Research Article | | Peer-Reviewed

Comparative Analysis of the Clinical Efficacy Characteristics of Full Femtosecond Smile Correction and FS-LASIK Refractive Correction - A Population-Based Study

Received: 13 October 2023    Accepted: 27 October 2023    Published: 9 November 2023
Views:       Downloads:
Abstract

Background: The widespread use of full femtosecond laser technology in the field of refractive errors has pushed corneal refractive surgery in a non-invasive direction. Common methods include femtosecond laser-assisted excimer laser in situ corneal grinding (FS-LASIK) and femtosecond laser small incision corneal matrix lens extraction (SMILE). What are the clinical characteristics of the two after surgery and the differences in the clinical manifestations after the operation. This study will explain the advantages and disadvantages and research results of the two types of surgery. Research methods; From January 2021 to January 2023, 25 refractive irregularities (49 eyes) and 12 male patients who were corrected by FS-LASIK in the hospital; 13 cases of women were selected as the FS-LASIK group. In addition, 30 refractive irregularities (60 eyes) and 17 male patients who came to the hospital for SMILE correction at the same period were selected as the SMILE group. In the study, it is necessary to count UDVA, SE, HOAs, bulbration, comet difference, tear secretion test, TBUT, OSDI score, BCDVA, astigmatism, etc. at different time stages of preoperative and postoperative 1w, 1m, 1m, 3m and 6m before and 6m. Statistical analysis and clinical characteristics are carried out through the above data. Objective; Compare the clinical characteristics, advantages and disadvantages of femtosecond laser small incision corneal matrix lens extraction (SMILE) and femtosecond laser-assisted excimer laser in situ corneal grinding (FS-LASIK) in the treatment of refractive errors. Results; Compared with the two groups of patients, the differences in postoperative UDVA, SE, HOAs, spherical aberration, comet difference, tear secretion test, TBUT and OSDI scores were statistically significant (P <0.05), but the differences between BCDVA and astigmatism were not statistically significant (P >0.05). The HOAs of SMILE group patients (30) were lower than those in the FS-LASIK group (P <0.05). The coma difference between 1 week and January to June after surgery in the SMILE group was higher than that in the FS-LASIK group (P <0.05). The TBUT of patients in the SMILE group was significantly longer than that of the FS-LASIK group (P <0.05).

Published in International Journal of Ophthalmology & Visual Science (Volume 8, Issue 3)
DOI 10.11648/j.ijovs.20230803.12
Page(s) 44-47
Creative Commons

This is an Open Access article, 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 or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Corat Cornet Fifitting Surgery, Femtosecond Laser-Assisted Excimer Laser, Myopia, Smile Surgery, Fs-Lasik, Surgery

References
[1] Ma Jing, XIA Li-Kun, LIU Henan. Comparison of the efficacy of SMILE and FS-LASIK in the treatment of patients with high myopia astigmatism [J]. New Advances in Ophthalmology, 2019, 43 (2) : 116-121.
[2] IVARSEN A, ASP S, HJORTDAL J. Safety and complications of more than 1500 small-incision lenticule extraction procedures[J]. Ophthalmology, 2020, 121(4): 822-828.
[3] HAN T, XU Y, HAN X, ZENG L, SHANG J, CHEN X, et al. Three-year outcomes of small incision lenticule extraction (SMILE) and femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK) for myopia and myopic astigmatism [J]. Br J Ophthalmol, 2021, 103(4): 565-568.
[4] DE BENITO-LLOPIS L, TEUS MA, SANCHEZ-PINA J M, GILCAZORLA R. Influence of preope rative keratometry on refractive results after laser-assisted subepithelial keratectomy to correct myopia [J]. J Cataract Refract Surg, 2018, 34(6): 968-973.
[5] XIA L K, MA J, LIU H N, SHI C, HUANG Q. Three-year results of small incision lenticule extraction and wavefront-guided femtosecond laser-assisted laser in situ keratomileusis for correction of high myopia and myopic astigmatism [J]. Int JOphthalmol, 2020, 11(3): 470-477.
[6] KAMIYA K, SHIMIZU K, IGARASHI A, KOBASHI H, KOMATSU M. Comparison of visual acuity, higher-order aberrations and corneal asphericity after refractive lenticule extraction and wavefront-guided laser-assisted in situ keratomileusis for myopia [J]. Br J Ophthalmol, 2013, 97(8): 968-975.
[7] SHAH R, SHAH S, SENGUPTA S. Results of small incision lenticule extraction: all-in-one femtosecond laser refractive surgery [J]. J Cataract Refract Surg, 2019, 37(1): 127-137.
[8] TANERI S, KIESSLER S, ROST A, SCHULTZ T, DICK H B. Small incision lenticule extraction for the correction of high myopia [J]. Eur J Ophthalmol, 2020, 30(5): 917-927.
[9] RANDLEMAN J B, DAWSON D G, GROSSNIKLAUS H E, MCCAREY B E, EDELHAUSER H F. Depth-dependent cohesive tensile strength in human donor corneas: implications for refractive surgery [J]. J Refract Surg, 2018, 24(1): S85-S89.
[10] IVARSEN A, HJORTDAL J. Correction of myopic astigmatism with small incision lenticule extraction [J]. J Refract Surg, 2022, 30(4): 240-247.
[11] ZHANG J, WANG Y, CHEN X. Comparison of moderate-to high-astigmatism corrections using wavefront-guided laser in situ keratomileusis and small-incision lenticule extraction [J]. Cornea, 2023, 35(4): 523-530.
[12] PEDERSEN I B, IVARSEN A, HJORTDAL J. Changes in astigmatism, densitometry, and aberrations after smile for low to high myopic astigmatism: a 12-month prospective study [J]. J Refract Surg, 2023, 33(1): 11-17.
[13] CHAN T C, NG A L, CHENG G P, WANG Z, YE C, WOO VCP, 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 phthalmol, 2019, 100(4): 553-559.
[14] JUN I, KANG D S Y, REINSTEIN D Z, ARBA-MOSQUERA S, ARCHER T J, SEO K Y, et al. Clinical outcomes of SMILE with a triple centration technique and corneal wavefrontguided transepithelial PRK in high astigmatism [J]. J Refract Surg, 2021, 34(3): 156-163.
[15] ALIÓDEL BARRIO J L, VARGAS V, AL-SHYMALI O, ALIÓJ L. Small incision lenticule extraction (SMILE) in the correction of myopic astigmatism: outcomes and limitations-an update [J]. Eye Vis (Lond), 2022, 4: 26.
[16] SEKUNDO W, GERTNERE J, BERTELMANN T, SOLOMATIN I. One-year refractive results, contrast sensitivity, highorder aberrations and complications after myopic small-incision lenticule extraction (ReLEx SMILE)[J]. Graefes Arch Clin Exp Ophthalmol, 2023, 252(5): 837-843.
[17] LIN F, XU Y, YANG Y. Comparison of the visual results after SMILE and femtosecond laser-assisted LASIK for myopia [J]. J Refract Surg, 2022, 30(4): 248-254.
[18] 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, 2023, 30(9): 590-596.
[19] FANG L, WANG Y, HE X. Theoretical analysis of wavefront aberration caused by treatment decentration and transition zone after custom myopic laser refractive surgery [J]. J Cataract Refract Surg, 2022, 39(9): 1336-1347.
[20] SUN C C, CHANG C K, MA D H, LIN Y F, CHEN K J, SUN M H, et al. Dry eye after LASIK with a femtosecond laser or a mechanical microkeratome [J]. Optom Vis Sci, 2019, 90 (10): 1048-1056.
[21] DONNENFELD E D, EHRENHAUS M, SOLOMON RMAZUREK J, ROZELL J C, PERRY H D. Effect of hinge width on corneal sensation and dry eye after laser in situ keratomileusis [J] Cataract Refract Surg, 2018, 30(4): 790-797.
[22] WANG D, LIU M, CHEN Y, ZHANG X Y, XU Y T, WANG J C, et al. Differences in the corneal biomechanical changes after SMILE and LASIK [J]. J Refract Surg, 2023, 30 (10): 702- 707.
[23] XU Y, YANG Y. Dry eye after small incision lenticule extraction and LASIK for myopia [J]. J Refract Surg, 2022, 30(3): 186-190.
[24] J M B, Arne O, Pablo D S, et al. Prediction of refractive error and its progression: a machine learning-based algorithm. [J]. BMJ open ophthalmology, 2023, 8(1).
[25] Pierce G. Creating a positive patient financial journey for refractive error procedures [J]. Ophthalmology Times, 2023, 48(9).
Cite This Article
  • APA Style

    Tao, W., Chao, L. (2023). Comparative Analysis of the Clinical Efficacy Characteristics of Full Femtosecond Smile Correction and FS-LASIK Refractive Correction - A Population-Based Study. International Journal of Ophthalmology & Visual Science, 8(3), 44-47. https://doi.org/10.11648/j.ijovs.20230803.12

    Copy | Download

    ACS Style

    Tao, W.; Chao, L. Comparative Analysis of the Clinical Efficacy Characteristics of Full Femtosecond Smile Correction and FS-LASIK Refractive Correction - A Population-Based Study. Int. J. Ophthalmol. Vis. Sci. 2023, 8(3), 44-47. doi: 10.11648/j.ijovs.20230803.12

    Copy | Download

    AMA Style

    Tao W, Chao L. Comparative Analysis of the Clinical Efficacy Characteristics of Full Femtosecond Smile Correction and FS-LASIK Refractive Correction - A Population-Based Study. Int J Ophthalmol Vis Sci. 2023;8(3):44-47. doi: 10.11648/j.ijovs.20230803.12

    Copy | Download

  • @article{10.11648/j.ijovs.20230803.12,
      author = {Wang Tao and Liu Chao},
      title = {Comparative Analysis of the Clinical Efficacy Characteristics of Full Femtosecond Smile Correction and FS-LASIK Refractive Correction - A Population-Based Study},
      journal = {International Journal of Ophthalmology & Visual Science},
      volume = {8},
      number = {3},
      pages = {44-47},
      doi = {10.11648/j.ijovs.20230803.12},
      url = {https://doi.org/10.11648/j.ijovs.20230803.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20230803.12},
      abstract = {Background: The widespread use of full femtosecond laser technology in the field of refractive errors has pushed corneal refractive surgery in a non-invasive direction. Common methods include femtosecond laser-assisted excimer laser in situ corneal grinding (FS-LASIK) and femtosecond laser small incision corneal matrix lens extraction (SMILE). What are the clinical characteristics of the two after surgery and the differences in the clinical manifestations after the operation. This study will explain the advantages and disadvantages and research results of the two types of surgery. Research methods; From January 2021 to January 2023, 25 refractive irregularities (49 eyes) and 12 male patients who were corrected by FS-LASIK in the hospital; 13 cases of women were selected as the FS-LASIK group. In addition, 30 refractive irregularities (60 eyes) and 17 male patients who came to the hospital for SMILE correction at the same period were selected as the SMILE group. In the study, it is necessary to count UDVA, SE, HOAs, bulbration, comet difference, tear secretion test, TBUT, OSDI score, BCDVA, astigmatism, etc. at different time stages of preoperative and postoperative 1w, 1m, 1m, 3m and 6m before and 6m. Statistical analysis and clinical characteristics are carried out through the above data. Objective; Compare the clinical characteristics, advantages and disadvantages of femtosecond laser small incision corneal matrix lens extraction (SMILE) and femtosecond laser-assisted excimer laser in situ corneal grinding (FS-LASIK) in the treatment of refractive errors. Results; Compared with the two groups of patients, the differences in postoperative UDVA, SE, HOAs, spherical aberration, comet difference, tear secretion test, TBUT and OSDI scores were statistically significant (P 0.05). The HOAs of SMILE group patients (30) were lower than those in the FS-LASIK group (P <0.05). The coma difference between 1 week and January to June after surgery in the SMILE group was higher than that in the FS-LASIK group (P <0.05). The TBUT of patients in the SMILE group was significantly longer than that of the FS-LASIK group (P <0.05).
    },
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Comparative Analysis of the Clinical Efficacy Characteristics of Full Femtosecond Smile Correction and FS-LASIK Refractive Correction - A Population-Based Study
    AU  - Wang Tao
    AU  - Liu Chao
    Y1  - 2023/11/09
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijovs.20230803.12
    DO  - 10.11648/j.ijovs.20230803.12
    T2  - International Journal of Ophthalmology & Visual Science
    JF  - International Journal of Ophthalmology & Visual Science
    JO  - International Journal of Ophthalmology & Visual Science
    SP  - 44
    EP  - 47
    PB  - Science Publishing Group
    SN  - 2637-3858
    UR  - https://doi.org/10.11648/j.ijovs.20230803.12
    AB  - Background: The widespread use of full femtosecond laser technology in the field of refractive errors has pushed corneal refractive surgery in a non-invasive direction. Common methods include femtosecond laser-assisted excimer laser in situ corneal grinding (FS-LASIK) and femtosecond laser small incision corneal matrix lens extraction (SMILE). What are the clinical characteristics of the two after surgery and the differences in the clinical manifestations after the operation. This study will explain the advantages and disadvantages and research results of the two types of surgery. Research methods; From January 2021 to January 2023, 25 refractive irregularities (49 eyes) and 12 male patients who were corrected by FS-LASIK in the hospital; 13 cases of women were selected as the FS-LASIK group. In addition, 30 refractive irregularities (60 eyes) and 17 male patients who came to the hospital for SMILE correction at the same period were selected as the SMILE group. In the study, it is necessary to count UDVA, SE, HOAs, bulbration, comet difference, tear secretion test, TBUT, OSDI score, BCDVA, astigmatism, etc. at different time stages of preoperative and postoperative 1w, 1m, 1m, 3m and 6m before and 6m. Statistical analysis and clinical characteristics are carried out through the above data. Objective; Compare the clinical characteristics, advantages and disadvantages of femtosecond laser small incision corneal matrix lens extraction (SMILE) and femtosecond laser-assisted excimer laser in situ corneal grinding (FS-LASIK) in the treatment of refractive errors. Results; Compared with the two groups of patients, the differences in postoperative UDVA, SE, HOAs, spherical aberration, comet difference, tear secretion test, TBUT and OSDI scores were statistically significant (P 0.05). The HOAs of SMILE group patients (30) were lower than those in the FS-LASIK group (P <0.05). The coma difference between 1 week and January to June after surgery in the SMILE group was higher than that in the FS-LASIK group (P <0.05). The TBUT of patients in the SMILE group was significantly longer than that of the FS-LASIK group (P <0.05).
    
    VL  - 8
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of Ophthalmology, Ding Zhou Tian Shun Eye Hospital, Baoding, China

  • Department of Surgery, Clinical Medicine, University Prima Indonesia, Medan, Indonesia

  • Sections