Efficacy comparison of small-incision lenticule extraction and femtosecond assisted laser in situ keratomileusis in the treatment of myopia with astigmatism
10.3980/j.issn.1672-5123.2025.2.21
- VernacularTitle:SMILE与FS-LASIK治疗近视伴散光的疗效比较
- Author:
Min ZHOU
1
;
Suying YU
1
;
Wanjiang DONG
1
;
Long CHEN
1
;
Miao HE
1
Author Information
1. Department of Refraction, Mianyang Wanjiang Eye Hospital, Mianyang 621000, Sichuan Province, China
- Publication Type:Journal Article
- Keywords:
myopia;
astigmatism;
surgery;
femtosecond laser;
vision;
corneal sensitivity;
ocular surface morphology;
complication;
quality of life
- From:
International Eye Science
2025;25(2):292-296
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To compare the efficacy of small-incision lenticule extraction(SMILE)and femtosecond assisted laser in situ keratomileusis(FS-LASIK)in the treatment of patients with myopia and astigmatism.METHODS: Retrospective analysis. A total of 100 cases(200 eyes)of patients with myopia and astigmatism treated in our hospital from December 2021 to December 2022 were collected. Among them, 50 cases(100 eyes)were divided into SMILE group and 50 cases(100 eyes)were divided into FS-LASIK group according to the treatment plans. The visual acuity and astigmatism, corneal morphology parameters, subjective visual quality scores, ocular surface indicators, postoperative complications, and quality of life were compared between the two groups before and after surgery.RESULTS: There was no significant difference in uncorrected visual acuity(UCVA), best corrected visual acuity(BCVA), astigmatism, corneal asphericity Q value, corneal surface regularity index(SRI), corneal thickness, and corneal curvature between the two groups before surgery and at 1 d, 1, and 6 mo after surgery(all P>0.05). At 1 and 6 mo after surgery, the subjective visual quality score, the quality of life score, Schirmer I test(SⅠt)and tear film break-up time(BUT)in the SMILE group were better than that in the FS-LASIK group(all P<0.05). The incidence of complications in the SMILE group was lower than that in the FS-LASIK group at 6 mo after surgery(P=0.005).CONCLUSION: Both SMILE and FS-LASIK have good clinical effects in the treatment of myopia with astigmatism, but the SMILE could alleviate ocular surface injury, reduce the risk of complications and improve the quality of lifes for patients.
