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Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysis
Small incision lenticule extraction (SMILE) and femtosecond laser in situ keratomileusis (FS-LASIK) have been extensively studied as the main surgical methods for corneal refractive surgery. However, there is no consensus on whether SMILE is superior to FS-LASIK in corneal biomechanics. Therefore, t...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419641/ https://www.ncbi.nlm.nih.gov/pubmed/37565903 http://dx.doi.org/10.1097/MD.0000000000034580 |
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author | Chen, Songbai Ma, Hongjie Zhao, Congling |
author_facet | Chen, Songbai Ma, Hongjie Zhao, Congling |
author_sort | Chen, Songbai |
collection | PubMed |
description | Small incision lenticule extraction (SMILE) and femtosecond laser in situ keratomileusis (FS-LASIK) have been extensively studied as the main surgical methods for corneal refractive surgery. However, there is no consensus on whether SMILE is superior to FS-LASIK in corneal biomechanics. Therefore, this systematic review and meta-analysis used the results of ocular response analyzer and corvis ST to explore whether SMILE is superior to FS-LASIK in corneal biomechanics. METHODS: The literature was searched in PubMed, EMBASE, and Controlled Trials Register databases. The Cochrane Collaboration’s “risk of bias” tool was used to evaluate the quality of the included randomized clinical trials, and the Newcastle-Ottawa Scale was used to evaluate the included non-randomized controlled trials. The results were analyzed using Revman 5.3. RESULTS: Sixteen studies (3 randomized clinical trials and 13 non-randomized controlled trials) were included in this meta-analysis. There was no statistical difference in corneal biomechanics between SMILE and FS-LASIK in corneal hysteresis [mean difference (MD), 0.20; 95% confidence interval (CI): −0.09, 0.49; P = .18] and corneal resistant factor (MD, 0.31; 95% CI: −0.09, 0.71; P = .13), A1 time (MD, −0.02; 95% CI: −0.11, 0.07; P = .66), A1 length (MD, 0.01; 95% CI: −0.01, 0.03; P = .42), A1 velocity (MD, 0.00; 95% CI: −0.01, 0.01; P = .85), A2 velocity (MD, −0.01; 95% CI: −0.11, 0.09; P = .86), HC time (MD, 0.12; 95% CI: −0.13, 0.38; P = .35), The stiffness parameter at first applanation (MD, −7.91; 95% CI: −17.96, 2.14; P = .12), The ratio between the deformation amplitude 2 mm away from apex and the apical deformation (MD, 0.01; 95% CI: −0.26, 0.27; P = .96). CONCLUSION: A comprehensive assessment of the parameters of ocular response analyzer and corvis ST showed that SMILE is not superior to LASIK in corneal biomechanics 3 months post-surgery. |
format | Online Article Text |
id | pubmed-10419641 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-104196412023-08-12 Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysis Chen, Songbai Ma, Hongjie Zhao, Congling Medicine (Baltimore) 5800 Small incision lenticule extraction (SMILE) and femtosecond laser in situ keratomileusis (FS-LASIK) have been extensively studied as the main surgical methods for corneal refractive surgery. However, there is no consensus on whether SMILE is superior to FS-LASIK in corneal biomechanics. Therefore, this systematic review and meta-analysis used the results of ocular response analyzer and corvis ST to explore whether SMILE is superior to FS-LASIK in corneal biomechanics. METHODS: The literature was searched in PubMed, EMBASE, and Controlled Trials Register databases. The Cochrane Collaboration’s “risk of bias” tool was used to evaluate the quality of the included randomized clinical trials, and the Newcastle-Ottawa Scale was used to evaluate the included non-randomized controlled trials. The results were analyzed using Revman 5.3. RESULTS: Sixteen studies (3 randomized clinical trials and 13 non-randomized controlled trials) were included in this meta-analysis. There was no statistical difference in corneal biomechanics between SMILE and FS-LASIK in corneal hysteresis [mean difference (MD), 0.20; 95% confidence interval (CI): −0.09, 0.49; P = .18] and corneal resistant factor (MD, 0.31; 95% CI: −0.09, 0.71; P = .13), A1 time (MD, −0.02; 95% CI: −0.11, 0.07; P = .66), A1 length (MD, 0.01; 95% CI: −0.01, 0.03; P = .42), A1 velocity (MD, 0.00; 95% CI: −0.01, 0.01; P = .85), A2 velocity (MD, −0.01; 95% CI: −0.11, 0.09; P = .86), HC time (MD, 0.12; 95% CI: −0.13, 0.38; P = .35), The stiffness parameter at first applanation (MD, −7.91; 95% CI: −17.96, 2.14; P = .12), The ratio between the deformation amplitude 2 mm away from apex and the apical deformation (MD, 0.01; 95% CI: −0.26, 0.27; P = .96). CONCLUSION: A comprehensive assessment of the parameters of ocular response analyzer and corvis ST showed that SMILE is not superior to LASIK in corneal biomechanics 3 months post-surgery. Lippincott Williams & Wilkins 2023-08-11 /pmc/articles/PMC10419641/ /pubmed/37565903 http://dx.doi.org/10.1097/MD.0000000000034580 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | 5800 Chen, Songbai Ma, Hongjie Zhao, Congling Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysis |
title | Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysis |
title_full | Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysis |
title_fullStr | Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysis |
title_full_unstemmed | Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysis |
title_short | Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysis |
title_sort | corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: a systematic review and meta-analysis |
topic | 5800 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419641/ https://www.ncbi.nlm.nih.gov/pubmed/37565903 http://dx.doi.org/10.1097/MD.0000000000034580 |
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