul 31;23(1):341. doi: 10.1186/s12886-023-03050-9.
4
Quality of vision after myopic refractive surgeries: SMILE, FS-LASIK, and ICL.近视矫正手术后的视觉质量:SMILE、FS-LASIK 和 ICL。
BMC Ophthalmol. 2023 Jun 26;23(1):291. doi: 10.1186/s12886-023-03045-6.
5
The dynamic changes and influencing factors of visual symptoms after small incision lenticule extraction.小切口微透镜取出术后视觉症状的动态变化及影响因素。
BMC Ophthalmol. 2023 May 19;23(1):223. doi: 10.1186/s12886-023-02964-8.
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Visual outcomes of early enhancement following small incision lenticule extraction versus laser keratomileusis.小切口微透镜取出术与激光角膜磨镶术术后早期增强的视力结果。
Indian J Ophthalmol. 2023 May;71(5):1845-1848. doi: 10.4103/IJO.IJO_3209_22.
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Intraocular Implantable Collamer Lens with a Central Hole Implantation: Safety, Efficacy, and Patient Outcomes.带中心孔植入的眼内可植入胶原晶状体:安全性、有效性及患者预后
Clin Ophthalmol. 2023 Mar 24;17:969-980. doi: 10.2147/OPTH.S379856. eCollection 2023.
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Prediction of Early Visual Outcome of Small-Incision Lenticule Extraction (SMILE) Based on Deep Learning.基于深度学习的小切口透镜切除术(SMILE)早期视觉效果预测
Ophthalmol Ther. 2023 Apr;12(2):1263-1279. doi: 10.1007/s40123-023-00680-6. Epub 2023 Feb 24.
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Comparison of objective and subjective visual quality after flapless laser vision correction for mild to moderate myopia: SMILE vs PRK.无瓣飞秒激光角膜基质透镜切除术与准分子激光角膜表面切削术治疗轻中度近视的客观与主观视觉质量比较:SMILE 与 PRK。
Graefes Arch Clin Exp Ophthalmol. 2023 Jun;261(6):1731-1741. doi: 10.1007/s00417-022-05937-7. Epub 2023 Jan 18.
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Visual Outcomes of Small-Incision Lenticule Extraction (SMILE) in Thin Corneas.薄角膜中小切口透镜切除术(SMILE)的视觉效果
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