0.05 D间隔球镜片验光引导下SMILE矫正不同程度近视术后早期视觉质量  

Early visual quality after 0.05 D interval spherical lens optometry-guided small incision lenticule extraction for the correction of different degrees of myopia

作　　者：马红利 宋学英 李世洋 刘雪雁 苏红 张小牛 Ma Hongli;Song Xueying;Li Shiyang;Liu Xueyan;Su Hong;Zhang Xiaoniu(Department of Ophthalmology,the 989th Hospital of Joint Logistic Support Force,Luoyang 471031,Henan Province,China)

机构地区：[1]中国人民解放军联勤保障部队第九八九医院眼科,中国河南省洛阳市471031

出　　处：《国际眼科杂志》2024年第11期1816-1820,共5页International Eye Science

基　　金：河南省医学科技公关计划项目(No.LHGJ20210826)。

摘　　要：目的:探讨0.05 D(屈光度)间隔球镜片验光引导下飞秒激光小切口角膜基质透镜取出术(SMILE)矫正不同程度近视术后的早期视觉质量。方法:回顾性研究。选取2023-05/09于联勤保障部队第九八九医院接受SMILE的患者200例200眼,均为右眼。采用0.05 D验光方法进行屈光度测定。根据术前等效球镜度数分为低中度近视组(>-6.0 D)和高度近视组(≤-6.0 D),每组各100眼。比较两组术前及术后6 mo角膜总高阶像差(HOA)、球差、彗差、三叶草差,并填写视觉质量调查问卷。结果:术后6 mo两组患者角膜总HOA、球差、垂直彗差均较术前显著增大(均P<0.05);术后6 mo低中度近视组HOA、球差、垂直彗差均低于高度近视组(均P<0.05)。低中度近视组视觉质量调查问卷综合评分、近视力、夜视力、夜间眩光及视疲劳评分均高于高度近视组(均P<0.05)。结论:0.05 D间隔球镜片验光引导下SMILE在矫正低中度近视和高度近视虽然均有视觉症状发生,但术后早期能获得良好的视觉质量。AIM:To investigate the early visual quality after 0.05 D interval spherical lens optometry-guided small incision lenticule extraction(SMILE)for the correction of different degrees of myopia.METHODS:Retrospective study.A total of 200 cases(200 eyes)that underwent SMILE at the 989th Hospital of Joint Logistic Support Force from May to September 2023 were selected.The 0.05 D optometry was used to measure diopter.According to the preoperative spherical equivalent(SE),they were divided into low-to-moderate myopic group(>-6.0 D)and high myopic group(≤-6.0 D),with 100 eyes in each group.The total high-order corneal aberration(HOA),spherical aberration,coma and trefoil aberration were compared between the two groups preoperatively and at 6 mo postoperatively,and the quality of vision questionnaire was completed.RESULTS:The HOA,spherical aberration and vertical coma aberration in the two groups at 6 mo after operation were significantly higher than those before operation(all P<0.05).At 6 mo postoperatively,the HOA,spherical aberration and vertical coma aberration in the low-to-moderate myopic group were lower than those in the high myopic group(all P<0.05).The scores of the quality of vision questionnaire,near vision,night vision,night glare and visual fatigue in the low-to-moderate myopic group were all higher than those in the high myopic group(all P<0.05).CONCLUSION:Both low-to-moderate myopia and high myopia after the 0.05 D interval spherical lens optometry-guided SMILE had some visual symptoms,but great visual quality can be obtained after surgery.

关 键 词：飞秒激光小切口角膜基质透镜取出术(SMILE) 验光 0.05 D 近视 视觉质量 波前像差 问卷调查 

分 类 号：R779.63[医药卫生—眼科]