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Safety and satisfaction of myopic small-incision lenticule extraction combined with monovision
BACKGROUND: To investigate the safety and optical quality of small-incision lenticule extraction (SMILE) combined with monovision, and patient satisfaction with the procedure. METHODS: The present study assessed a non-random case series involving 60 eyes of 30 patients (mean age 45.53 ± 3.20 years [...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984466/ https://www.ncbi.nlm.nih.gov/pubmed/29855287 http://dx.doi.org/10.1186/s12886-018-0794-2 |
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author | Fu, Dan Zeng, Li Zhao, Jing Miao, Hua-mao Yu, Zhi-qiang Zhou, Xing-tao |
author_facet | Fu, Dan Zeng, Li Zhao, Jing Miao, Hua-mao Yu, Zhi-qiang Zhou, Xing-tao |
author_sort | Fu, Dan |
collection | PubMed |
description | BACKGROUND: To investigate the safety and optical quality of small-incision lenticule extraction (SMILE) combined with monovision, and patient satisfaction with the procedure. METHODS: The present study assessed a non-random case series involving 60 eyes of 30 patients (mean age 45.53 ± 3.20 years [range 41 to 52 years]) treated bilaterally using the VisuMax 500 system (Carl Zeiss Meditec, Jena, Germany) between January and July 2016. The target refraction was plano for the distance eye, and between − 0.5 and − 1.75 diopters (D) for the near eye. Visual acuity, refraction errors, ocular aberrations, and satisfaction questionnaire scores were calculated 1 year after surgery. RESULTS: All surgeries were uneventful, with a mean safety index of 1.03 and 1.04 in dominant and nondominant eyes, respectively. Binocular uncorrected distance visual acuity of all patients was ≥20/32, while binocular uncorrected near visual acuity was ≥20/40 1 year postoperatively. Higher-order aberration (0.45 ± 0.14, 0.51 ± 0.15 μm), spherical (0.18 ± 0.15, 0.21 ± 0.14 μm) and coma aberration (0.31 ± 0.16, 0.27 ± 0.17 μm) were identical between dominant and nondominant eyes after surgery. The overall satisfaction rate was 86.7% (26/30), with large contributions from age (OR = 1.76 95% CI: 1.03–2.53; P = 0.036). Binocular uncorrected distance visual acuity was related to preoperative spherical diopter (r = − 0.500; P = 0.005). CONCLUSIONS: Monovision appears to be a safe and effective option for myopia patients with presbyopia who are considering the SMILE procedure. Patients with younger age were more satisfied with the procedure. |
format | Online Article Text |
id | pubmed-5984466 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-59844662018-06-07 Safety and satisfaction of myopic small-incision lenticule extraction combined with monovision Fu, Dan Zeng, Li Zhao, Jing Miao, Hua-mao Yu, Zhi-qiang Zhou, Xing-tao BMC Ophthalmol Research Article BACKGROUND: To investigate the safety and optical quality of small-incision lenticule extraction (SMILE) combined with monovision, and patient satisfaction with the procedure. METHODS: The present study assessed a non-random case series involving 60 eyes of 30 patients (mean age 45.53 ± 3.20 years [range 41 to 52 years]) treated bilaterally using the VisuMax 500 system (Carl Zeiss Meditec, Jena, Germany) between January and July 2016. The target refraction was plano for the distance eye, and between − 0.5 and − 1.75 diopters (D) for the near eye. Visual acuity, refraction errors, ocular aberrations, and satisfaction questionnaire scores were calculated 1 year after surgery. RESULTS: All surgeries were uneventful, with a mean safety index of 1.03 and 1.04 in dominant and nondominant eyes, respectively. Binocular uncorrected distance visual acuity of all patients was ≥20/32, while binocular uncorrected near visual acuity was ≥20/40 1 year postoperatively. Higher-order aberration (0.45 ± 0.14, 0.51 ± 0.15 μm), spherical (0.18 ± 0.15, 0.21 ± 0.14 μm) and coma aberration (0.31 ± 0.16, 0.27 ± 0.17 μm) were identical between dominant and nondominant eyes after surgery. The overall satisfaction rate was 86.7% (26/30), with large contributions from age (OR = 1.76 95% CI: 1.03–2.53; P = 0.036). Binocular uncorrected distance visual acuity was related to preoperative spherical diopter (r = − 0.500; P = 0.005). CONCLUSIONS: Monovision appears to be a safe and effective option for myopia patients with presbyopia who are considering the SMILE procedure. Patients with younger age were more satisfied with the procedure. BioMed Central 2018-05-31 /pmc/articles/PMC5984466/ /pubmed/29855287 http://dx.doi.org/10.1186/s12886-018-0794-2 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Fu, Dan Zeng, Li Zhao, Jing Miao, Hua-mao Yu, Zhi-qiang Zhou, Xing-tao Safety and satisfaction of myopic small-incision lenticule extraction combined with monovision |
title | Safety and satisfaction of myopic small-incision lenticule extraction combined with monovision |
title_full | Safety and satisfaction of myopic small-incision lenticule extraction combined with monovision |
title_fullStr | Safety and satisfaction of myopic small-incision lenticule extraction combined with monovision |
title_full_unstemmed | Safety and satisfaction of myopic small-incision lenticule extraction combined with monovision |
title_short | Safety and satisfaction of myopic small-incision lenticule extraction combined with monovision |
title_sort | safety and satisfaction of myopic small-incision lenticule extraction combined with monovision |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984466/ https://www.ncbi.nlm.nih.gov/pubmed/29855287 http://dx.doi.org/10.1186/s12886-018-0794-2 |
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