Advance on indications, contraindications, advantages and disadvantages of small incision corneal stromal lens extraction

doi:10.3877/cma.j.issn.2095-2007.2021.04.010

Abstract

Abstract:

Small incision corneal stromal lens extraction (SMILE) is the most advanced corneal refractive surgery at present. Its effectiveness, precision and safety make myopia correction work step up to a new level again. There is no need for flap making and minimally invasive surgery for SMILE; its postoperative corneal reaction is light, the incision healing is fast, the visual quality is ideal, and the complication is few but light. However, SMLIE also has some limitations, such as specific indications, contraindications, and complications for surgery, limited secondary surgery, high operation difficulty, and high price. In this paper, the research progress of indications, contraindications, the advantages and disadvantages for femtosecond laser SMILE were reviewed.

Key words: Femtosecond laser, Small incision corneal stromal lens extraction, Indications, Contraindications, Advantages, Disadvantages

Yixiu Yin, Xinquan Liu. Advance on indications, contraindications, advantages and disadvantages of small incision corneal stromal lens extraction[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2021, 11(04): 247-251.

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References 54

[12]	陆雪丹，李俊. 飞秒激光小切口透镜取出术的优势及发展现状[J]. 中国医药导报，2020，17(16): 41-44.
[13]	Vetter JM, Schirra A, Garcia-Bardon D, et al. Comparison of intraocular pressure during corneal flap preparation between a femtosecond laser and a mechanical microkeratome in porcine eyes[J]. Cornea, 2011, 30(10): 1150-1154.
[14]	Dong Z, Zhou X, Wu J, et al. Small incision lenticule extraction (SMILE) and femtosecond laser LASIK: comparison of corneal wound healing and inflammation[J]. Br J Ophthalmol, 2014, 98(2): 263-269.
[15]	刘才远，汤勇，蒋瑜，等. 三种不同设备行屈光手术时的角膜切削误差比较[J]. 中华眼视光学与视觉科学杂志，2013，15(11): 680-683.
[16]	Ziebarth NM, Lorenzo MA, Chow J, et al. Surface quality of human corneal lenticules after SMILE assessed using environmental scanning electron microscopy[J]. J Refract Surg, 2014, 30(6): 388-393.
[17]	Ji YW, Kim M, Kang DSY, et al. Effect of lowering laser energy on the surface roughness of human corneal lenticules in SMILE[J]. J Refract Surg, 2017, 33(9): 617-624.
[18]	Lazaridis A, Droutsas K, Sekundo W. Topographic analysis of the centration of the treatment zone after SMILE for myopia and comparison to FS-LASIK: subjective versus objective alignment[J]. J Refract Surg, 2014, 30(10): 680-686.
[19]	Aristeidou A, Taniguchi EV, Tsatsos M, et al. The evolution of corneal and refractive surgery with the femtosecond laser[J]. Eye Vis (Lond), 2015, 2: 12.
[20]	Wei S, Wang Y. Comparison of corneal sensitivity between FS-LASIK and femtosecond lenticule extraction (ReLEx flex) or small-incision lenticule extraction(ReLEx smile)for myopic eyes published correction appears[J]. Graefes Arch Clin Exp Ophthalmol, 2013, 251(6): 1645-1654.
[21]	Shortt AJ, Allan BD, Evans JR. Laser-assisted in-situ keratomileusis (LASIK) versus photorefractive keratectomy(PRK)for myopia[J]. Cochrane Database Syst Rev, 2013: CD005135.
[22]	陈祥菲，王春红，杨丽萍，等．SMILE、飞秒激光制瓣LASIK及去瓣机械法LASIK术后干眼参数的比较[J]．中华眼视光学与视觉科学杂志，2014，16(9): 532-536.
[23]	Wang D, Liu M, Chen Y, et al. Differences in the corneal biomechanical changes after SMILE and LASIK[J]. J Refract Surg, 2014, 30(10): 702-707.
[24]	Reinstein DZ, Archer TJ, Randleman JB. Mathematical model to compare the relative tensile strength of the cornea after PRK, LASIK, and small incision lenticule extraction[J]. J Refract Surg, 2013, 29(7): 454-460.
[25]	Dou R, Wang Y, Xu L, et al. Comparison of corneal biomechanical characteristics after surface ablation refractive surgery and novel lamellar refractive surgery[J]. Cornea, 2015, 34(11): 1441-1446.
[26]	Bühren J, Nagy L, Yoon G, et al. The effect of the asphericity of myopic laser ablation profiles on the induction of wavefront aberrations[J]. Invest Ophthalmol Vis Sci, 2010, 51(5): 2805-2812.
[27]	王璐，王雁，左彤，等. 飞秒激光制瓣LASIK联合波前优化治疗近视及散光术后的角膜像差[J]. 中华眼视光学与视觉科学杂志，2014，16(4): 196-199.
[28]	梁刚，查旭，张丰菊. SMILE术后全眼高阶像差变化及相关因素分析[J]. 中华眼视光学与视觉科学杂志，2015，17(11): 644-648.
[29]	李晓晶，王雁，张琳. 2 mm微切口SMILE术后近视矫治眼高阶像差的变化[J]. 中华实验眼科杂志，2015，33(2): 142-148.
[30]	李浏洋，王雁，李华，等. 不同光学区SMILE术后全眼高阶像差比较[J]. 中华眼视光学与视觉科学杂志，2015，17(11): 649-653.
[31]	Ganesh S, Gupta R. Comparison of visual and refractive outcomes following femtosecond laser-assisted lasik with smile in patients with myopia or myopic astigmatism[J]. J Refract Surg, 2014, 30(9): 590-596.
[32]	Gyldenkerne A, Ivarsen A, Hjortdal JØ. Comparison of corneal shape changes and aberrations induced by FS-LASIK and SMILE for myopia[J]. J Refract Surg, 2015, 31(4): 223-229.
[33]	武志清，王雁，张琳，等. 飞秒激光小切口角膜基质内透镜取出术与飞秒激光LASIK术后高阶像差改变的对比研究[J]. 中华眼科杂志，2015，51(3): 193-201.
[34]	Reinstein DZ, Carp GI, Archer TJ, et al. Outcomes of small incision lenticule extraction (SMILE) in low myopia[J]. J Refract Surg, 2014, 30(12): 812-818.
[35]	Zhao J, He L, Yao P, et al. Diffuse lamellar keratitis after small-incision lenticule extraction[J]. J Cataract Refract Surg, 2015, 41(2): 400-407.
[36]	Blum M, Kunert K, Schröder M, et al. Femtosecond lenticule extraction for the correction of myopia: preliminary 6-month results[J]. Graefes Arch Clin Exp Ophthalmol, 2010, 248(7): 1019-1027.
[37]	Toda I. LASIK and the ocular surface[J]. Cornea, 2008, 27: S70-S76.
[38]	Vestergaard A, Ivarsen AR, Asp S, et al. Small-incision lenticule extraction for moderate to high myopia: Predictability, safety, and patient satisfaction[J]. J Cataract Refract Surg, 2012, 38(11): 2003-2010.
[39]	Ivarsen A, Asp S, Hjortdal J. Safety and complications of more than 1500 small-incision lenticule extraction procedures[J]. Ophthalmology, 2014, 121(4): 822-828.
[40]	王雁，鲍锡柳，汤欣，等．飞秒激光角膜微小切口基质透镜取出术矫正近视及近视散光的早期临床研究[J]. 中华眼科杂志，2013，49(4): 292-298.
[41]	郭云林，高晓唯，胡裕坤，等. SMILE术中不透明气泡层对术后患者视觉质量的影响[J]. 国际眼科杂志，2017，17(1): 38-42.
[42]	范罕英，张玙，杜之渝. 飞秒激光与机械刀制瓣LASIK术后视觉质量的研究进展[J]. 眼科新进展，2013，33(7): 697-700.
[43]	李仕明，何曦，翟长斌. 重视角膜屈光手术后调节功能的变化及其影响[J/CD]. 中华眼科医学杂志(电子版)，2020，10(5): 257-261.
[1]	Chiam NPY, Mehta JS. Comparing patient-reported outcomes of laser in situ keratomileusis and small-incision lenticule extraction: a review[J]. Asia Pac J Ophthalmol (Phila), 2019, 8(5): 377-384.
[2]	Moshirfar M, Somani AN, Motlagh MN, et al. Comparison of FDA-reported visual and refractive outcomes of the Toric ICL Lens, SMILE, and topography-guided LASIK for the correction of myopia and myopic astigmatism[J]. J Refract Surg, 2019, 35(11): 699-706.
[3]	Arba-Mosquera S, Kang DYS, Luger MHA, et al. Influence of extrinsic and intrinsic parameters on myopic correction in small incision lenticule extraction[J]. J Refract Surg, 2019, 35(11): 712-720.
[4]	Hjortdal JØ, Vestergaard AH, Ivarsen A, et al. Predictors for the outcome of small-incision lenticule extraction for myopia[J]. J Refract Surg, 2012, 28(12): 865-871.
[5]	Kim JR, Hwang HB, Mun SJ, et al. Efficacy, predictability, and safety of small incision lenticule extraction: 6-months prospective cohort study[J]. BMC Ophthalmol, 2014, 14: 117.
[6]	何丽，缪华茂，赵宇，等. SMILE手术矫正近视临床疗效观察[J]. 中华眼视光学和视觉科学杂志，2014，16(7): 403-407.
[7]	Pedersen IB, Ivarsen A, Hjortdal J. Three-year results of small incision lenticule extraction for high myopia: refractive outcomes and aberrations[J]. J Refract Surg, 2015, 31(11): 719-724.
[8]	Shah R, Shah S. Effect of scanning patterns on the results of femtosecond laser lenticule extraction refractive surgery[J]. J Cataract Refract Surg, 2011, 37(9): 1636-1647.
[9]	周行涛，董子献. 飞秒激光角膜屈光手术的意义与发展趋势[J]. 中华眼视光学与视觉科学杂志，2013，15(7): 388-391.
[10]	王雁. "全飞秒激光技术"的最新发展及其在SMILE手术中的应用[J]. 中华眼视光学与视觉科学杂志，2014，16(7): 388-393.
[11]	Riau AK, Angunawela RI, Chaurasia SS, et al. Early corneal wound healing and inflammatory responses after refractive lenticule extraction (ReLEx)[J]. Invest Ophthalmol Vis Sci, 2011, 52(9): 6213-6221.
[44]	邢星，李世洋，赵爱红，等. 小切口角膜基质透镜取出术1000只眼并发症的观察[J]. 中华眼外伤职业眼病杂志，2017，39(8): 619-622.
[45]	林青鸿，郑林，王骞. 飞秒激光小切口微透镜取出术并发症分析[J]. 国际眼科杂志，2017，17(7): 1378-1380.
[46]	赵武校. 飞秒激光小切口角膜基质透镜取出术术后角膜组织重建与增强术[J]. 中华实验眼科杂志，2019，37(2): 134-138.
[47]	Chan TC, Ng AL, Cheng GP, et al. Vector analysis of astigmatic correction after small-incision lenticule extraction and femtosecond-assisted LASIK for low to moderate myopic astigmatism[J]. Br J Ophthalmol, 2016, 100(4): 553-559.
[48]	梁刚，张丰菊. 飞秒激光小切口角膜基质透镜取出术在眼科临床应用的新进展[J]. 中华眼科杂志，2016，52(1): 68-72.
[49]	Mohamed-Noriega K, Toh KP, Poh R, et al. Cornea lenticule viability and structural integrity after refractive lenticule extraction(ReLEx)and cryopreservation[J]. Mol Vis, 2011, 17: 3437-3449.
[50]	Liu H, Zhu W, Jiang AC, et al. Femtosecond laser lenticule transplantation in rabbit cornea：experimental study[J]. J Refract Surg, 2012, 28(12): 907-911.
[51]	冯蕊，蒋林志，曾静. SMILE手术来源的角膜基质透镜的临床研究进展[J]. 国际眼科杂志，2019，19(8): 1334-1337.
[52]	苏红，李世洋. 新鲜异体角膜基质透镜移植治疗角膜溃疡的临床观察[J]. 中国医学工程，2019，27(8): 75-78.
[53]	Wang Y, Li X, Huang W, et al. Partial thickness cornea tissue from small incision lenticule extraction：A novel patch graft in glaucoma drainage implant surgery[J]. Medicine (Baltimore), 2019, 98(9): e14500.
[54]	李娟，周颖，李康寯，等. 角膜基质透镜泪道栓治疗兔干眼的实验研究[J]. 眼科新进展，2019，39(11): 1014-1018.

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