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SMILE for the Treatment of Residual Refractive Error After Cataract Surgery

INTRODUCTION: In the context of managing patients’ expectations and satisfaction regarding visual acuity after cataract surgery, we aimed to investigate the improvement in visual acuity and patient satisfaction after small-incision lenticule extraction (SMILE) in pseudophakic (trifocal intraocular l...

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Autores principales: Semiz, Faruk, Lokaj, Anita Syla, Musa, Njomza Hima, Semiz, Ceren Ece, Demirsoy, Zekeriya Alp, Semiz, Olcay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9253212/
https://www.ncbi.nlm.nih.gov/pubmed/35643966
http://dx.doi.org/10.1007/s40123-022-00526-7
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author Semiz, Faruk
Lokaj, Anita Syla
Musa, Njomza Hima
Semiz, Ceren Ece
Demirsoy, Zekeriya Alp
Semiz, Olcay
author_facet Semiz, Faruk
Lokaj, Anita Syla
Musa, Njomza Hima
Semiz, Ceren Ece
Demirsoy, Zekeriya Alp
Semiz, Olcay
author_sort Semiz, Faruk
collection PubMed
description INTRODUCTION: In the context of managing patients’ expectations and satisfaction regarding visual acuity after cataract surgery, we aimed to investigate the improvement in visual acuity and patient satisfaction after small-incision lenticule extraction (SMILE) in pseudophakic (trifocal intraocular lens, IOL) patients with residual myopic refraction after cataract surgery. METHODS: Seventy-six patients (82 eyes) who underwent cataract surgery with ZEISS AT LISA tri 839MP IOL implantation were included in this retrospective study. The included patients were 56–79 years old, wanted spectacle independence, and had preoperative myopic refraction between − 1.0 and − 2.25 diopters (D) and astigmatism between − 0.75 and − 1.75 D. The treatment status of these patients was defined as trifocal IOL (n = 82). SMILE was performed in patients who were dissatisfied after cataract surgery, and these patients were followed up for 1 year on average. We evaluated visual acuity and satisfaction and further examined laser vision correction and satisfaction levels in patients who were dissatisfied after trifocal IOL implantation. RESULTS: The possible reasons for patient dissatisfaction were reading books, using a computer, and driving at night. After SMILE, the residual myopic refractive error (spherical) decreased significantly from − 2.08 ± 0.28 [− 2.25 to − 1.0] preoperatively to − 0.25 ± 0.20 − 0.5 to 0] 1 year postoperatively (p < 0.001). Additionally, the uncorrected distance visual acuity increased from 0.65 ± 0.08 [0.52–0.7] logMAR preoperatively to 0.09 ± 0.02 [0.05–0.1] logMAR at 1 month postoperatively (p < 0.001), 0.09 ± 0.02 [0.05–0.1] logMAR at 6 months postoperatively, and 0.06 ± 0.02 [0.05–0.1] logMAR at 12 months postoperatively (p < 0.001). Patient satisfaction measures after SMILE (reading, night driving, and using a computer) were significantly improved. CONCLUSION: SMILE is a reliable method for treating residual refraction after cataract surgery, as it provides results in the shortest time without complications and increases patient satisfaction. TRIAL REGISTRATION: The protocol was registered on clinicaltrials.gov (NCT04693663).
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spelling pubmed-92532122022-07-06 SMILE for the Treatment of Residual Refractive Error After Cataract Surgery Semiz, Faruk Lokaj, Anita Syla Musa, Njomza Hima Semiz, Ceren Ece Demirsoy, Zekeriya Alp Semiz, Olcay Ophthalmol Ther Original Research INTRODUCTION: In the context of managing patients’ expectations and satisfaction regarding visual acuity after cataract surgery, we aimed to investigate the improvement in visual acuity and patient satisfaction after small-incision lenticule extraction (SMILE) in pseudophakic (trifocal intraocular lens, IOL) patients with residual myopic refraction after cataract surgery. METHODS: Seventy-six patients (82 eyes) who underwent cataract surgery with ZEISS AT LISA tri 839MP IOL implantation were included in this retrospective study. The included patients were 56–79 years old, wanted spectacle independence, and had preoperative myopic refraction between − 1.0 and − 2.25 diopters (D) and astigmatism between − 0.75 and − 1.75 D. The treatment status of these patients was defined as trifocal IOL (n = 82). SMILE was performed in patients who were dissatisfied after cataract surgery, and these patients were followed up for 1 year on average. We evaluated visual acuity and satisfaction and further examined laser vision correction and satisfaction levels in patients who were dissatisfied after trifocal IOL implantation. RESULTS: The possible reasons for patient dissatisfaction were reading books, using a computer, and driving at night. After SMILE, the residual myopic refractive error (spherical) decreased significantly from − 2.08 ± 0.28 [− 2.25 to − 1.0] preoperatively to − 0.25 ± 0.20 − 0.5 to 0] 1 year postoperatively (p < 0.001). Additionally, the uncorrected distance visual acuity increased from 0.65 ± 0.08 [0.52–0.7] logMAR preoperatively to 0.09 ± 0.02 [0.05–0.1] logMAR at 1 month postoperatively (p < 0.001), 0.09 ± 0.02 [0.05–0.1] logMAR at 6 months postoperatively, and 0.06 ± 0.02 [0.05–0.1] logMAR at 12 months postoperatively (p < 0.001). Patient satisfaction measures after SMILE (reading, night driving, and using a computer) were significantly improved. CONCLUSION: SMILE is a reliable method for treating residual refraction after cataract surgery, as it provides results in the shortest time without complications and increases patient satisfaction. TRIAL REGISTRATION: The protocol was registered on clinicaltrials.gov (NCT04693663). Springer Healthcare 2022-05-28 2022-08 /pmc/articles/PMC9253212/ /pubmed/35643966 http://dx.doi.org/10.1007/s40123-022-00526-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Semiz, Faruk
Lokaj, Anita Syla
Musa, Njomza Hima
Semiz, Ceren Ece
Demirsoy, Zekeriya Alp
Semiz, Olcay
SMILE for the Treatment of Residual Refractive Error After Cataract Surgery
title SMILE for the Treatment of Residual Refractive Error After Cataract Surgery
title_full SMILE for the Treatment of Residual Refractive Error After Cataract Surgery
title_fullStr SMILE for the Treatment of Residual Refractive Error After Cataract Surgery
title_full_unstemmed SMILE for the Treatment of Residual Refractive Error After Cataract Surgery
title_short SMILE for the Treatment of Residual Refractive Error After Cataract Surgery
title_sort smile for the treatment of residual refractive error after cataract surgery
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9253212/
https://www.ncbi.nlm.nih.gov/pubmed/35643966
http://dx.doi.org/10.1007/s40123-022-00526-7
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