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中华眼科医学杂志(电子版) ›› 2022, Vol. 12 ›› Issue (01) : 57 -62. doi: 10.3877/cma.j.issn.2095-2007.2022.01.011

综述

飞秒激光小切口角膜基质透镜取出术矫正散光的研究进展
曹晓光1,†(), 何燕玲1, 鲍永珍1, 王凯1, 赵明威1   
  1. 1. 100044　北京大学人民医院眼科　眼视光中心　眼病与视光医学研究所　视网膜脉络膜疾病诊治研究北京市重点实验室　北京大学医学部眼视光学院
  • 收稿日期:2020-12-15 出版日期:2022-02-28
  • 通信作者: 曹晓光
  • 基金资助:
    国家自然科学基金资助项目(81870684)

Research status of small incision lenticule extraction in astigmatism

Xiaoguang Cao1,†(), Yanling He1, Yongzhen Bao1, Kai Wang1, Mingwei Zhao1   

  1. 1. Department of Ophthalmology, Peking University People′s Hospital Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing 100044, China
  • Received:2020-12-15 Published:2022-02-28
  • Corresponding author: Xiaoguang Cao
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引用本文：

曹晓光, 何燕玲, 鲍永珍, 王凯, 赵明威. 飞秒激光小切口角膜基质透镜取出术矫正散光的研究进展[J]. 中华眼科医学杂志(电子版), 2022, 12(01): 57-62.

Xiaoguang Cao, Yanling He, Yongzhen Bao, Kai Wang, Mingwei Zhao. Research status of small incision lenticule extraction in astigmatism[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2022, 12(01): 57-62.

飞秒激光小切口角膜基质透镜取出术(SMILE)矫正近视眼的有效性、预测性及安全性经过多年的应用已得到业界的肯定。然而，包括SMILE在内的角膜屈光手术对散光的矫正效果却并不理想。近年来，随着设备与手术技巧的改进，SMILE手术矫治散光的效果也随之改善。

关键词: 飞秒激光小切口角膜基质透镜取出术, 近视眼, 散光

The effectiveness, predictability and security of small incision lenticule extraction (SMILE) on the correction of myopia have approved for clinicans after many years of usage. However, the correction of astigmatism was not as good as that of myopia with the corneal refractive surgeries, including SMILE. With the improvement of surgical techniques, methods and devices, the correction of astigmatism and myopic astigmatism with SMILE has recently changed.

Key words: Small incision lenticule extraction, Myopia, Astigmatism
表1 SMILE矫正散光的效果及与其他近视矫正手术的比较
第一作者 手术位置 手术方式 术前散光屈光度(D) 术后散光屈光度(D)
Hou[10] 角膜 SMILE -2.41±0.54 -0.14±0.31(-0.09×6.34矢量散光)(术后3个月)
Chan[1] 角膜 SMILE -1.08±0.71 -0.24±0.32(术后3个月)
Chan[1] 角膜 LASIK -1.37±0.98 -0.06±0.14(术后3个月)
Taneri[11] 角膜 SMILE -1.52±0.57 -0.32±0.29(术后3个月)
Sánchez[12] 角膜 SMILE -0.48±0.37 -0.31±0.30(术后24个月)
Chan[13] 角膜 SMILE -1.60±0.65 ±0.50 D内(97%)，±1.00 D内(100%)(术后6个月)
Chan[14] 角膜 SMILE -3.42±0.55 -0.27±0.26(术后3个月)
Chan[14] 角膜 LASIK -3.47±0.49 -0.22±0.22(术后3个月)
Ivarsen[15] 角膜 SMILE -1.76±0.86 -0.50±0.38(术后3个月)
Zhong[16] 角膜 SMILE -2.47±0.54 -0.31±0.29(术后4年)
Zhong[16] 角膜 SMILE -0.55±0.28 -0.20±0.28(术后4年，低散光组)
Jun[18] 角膜 TransPRK -2.84±0.35 -0.31±0.25(术后6个月)
Jun[18] 角膜 SMILE -2.90±0.42 -0.37±0.26(术后6个月)
Jun[18] 角膜 WFG-LASIK -22.56±1.04 0.42±0.45(术后3个月，矢量差异)
Zhang[19] 角膜 SMILE -22.48±0.82 0.36±0.39(术后3个月，矢量差异)
Hiep[20] 角膜 SMILE -0.88±0.33 -0.27±0.55(术后3个月，低散光组)
Hiep[20] 角膜 SMILE -2.22±0.64 -0.21±0.21(术后3个月，高散光组)
Khalifa[21] 角膜 SMILE -1.29±0.85 -0.46±0.28(术后6个月)
Khalifa[21] 角膜 WFG-LASIK -1.28±0.81 -0.13±0.20(术后6个月)
Dishler[22] 角膜 SMILE -1.52±0.70 -0.18±0.31(术后12个月)
Huang[24] 角膜 SMILE -3.15±0.62 -0.58±0.39(术后12个月，高散光组)
Huang[24] 角膜 SMILE -0.61±0.43 -0.21±0.21(术后12个月，低散光组)
李庆和[25] 角膜 SMILE -3.94±0.39 -0.70±0.21(术后2年)
Yildiz[27] 角膜 SMILE -1.50±0.60 -0.43±0.40随访(15±7)个月
Moshirfar[29] 角膜 SMILE -1.12±0.60 -0.38±0.38(术后12个月)
陈鹏[33] 角膜 SMILE -3.17±0.59 -0.59±0.25(术后6个月)
陈鹏[33] 角膜 FS-LASIK -3.15±0.62 -0.69±0.27(术后6个月)
Schallhorn[35] 角膜 SMILE -1.53±0.70 -0.22±0.33(术后6个月)
Schallhorn[35] 角膜 地形图引导-LASIK -1.19±1.23 -0.19±0.30(术后6个月)
Schallhorn[35] 角膜 WFG-LASIK -1.77±1.65 -0.33±0.36(术后6个月)
刘莛[36] 角膜 SMILE -0.69±0.44 -0.38±0.38(术后6个月)
刘莛[36] 角膜 CV-LASEK -0.50±0.38 -0.33±0.36(术后6个月)
刘莛[36] 角膜 CV-LASIK -0.56±0.42 -0.33±0.36(术后6个月)
Zheng[37] 角膜 SMILE -0.84±0.47 -0.08±0.17(术后3个月)
Zheng[37] 角膜 TransPRK -0.72±0.36 -0.06±0.23(术后3个月)
Gulmez[38] 角膜 SMILE -1.64±1.45 -0.04±0.16(术后6个月)
Gulmez[38] 角膜 WFG-FS-LASIK -1.52±1.33 -0.03±0.11(术后6个月)
Yang[40] 角膜 CV-LASIK -0.95±0.51 -0.11±0.15(术后3个月)
Yang[40] 角膜 SMILE -0.91±0.56 -0.16±0.19(术后3个月)
Wan[41] 角膜 SMILE -1.95±0.61 -0.10±0.21(术后3个月)
Wan[41] 晶状体 TICL -2.06±0.78 -0.30±0.32(术后3个月)
Ganesh[43] 晶状体 TICL -1.88±0.88 -0.21±0.32(术后6个月)
Ganesh[43] 角膜 FS-LASIK -1.42±0.99 -0.17±0.33(术后6个月)
Ganesh[43] 角膜 SMILE -1.08±0.38 -0.19±0.23(术后6个月)
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