Ten-year observation of corneal densitometry and associated factors following small incision lenticule extraction
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Xing-Tao Zhou and Jing Zhao. Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, 19 Baoqing Road, Shanghai 200031, China. doctzhouxingtao@163.com; zhaojing_med@163.com

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    Abstract:

    AIM: To investigate the long-term changes of corneal densitometry (CD) and its contributing elements after small incision lenticule extraction (SMILE). METHODS: Totally 31 eyes of 31 patients with mean spherical equivalent of -6.46±1.50 D and mean age 28.23±7.38y were enrolled. Full-scale examinations were conducted on all patients preoperatively and during follow-up. Visual acuity, manifest refraction, axial length, corneal thickness, corneal higher-order aberrations, and CD were evaluated. RESULTS: All surgeries were completed successfully without complications or adverse events. Ten-year safety index was 1.17±0.20 and efficacy 1.04±0.28. CD value of 0–6 mm zones in central layer was statistically significantly lower 10y postoperatively, compared with preoperative values (0–2 mmΔ=-1.62, 2–6 mmΔ=-1.24, P<0.01). There were no correlations between CD values and factors evaluated. CONCLUSION: SMILE is a safe and efficient procedure for myopia on a long-term basis. CD values get lower 10y postoperatively, whose mechanism is to be further discussed.

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Xiao-Song Han, Fei Xia, Zhuo-Yi Chen, et al. Ten-year observation of corneal densitometry and associated factors following small incision lenticule extraction. Int J Ophthalmol, 2024,17(3):485-490

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Publication History
  • Received:September 07,2023
  • Revised:December 01,2023
  • Adopted:
  • Online: February 27,2024
  • Published: