Observation on the clinical efficacy of monovision therapy in SMILE and FS-LASIK

AIM: To observe the clinical efficacy between SMILE and FS-LASIK with monovision design to treat the presbyopia.METHODS: According to the methods of operation, the presbyope with myopia were divided into two groups, who received the treatment with monovision design. SMILE group had 10 patients(20 ey...

Full description

Bibliographic Details
Main Authors: Wan-Ting Zhang, Fen Gao
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2021-07-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2021/7/202107033.pdf
_version_ 1819069102355906560
author Wan-Ting Zhang
Fen Gao
author_facet Wan-Ting Zhang
Fen Gao
author_sort Wan-Ting Zhang
collection DOAJ
description AIM: To observe the clinical efficacy between SMILE and FS-LASIK with monovision design to treat the presbyopia.METHODS: According to the methods of operation, the presbyope with myopia were divided into two groups, who received the treatment with monovision design. SMILE group had 10 patients(20 eyes),the average age were 45±2.83 years old and myopia degree was -5.42±1.74D. FS-LASIK group had 9 patients(18 eyes), the average age were 45±1.97 years old and myopia degree was -5.60±1.84D. The far vision and the near vision of monocular and binocular of preoperative and postoperative between two groups were observed.RESULTS: SMILE group in preoperative: the preoperative subjective eye's far visual acuity was 0.05±0.04, the subjective eye's near vision was 0.36±0.15; the objective eye's far visual acuity was 0.35±0.11, the objective eye's near visual acuity was 0.16±0.11; the binocular far visual acuity was 0.05±0.05 and the binocular near visual acuity was 0.18±0.09. Preoperative FS-LASIK group: preoperative subjective eye's far visual acuity was 0.09±0.09, subjective eye's near vision was 0.42±0.17; the objective eye's far visual acuity was 0.44±0.11, the objective eye's near visual acuity was 0.19±0.10; the binocular far visual acuity was 0.03±0.04 and the binocular near visual acuity was 0.19±0.11. The result of before surgery between the two groups had no statistical difference(P﹥0.05). Postoperative SMILE group: the far visual acuity of subjective eye was -0.01±0.06, the near vision of subjective eye was 0.32±0.14; the far visual acuity of objective eye was 0.16±0.18, the near visual acuity of objective eye was 0.12±0.12; the binocular far visual acuity was -0.04±0.07, the binocular near visual acuity was 0.10±0.11. Postoperative FS-LASIK group: the far visual acuity of subjective eye was 0.03±0.03, the near vision of subjective eye was 0.45±0.13; the far visual acuity of objective eye was 0.20±0.15, the near visual acuity of objective eye was 0.24±0.12; the binocular far visual acuity was 0.01±0.03 and the binocular near visual acuity was 0.22±0.09. The comparisons of after surgery between the two groups were statistical differences in the binocular far vision(t= -2.383, P=0.034), and the binocular near vision(t= -2.424, P=0.027). The vision comparisons between preoperative and postoperative in SMILE group, there were all statistically significant in the far visual acuity of subjective eye(t=3.914, P=0.004), the far visual acuity of objective eye(t=4.894, P=0.001), the binocular far visual acuity(t=4.870, P=0.001)and the binocular near visual acuity(t=2.388, P=0.041). That means the vision of postoperative was better than the expected vision before operation. The far visual acuity of objective eye were compared between preoperative and postoperative in FS-LASIK group, the differences was statistically significant(t=4.068, P=0.004).CONCLUSION: To presbyope with myopia, the treatment of SMILE and FS-LASIK all can get expected results with monovision design. But the patients after SMILE would have better binocular far vision and binocular near vision than after FS-LASIK.
first_indexed 2024-12-21T16:44:42Z
format Article
id doaj.art-8ab45cc51c294883beff8621487e9464
institution Directory Open Access Journal
issn 1672-5123
language English
last_indexed 2024-12-21T16:44:42Z
publishDate 2021-07-01
publisher Press of International Journal of Ophthalmology (IJO PRESS)
record_format Article
series Guoji Yanke Zazhi
spelling doaj.art-8ab45cc51c294883beff8621487e94642022-12-21T18:57:02ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232021-07-012171288129110.3980/j.issn.1672-5123.2021.7.33202107033Observation on the clinical efficacy of monovision therapy in SMILE and FS-LASIKWan-Ting Zhang0Fen Gao1Department of Ophthalmology, Kaifeng Central Hospital, Kaifeng 475000, Henan Province, ChinaDepartment of Ophthalmology, Kaifeng Central Hospital, Kaifeng 475000, Henan Province, ChinaAIM: To observe the clinical efficacy between SMILE and FS-LASIK with monovision design to treat the presbyopia.METHODS: According to the methods of operation, the presbyope with myopia were divided into two groups, who received the treatment with monovision design. SMILE group had 10 patients(20 eyes),the average age were 45±2.83 years old and myopia degree was -5.42±1.74D. FS-LASIK group had 9 patients(18 eyes), the average age were 45±1.97 years old and myopia degree was -5.60±1.84D. The far vision and the near vision of monocular and binocular of preoperative and postoperative between two groups were observed.RESULTS: SMILE group in preoperative: the preoperative subjective eye's far visual acuity was 0.05±0.04, the subjective eye's near vision was 0.36±0.15; the objective eye's far visual acuity was 0.35±0.11, the objective eye's near visual acuity was 0.16±0.11; the binocular far visual acuity was 0.05±0.05 and the binocular near visual acuity was 0.18±0.09. Preoperative FS-LASIK group: preoperative subjective eye's far visual acuity was 0.09±0.09, subjective eye's near vision was 0.42±0.17; the objective eye's far visual acuity was 0.44±0.11, the objective eye's near visual acuity was 0.19±0.10; the binocular far visual acuity was 0.03±0.04 and the binocular near visual acuity was 0.19±0.11. The result of before surgery between the two groups had no statistical difference(P﹥0.05). Postoperative SMILE group: the far visual acuity of subjective eye was -0.01±0.06, the near vision of subjective eye was 0.32±0.14; the far visual acuity of objective eye was 0.16±0.18, the near visual acuity of objective eye was 0.12±0.12; the binocular far visual acuity was -0.04±0.07, the binocular near visual acuity was 0.10±0.11. Postoperative FS-LASIK group: the far visual acuity of subjective eye was 0.03±0.03, the near vision of subjective eye was 0.45±0.13; the far visual acuity of objective eye was 0.20±0.15, the near visual acuity of objective eye was 0.24±0.12; the binocular far visual acuity was 0.01±0.03 and the binocular near visual acuity was 0.22±0.09. The comparisons of after surgery between the two groups were statistical differences in the binocular far vision(t= -2.383, P=0.034), and the binocular near vision(t= -2.424, P=0.027). The vision comparisons between preoperative and postoperative in SMILE group, there were all statistically significant in the far visual acuity of subjective eye(t=3.914, P=0.004), the far visual acuity of objective eye(t=4.894, P=0.001), the binocular far visual acuity(t=4.870, P=0.001)and the binocular near visual acuity(t=2.388, P=0.041). That means the vision of postoperative was better than the expected vision before operation. The far visual acuity of objective eye were compared between preoperative and postoperative in FS-LASIK group, the differences was statistically significant(t=4.068, P=0.004).CONCLUSION: To presbyope with myopia, the treatment of SMILE and FS-LASIK all can get expected results with monovision design. But the patients after SMILE would have better binocular far vision and binocular near vision than after FS-LASIK.http://ies.ijo.cn/cn_publish/2021/7/202107033.pdfmonovisionsmall incision lenticule extractionfemtosecond laser in situ keratomileusis
spellingShingle Wan-Ting Zhang
Fen Gao
Observation on the clinical efficacy of monovision therapy in SMILE and FS-LASIK
Guoji Yanke Zazhi
monovision
small incision lenticule extraction
femtosecond laser in situ keratomileusis
title Observation on the clinical efficacy of monovision therapy in SMILE and FS-LASIK
title_full Observation on the clinical efficacy of monovision therapy in SMILE and FS-LASIK
title_fullStr Observation on the clinical efficacy of monovision therapy in SMILE and FS-LASIK
title_full_unstemmed Observation on the clinical efficacy of monovision therapy in SMILE and FS-LASIK
title_short Observation on the clinical efficacy of monovision therapy in SMILE and FS-LASIK
title_sort observation on the clinical efficacy of monovision therapy in smile and fs lasik
topic monovision
small incision lenticule extraction
femtosecond laser in situ keratomileusis
url http://ies.ijo.cn/cn_publish/2021/7/202107033.pdf
work_keys_str_mv AT wantingzhang observationontheclinicalefficacyofmonovisiontherapyinsmileandfslasik
AT fengao observationontheclinicalefficacyofmonovisiontherapyinsmileandfslasik