Topographic and Surgical Risk Factors for Early Myopic Regression between Small Incision Lenticule Extraction and Laser In Situ Keratomileusis

被引：3

作者：

Lee, Chia-Yi ^{[1
,2
,3
]}

Jeng, Yu-Ting ^{[1
]}

Yang, Shun-Fa ^{[1
,4
]}

Huang, Chin-Te ^{[5
,6
]}

Chao, Chen-Cheng ^{[2
,7
]}

Lian, Ie-Bin ^{[8
]}

Huang, Jing-Yang ^{[4
]}

Chang, Chao-Kai ^{[2
,9
]}

机构：

[1] Chung Shan Med Univ, Inst Med, Taichung 402, Taiwan

[2] Nobel Eye Inst, Taipei 115, Taiwan

[3] Jen Ai Hosp Dali Branch, Dept Ophthalmol, Taichung 412, Taiwan

[4] Chung Shan Med Univ Hosp, Dept Med Res, Taichung 402, Taiwan

[5] Chung Shan Med Univ Hosp, Dept Ophthalmol, Taichung 402, Taiwan

[6] Chung Shan Med Univ, Sch Med, Dept Pharmacol, Taichung 402, Taiwan

[7] MacKay Jr Coll Med Nursing & Management, Dept Optometry, Taipei 112, Taiwan

[8] Natl Changhua Univ Educ, Inst Stat & Informat Sci, Changhua 500, Taiwan

[9] Da Yeh Univ, Dept Optometry, Chunghua 515, Taiwan

来源：

DIAGNOSTICS | 2024年 / 14卷 / 12期

关键词：

small-incision lenticule extraction; laser in situ keratomileusis; myopic regression; corneal curvature; central corneal thickness; REFRACTIVE SURGERY; GROWTH-FACTORS; RETREATMENT; OUTCOMES; CORNEA; LASIK;

D O I：

10.3390/diagnostics14121275

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Our objective was to evaluate the topographic and surgical factors of early myopic regression between laser in situ keratomileusis (LASIK) and small-incision lenticule extraction (SMILE). A retrospective case-control study was conducted, and 368 and 92 eyes were enrolled in the LASIK and SMILE groups via propensity score matching (PSM). Visual acuity, refractive status, axial length, and topographic/surgical parameters were collected. Multiple linear regression was applied to the yield coefficient and the 95% confidence interval (CI) of the parameters. The cumulative incidence of early myopic regression was higher in the LASIK group (p < 0.001). In the SMILE group, a lower central corneal thickness (CCT) thinnest value and a higher corneal cylinder associated with early myopic regression were observed; meanwhile, in the LASIK group, a lower CCT thinnest value, a higher steep corneal curvature, a larger optic zone, and a lower flap thickness related to early myopic regression were observed (all p < 0.05). In the SMILE group, a higher CCT difference correlated with early myopic regression was observed compared to the LASIK group (p = 0.030), and higher steep corneal curvature and lower cap/flap thickness (both p < 0.05) correlated with early myopic regression were observed in the LASIK group compared to the SMILE group. In conclusion, CCT differences significantly influence early myopic regression in the SMILE group; meanwhile, corneal curvature and flap thickness affect early myopic regression principally in the LASIK group.

引用

页数：14