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2017 ; 17
(1
): 42
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Comparison of ocular higher-order aberrations after SMILE and Wavefront-guided
Femtosecond LASIK for myopia
#MMPMID28388896
Chen X
; Wang Y
; Zhang J
; Yang SN
; Li X
; Zhang L
BMC Ophthalmol
2017[Apr]; 17
(1
): 42
PMID28388896
show ga
BACKGROUND: To compare changes in higher-order aberrations (HOAs) following small
incision lenticule extraction (SMILE) and wavefront-guided femtosecond
laser-assisted in situ keratomileusis (WFG FS-LASIK), and to investigate
correlations between preoperative spherical equivalence (SE) and components of
HOAs affecting visual quality. METHODS: Sixty-five myopic eyes from 38 patients
were enrolled in the study retrospectively, either having undergone SMILE or WFG
FS-LASIK. Uncorrected distance visual acuity (UDVA), corrected distance visual
acuity (CDVA), refractive error, and individual Zernike coefficients of 3rd- to
6th-order HOAs were measured before and 3 months after the surgeries and were
compared using the Mann-Whitney test or Student's t-test. Additional generalized
estimating equation analyses (GEE) were used to control for within-subject biases
in individual Zernike coefficients between the right and left eyes of the same
patients. RESULTS: There was no significant difference in UDVA or CDVA after WFG
FS-LASIK (Mean ± SD: -0.02 ± 0.07 and -0.04 ± 0.22 respectively, in logMAR) and
after SMILE (-0.01 ± 0.06 and -0.04 ± 0.04 respectively). However, greater
vertical coma aberration was found after SMILE (p = 0.036). Preoperative SE was
correlated to induced horizontal coma (r = -0.608, p = 0.001) in WFG FS-LASIK,
and correlated to induced vertical coma (r = -0.459, p = 0.003) in SMILE.
CONCLUSIONS: Both SMILE and WFG FS-LASIK can achieve planned visual outcomes in
correcting myopia and myopic astigmatism. However, higher vertical coma was shown
in SMILE than WFG FS-LASIK which might be a potentially impact factor for
patients' vision under certain lighting conditions and needs further
investigation.