Small Incision Lenticule Extraction for Correction of Myopia and Myopic Astigmatism: First 24-Hour Outcomes.
Small Incision Lenticule Extraction for Correction of Myopia and Myopic Astigmatism: First 24-Hour Outcomes.
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小切口晶状体取出矫正近视和近视散光：第一个 24 小时结果
DOI：
10.1155/2017/5824534
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发表时间：
2017
影响因子：
1.9
通讯作者：
Luo Y
中科院分区：
文献类型：
--
作者：
Liu T;Dan T;Luo Y
目的。目的观察小切口晶状体摘除术(SMILE)治疗近视及近视散光后24小时内的疗效。对计划微笑的27例53只眼进行即刻(0h)、微笑后2、4、6、24 h的随访。记录裸眼视力(UCVA)、结膜充血、疼痛程度、角膜水肿、厚度和密度。微笑后2小时，15.1%的眼≤为0.1LogMAR，4、6、24小时分别为62.3%、98.1%和100%。部分眼(33.96%)术后即刻出现轻度角膜水肿。术后6h未见水肿。微笑后24小时内，角膜厚度逐渐减少。术后角膜密度值明显高于术前，但在术后24小时内逐渐下降。术后第一个24小时内，裸眼视力和角膜状况(水肿度和角膜密度)迅速改善。
Purpose. To observe the first 24-hour (h) outcomes of the small incision lenticule extraction procedure (SMILE) for myopia and myopic astigmatism.Methods. Fifty-three eyes (27 patients) scheduled for SMILE were followed immediately (0 h), 2, 4, 6, and 24 h after SMILE. Uncorrected visual acuity (UCVA), conjunctival congestion, pain level, and corneal edema, thickness, and densitometry were recorded.Results. At 2 h after SMILE, 15.1% of eyes had ≤0.1 LogMAR UCVA; this increased to 62.3%, 98.1%, and 100% at 4, 6, and 24 h, respectively. Some eyes (33.96%) had mild corneal edema immediately after surgery. No 6 h postoperative edema was observed. In the first 24 h after SMILE, corneal thickness gradually decreased. Postoperative corneal densitometry values were significantly higher than preoperative values but gradually decreased during the first postoperative 24 h.Conclusions. In the first postoperative 24 h, UCVA and corneal status (edema and densitometry) improved quickly.