Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery.
<h4>Purpose</h4>To observe changes in retinal refraction difference values (RDV) and aberrations after small incision lenticule extraction (SMILE) surgery and evaluate their correlations.<h4>Methods</h4>This study recruited 112 patients (112 eyes) who underwent SMILE for myop...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0291681 |
| _version_ | 1797665404861022208 |
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| author | Yuqin Du Yuehua Zhou Mingwei Ding Mingxu Zhang Yujuan Guo |
| author_facet | Yuqin Du Yuehua Zhou Mingwei Ding Mingxu Zhang Yujuan Guo |
| author_sort | Yuqin Du |
| collection | DOAJ |
| description | <h4>Purpose</h4>To observe changes in retinal refraction difference values (RDV) and aberrations after small incision lenticule extraction (SMILE) surgery and evaluate their correlations.<h4>Methods</h4>This study recruited 112 patients (112 eyes) who underwent SMILE for myopia. Participants were classified into the Low and Moderate Myopia group (LM, -0.50 to -6.0 D) and High Myopia group (HM, >-6.0 D) according to the central spherical equivalent (SE). RDVs in the five retinal eccentricities from 0° to 10°, 10° to 20°, 20° to 30°, 30° to 40°, and 40° to 53° are recorded as RDV-(0-10), RDV-(10-20), RDV-(20-30), RDV-(30-40), and RDV-(40-53), respectively; additionally, RDVs have four sectors, i.e., RDV-Superior (RDV-S), RDV-Inferior (RDV-I), RDV-Temporal (RDV-T), and RDV-Nasal (RDV-N). With a 3-month follow-up, changes in RDV (ΔRDV) and changes in aberrations [Δtrefoil, Δcoma, Δspherical aberration (SA), and Δtotal higher-order aberrations (HOA)] after surgery were recorded.<h4>Results</h4>No significant differences were observed in total RDV (TRDV), RDV-(0-53), RDV-S, RDV-I, RDV-N, trefoil, coma, and SA between the two groups before SMILE surgery. However, after SMILE, hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, RDV-T, and RDV-N] in the LM group and hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, and RDV-N] in the HM group were significantly lower at 3 months postoperatively than preoperatively, and the RDV-(40-53), RDV-S, and RDV-N were lower in the HM group than in the LM group. Aberrations [trefoil (vertical), coma, and HOA] in the LM group and aberrations (trefoil, coma, SA, and HOA) in the HM group were significantly higher at 3 months postoperatively than preoperatively, and the coma, trefoil(horizontal), SA, and HOA were higher in the HM group than in the LM group. In the multivariate analysis, ΔRDV-(40-53) was significantly correlated with ΔSA, and ΔRDV-T and ΔRDV-N were significantly correlated with Δcoma (horizontal).<h4>Conclusions</h4>Our findings suggest that SMILE reduces retinal peripheral hyperopic defocus but introduces some higher-order aberrations, especially in people with high myopia refractive errors. |
| first_indexed | 2024-03-11T19:43:22Z |
| format | Article |
| id | doaj.art-5aac227c3e96447f8154380ac7dda4db |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-11T19:43:22Z |
| publishDate | 2023-01-01 |
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| spelling | doaj.art-5aac227c3e96447f8154380ac7dda4db2023-10-06T05:32:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e029168110.1371/journal.pone.0291681Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery.Yuqin DuYuehua ZhouMingwei DingMingxu ZhangYujuan Guo<h4>Purpose</h4>To observe changes in retinal refraction difference values (RDV) and aberrations after small incision lenticule extraction (SMILE) surgery and evaluate their correlations.<h4>Methods</h4>This study recruited 112 patients (112 eyes) who underwent SMILE for myopia. Participants were classified into the Low and Moderate Myopia group (LM, -0.50 to -6.0 D) and High Myopia group (HM, >-6.0 D) according to the central spherical equivalent (SE). RDVs in the five retinal eccentricities from 0° to 10°, 10° to 20°, 20° to 30°, 30° to 40°, and 40° to 53° are recorded as RDV-(0-10), RDV-(10-20), RDV-(20-30), RDV-(30-40), and RDV-(40-53), respectively; additionally, RDVs have four sectors, i.e., RDV-Superior (RDV-S), RDV-Inferior (RDV-I), RDV-Temporal (RDV-T), and RDV-Nasal (RDV-N). With a 3-month follow-up, changes in RDV (ΔRDV) and changes in aberrations [Δtrefoil, Δcoma, Δspherical aberration (SA), and Δtotal higher-order aberrations (HOA)] after surgery were recorded.<h4>Results</h4>No significant differences were observed in total RDV (TRDV), RDV-(0-53), RDV-S, RDV-I, RDV-N, trefoil, coma, and SA between the two groups before SMILE surgery. However, after SMILE, hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, RDV-T, and RDV-N] in the LM group and hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, and RDV-N] in the HM group were significantly lower at 3 months postoperatively than preoperatively, and the RDV-(40-53), RDV-S, and RDV-N were lower in the HM group than in the LM group. Aberrations [trefoil (vertical), coma, and HOA] in the LM group and aberrations (trefoil, coma, SA, and HOA) in the HM group were significantly higher at 3 months postoperatively than preoperatively, and the coma, trefoil(horizontal), SA, and HOA were higher in the HM group than in the LM group. In the multivariate analysis, ΔRDV-(40-53) was significantly correlated with ΔSA, and ΔRDV-T and ΔRDV-N were significantly correlated with Δcoma (horizontal).<h4>Conclusions</h4>Our findings suggest that SMILE reduces retinal peripheral hyperopic defocus but introduces some higher-order aberrations, especially in people with high myopia refractive errors.https://doi.org/10.1371/journal.pone.0291681 |
| spellingShingle | Yuqin Du Yuehua Zhou Mingwei Ding Mingxu Zhang Yujuan Guo Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery. PLoS ONE |
| title | Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery. |
| title_full | Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery. |
| title_fullStr | Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery. |
| title_full_unstemmed | Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery. |
| title_short | Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery. |
| title_sort | changes in relative peripheral refraction and optical quality in chinese myopic patients after small incision lenticule extraction surgery |
| url | https://doi.org/10.1371/journal.pone.0291681 |
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