Independent risk factors related to unintended initial dissection of the poste-rior plane in small incision lenticule extraction performed by surgeons with different qualifications
10.13389/j.cnki.rao.2024.0104
- VernacularTitle:不同资历医师行SMILE中发生非计划分离的独立风险因素
- Author:
Zeyu ZHU
1
;
Qing WANG
;
Jian XIONG
;
Nanye WANG
;
Jingjing XU
;
Kang YU
;
Zheliang GUO
;
Yicheng XU
;
Yifeng YU
Author Information
1. 330000 江西省南昌市,南昌大学第二附属医院眼科中心
- Keywords:
myopia;
small incision lenticule extraction;
complication;
unintended initial dissection of the posterior plane
- From:
Recent Advances in Ophthalmology
2024;44(7):540-543
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate independent risk factors for unintended initial dissection of the posterior plane(UIDPP)during small incision lenticule extraction(SMILE)by surgeons with different qualifications.Methods A total of 1 600 patients(3 003 eyes)who underwent SMILE performed by three surgeons with different qualifications from April to September 2021 were selected as the research subjects,including 911 males and 689 females,with an average age of(21.82±3.55)years.The incidence of UIDPP in patients was recorded,along with a comprehensive summary of the age,gender,eyes,surgeons,surgical proficiency,subjective refraction,central corneal thickness,lenticule thickness,side cut angle,and peripheral lenticule thickness of the patients.Independent risk factors of UIDPP were analyzed using the binary logistic regression.Test level:α=0.05.Results In this study,the incidence of UIDPP was 6.56％(197/3 003),and the lenticule was successfully removed in all eyes.Multivariate logistic regression analysis demonstrated that surgeon(P=0.035),surgical proficiency(P=0.026),eyes(P=0.007),lenticule thickness(P＜0.001),and peripheral lenticule thick-ness(P＜0.001)were independent risk factors associated with the UIDPP during SMILE surgery.No significant differences were observed in other parameters(all P＞0.05).Conclusion Surgeons,surgical proficiency,eyes,lenticule thick-ness,and peripheral lenticule thickness are independent risk factors of UIDPP.
