Cargando…

Long-term Results of Small-incision Lenticule Extraction in High Myopia

OBJECTIVES: To evaluate two-year results of small-incision lenticule extraction (SMILE) for correction of high myopia. MATERIALS AND METHODS: Forty-five eyes of 35 patients with mean spherical equivalent (SE) of -7.10±0.95 D who underwent routine SMILE by a single surgeon and were followed for at le...

Descripción completa

Detalles Bibliográficos
Autores principales: Yıldırım, Yusuf, Alagöz, Cengiz, Demir, Abdülvahit, Ölçücü, Onur, Özveren, Mehmet, Ağca, Alper, Özgürhan, Engin Bilge, Demirok, Ahmet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5200830/
https://www.ncbi.nlm.nih.gov/pubmed/28058160
http://dx.doi.org/10.4274/tjo.22605
_version_ 1782489250433859584
author Yıldırım, Yusuf
Alagöz, Cengiz
Demir, Abdülvahit
Ölçücü, Onur
Özveren, Mehmet
Ağca, Alper
Özgürhan, Engin Bilge
Demirok, Ahmet
author_facet Yıldırım, Yusuf
Alagöz, Cengiz
Demir, Abdülvahit
Ölçücü, Onur
Özveren, Mehmet
Ağca, Alper
Özgürhan, Engin Bilge
Demirok, Ahmet
author_sort Yıldırım, Yusuf
collection PubMed
description OBJECTIVES: To evaluate two-year results of small-incision lenticule extraction (SMILE) for correction of high myopia. MATERIALS AND METHODS: Forty-five eyes of 35 patients with mean spherical equivalent (SE) of -7.10±0.95 D who underwent routine SMILE by a single surgeon and were followed for at least 2 years were analyzed by retrospective chart review. SMILE was performed with a Visumax femtosecond laser (Carl Zeiss Meditec, Jena, Germany). Follow-up intervals were at 1, 6, 12, and 24 months after surgery. Uncorrected and best corrected distance visual acuity (CDVA), corneal wavefront measurements, and all complications were recorded. RESULTS: After 2 years, 86% of eyes with plano target had an uncorrected distant visual acuity (VA) of 20/20 or better. Two percent of eyes lost 1 line of CDVA, while 32% gained 1 line. The mean SE after 2 years was -0.30±0.50 D. Corneal total high-order aberrations (HOA) increased from 0.43 to 0.92 μm at postoperative 12 months. There were metallic foreign bodies at the corneal interface in 1 eye of 1 patient which caused no decrease in VA. CONCLUSION: SMILE for high myopia seems safe and effective in light of two-year follow-up results. The procedure caused a moderate increase in HOA.
format Online
Article
Text
id pubmed-5200830
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Galenos Publishing
record_format MEDLINE/PubMed
spelling pubmed-52008302017-01-05 Long-term Results of Small-incision Lenticule Extraction in High Myopia Yıldırım, Yusuf Alagöz, Cengiz Demir, Abdülvahit Ölçücü, Onur Özveren, Mehmet Ağca, Alper Özgürhan, Engin Bilge Demirok, Ahmet Turk J Ophthalmol Original Article OBJECTIVES: To evaluate two-year results of small-incision lenticule extraction (SMILE) for correction of high myopia. MATERIALS AND METHODS: Forty-five eyes of 35 patients with mean spherical equivalent (SE) of -7.10±0.95 D who underwent routine SMILE by a single surgeon and were followed for at least 2 years were analyzed by retrospective chart review. SMILE was performed with a Visumax femtosecond laser (Carl Zeiss Meditec, Jena, Germany). Follow-up intervals were at 1, 6, 12, and 24 months after surgery. Uncorrected and best corrected distance visual acuity (CDVA), corneal wavefront measurements, and all complications were recorded. RESULTS: After 2 years, 86% of eyes with plano target had an uncorrected distant visual acuity (VA) of 20/20 or better. Two percent of eyes lost 1 line of CDVA, while 32% gained 1 line. The mean SE after 2 years was -0.30±0.50 D. Corneal total high-order aberrations (HOA) increased from 0.43 to 0.92 μm at postoperative 12 months. There were metallic foreign bodies at the corneal interface in 1 eye of 1 patient which caused no decrease in VA. CONCLUSION: SMILE for high myopia seems safe and effective in light of two-year follow-up results. The procedure caused a moderate increase in HOA. Galenos Publishing 2016-10 2016-10-17 /pmc/articles/PMC5200830/ /pubmed/28058160 http://dx.doi.org/10.4274/tjo.22605 Text en ©Turkish Journal of Ophthalmology, Published by Galenos Publishing. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yıldırım, Yusuf
Alagöz, Cengiz
Demir, Abdülvahit
Ölçücü, Onur
Özveren, Mehmet
Ağca, Alper
Özgürhan, Engin Bilge
Demirok, Ahmet
Long-term Results of Small-incision Lenticule Extraction in High Myopia
title Long-term Results of Small-incision Lenticule Extraction in High Myopia
title_full Long-term Results of Small-incision Lenticule Extraction in High Myopia
title_fullStr Long-term Results of Small-incision Lenticule Extraction in High Myopia
title_full_unstemmed Long-term Results of Small-incision Lenticule Extraction in High Myopia
title_short Long-term Results of Small-incision Lenticule Extraction in High Myopia
title_sort long-term results of small-incision lenticule extraction in high myopia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5200830/
https://www.ncbi.nlm.nih.gov/pubmed/28058160
http://dx.doi.org/10.4274/tjo.22605
work_keys_str_mv AT yıldırımyusuf longtermresultsofsmallincisionlenticuleextractioninhighmyopia
AT alagozcengiz longtermresultsofsmallincisionlenticuleextractioninhighmyopia
AT demirabdulvahit longtermresultsofsmallincisionlenticuleextractioninhighmyopia
AT olcucuonur longtermresultsofsmallincisionlenticuleextractioninhighmyopia
AT ozverenmehmet longtermresultsofsmallincisionlenticuleextractioninhighmyopia
AT agcaalper longtermresultsofsmallincisionlenticuleextractioninhighmyopia
AT ozgurhanenginbilge longtermresultsofsmallincisionlenticuleextractioninhighmyopia
AT demirokahmet longtermresultsofsmallincisionlenticuleextractioninhighmyopia