Clinical outcomes of the immediate reapplication of small-incision lenticule extraction without adjusting the surgical parameters after suction loss
Abstract This study was to analyze the clinical outcomes of immediate reapplication of small-incision lenticule extraction (SMILE) without adjusting the surgical parameters after suction loss and to compare the outcomes with contralateral eyes that underwent uneventful SMILE. A total of 74 patients...
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Nature Portfolio
2022-09-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-20403-4 |
| _version_ | 1811265156920901632 |
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| author | Byunghoon Chung Ik Hee Ryu In Sik Lee Jin Kuk Kim Tae-im Kim Eung Kweon Kim Kyoung Yul Seo Ikhyun Jun |
| author_facet | Byunghoon Chung Ik Hee Ryu In Sik Lee Jin Kuk Kim Tae-im Kim Eung Kweon Kim Kyoung Yul Seo Ikhyun Jun |
| author_sort | Byunghoon Chung |
| collection | DOAJ |
| description | Abstract This study was to analyze the clinical outcomes of immediate reapplication of small-incision lenticule extraction (SMILE) without adjusting the surgical parameters after suction loss and to compare the outcomes with contralateral eyes that underwent uneventful SMILE. A total of 74 patients who underwent uneventful SMILE in one eye (Uneventful group) and immediate reapplication of SMILE without adjusting the surgical parameters after suction loss in the contralateral eye (Suction loss group) were included. Suction loss occurred during the posterior lenticule surface cut in 39 eyes (53%) and the cap cut in 35 eyes (47%). Surgical outcomes, including visual acuity, manifest refraction, keratometry, and corneal wavefront aberrations, were evaluated at 6 months postoperatively. The mean uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and spherical equivalent were − 0.02 ± 0.07, − 0.04 ± 0.04, and − 0.10 ± 0.46 diopters (D), respectively, in the Suction loss group and − 0.02 ± 0.07, − 0.04 ± 0.05, and − 0.19 ± 0.53 D, respectively (P = 0.965, 0.519, and 0.265, respectively), in the Uneventful group. Changes between the preoperative and 6-month postoperative total corneal aberrations, spherical aberrations, and horizontal and vertical coma did not significantly differ between the Suction loss and Uneventful groups. Immediate reapplication of SMILE without adjusting the surgical parameters after suction loss resulted in good surgical outcomes that were comparable with those of uneventful SMILE. |
| first_indexed | 2024-04-12T20:17:35Z |
| format | Article |
| id | doaj.art-cb280521f88a42d282633d9927a4093d |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-12T20:17:35Z |
| publishDate | 2022-09-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-cb280521f88a42d282633d9927a4093d2022-12-22T03:18:05ZengNature PortfolioScientific Reports2045-23222022-09-011211710.1038/s41598-022-20403-4Clinical outcomes of the immediate reapplication of small-incision lenticule extraction without adjusting the surgical parameters after suction lossByunghoon Chung0Ik Hee Ryu1In Sik Lee2Jin Kuk Kim3Tae-im Kim4Eung Kweon Kim5Kyoung Yul Seo6Ikhyun Jun7Department of Ophthalmology, The Institute of Vision Research, Yonsei University College of MedicineB&VIIT Eye CenterB&VIIT Eye CenterB&VIIT Eye CenterDepartment of Ophthalmology, The Institute of Vision Research, Yonsei University College of MedicineCorneal Dystrophy Research Institute, Yonsei University College of MedicineDepartment of Ophthalmology, The Institute of Vision Research, Yonsei University College of MedicineDepartment of Ophthalmology, The Institute of Vision Research, Yonsei University College of MedicineAbstract This study was to analyze the clinical outcomes of immediate reapplication of small-incision lenticule extraction (SMILE) without adjusting the surgical parameters after suction loss and to compare the outcomes with contralateral eyes that underwent uneventful SMILE. A total of 74 patients who underwent uneventful SMILE in one eye (Uneventful group) and immediate reapplication of SMILE without adjusting the surgical parameters after suction loss in the contralateral eye (Suction loss group) were included. Suction loss occurred during the posterior lenticule surface cut in 39 eyes (53%) and the cap cut in 35 eyes (47%). Surgical outcomes, including visual acuity, manifest refraction, keratometry, and corneal wavefront aberrations, were evaluated at 6 months postoperatively. The mean uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and spherical equivalent were − 0.02 ± 0.07, − 0.04 ± 0.04, and − 0.10 ± 0.46 diopters (D), respectively, in the Suction loss group and − 0.02 ± 0.07, − 0.04 ± 0.05, and − 0.19 ± 0.53 D, respectively (P = 0.965, 0.519, and 0.265, respectively), in the Uneventful group. Changes between the preoperative and 6-month postoperative total corneal aberrations, spherical aberrations, and horizontal and vertical coma did not significantly differ between the Suction loss and Uneventful groups. Immediate reapplication of SMILE without adjusting the surgical parameters after suction loss resulted in good surgical outcomes that were comparable with those of uneventful SMILE.https://doi.org/10.1038/s41598-022-20403-4 |
| spellingShingle | Byunghoon Chung Ik Hee Ryu In Sik Lee Jin Kuk Kim Tae-im Kim Eung Kweon Kim Kyoung Yul Seo Ikhyun Jun Clinical outcomes of the immediate reapplication of small-incision lenticule extraction without adjusting the surgical parameters after suction loss Scientific Reports |
| title | Clinical outcomes of the immediate reapplication of small-incision lenticule extraction without adjusting the surgical parameters after suction loss |
| title_full | Clinical outcomes of the immediate reapplication of small-incision lenticule extraction without adjusting the surgical parameters after suction loss |
| title_fullStr | Clinical outcomes of the immediate reapplication of small-incision lenticule extraction without adjusting the surgical parameters after suction loss |
| title_full_unstemmed | Clinical outcomes of the immediate reapplication of small-incision lenticule extraction without adjusting the surgical parameters after suction loss |
| title_short | Clinical outcomes of the immediate reapplication of small-incision lenticule extraction without adjusting the surgical parameters after suction loss |
| title_sort | clinical outcomes of the immediate reapplication of small incision lenticule extraction without adjusting the surgical parameters after suction loss |
| url | https://doi.org/10.1038/s41598-022-20403-4 |
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