Modern technologies of refractive lenticular extraction in the correction of myopia
https://doi.org/10.21516/2072-0076-2022-15-2-supplement-98-103
Abstract
Purpose. To analyze the clinical and functional results of refractive lenticular extraction using ReLEx SMILE® and CLEAR® technologies in patients with moderate and high myopia.
Materials and methods. 160 patients (160 eyes) aged 18 to 36 years diagnosed with moderate or high myopia, who had binocular vision, average keratometry parameters (43.0–45.0 D), and no contraindications to laser vision correction were operated according to the technology of refractive extraction of lenticula followed up 1 and 3 months after surgery. The patients were divided into 2 groups: (1) SMILE, which included 80 eyes of patients operated with the femtosecond laser VisuMax 500; and (2) CLEAR, including 80 eyes of patients operated using the femtosecond laser FEMTO LDV Z8. Both types of surgery were performed according to standard protocols.
Results. No intraoperative complications were recorded. The analysis of clinical and functional parameters in the correction of myopia using the technology of refractive lenticular extraction performed with VisuMax and LDV Z8 femtosecond lasers demonstrated high and comparable efficiency, safety, predictability and stability.
Conclusion. Both technologies of refractive lenticular extraction can be recommended for wide clinical use in the correction of moderate and high myopia.
About the Authors
I. A. Mushkova
S.N. Fyodorov Eye Microsurgery Clinic
Russian Federation
Russian Federation
Irina A. Mushkova — Dr. of Med. Sci., head of the department of laser refractive surgery
59a, Beskudnikovsky Boulevard, Moscow, 127486
S. V. Kostenev
S.N. Fyodorov Eye Microsurgery Clinic
Russian Federation
Russian Federation
Sergey V. Kostenev — Dr. of Med. Sci., senior researcher of the department of laser refractive surgery
59a, Beskudnikovsky Boulevard, Moscow, 127486
N. V. Maychuk
S.N. Fyodorov Eye Microsurgery Clinic
Russian Federation
Russian Federation
Nataliya V. Maychuk — Cand. of Med. Sci., senior researcher of
the department of laser refractive surgery
59a, Beskudnikovsky Boulevard, Moscow, 127486
M. R. Obraztsova
S.N. Fyodorov Eye Microsurgery Clinic
Russian Federation
Russian Federation
Maria R. Obraztsova — PhD student
59a, Beskudnikovsky Boulevard, Moscow, 127486
P. O. Nosirov
S.N. Fyodorov Eye Microsurgery Clinic
Russian Federation
Russian Federation
Parviz O. Nosirov — PhD student
59a, Beskudnikovsky Boulevard, Moscow, 127486
I. S. Malyshev
S.N. Fyodorov Eye Microsurgery Clinic
Russian Federation
Russian Federation
Ilya S. Malyshev — resident
59a, Beskudnikovsky Boulevard, Moscow, 127486
References
1. Pascolini D., Mariotti S.P. Global estimates of visual impairment: 2010. Br. J. phthalmol. 2012; 96 (5): 614–8. doi: 10.1136/bjophthalmol-2011-300539
2. Naidoo K.S., Leasher J., Bourne R.R. Global vision impairment and blindness due to uncorrected refractive error, 1990–2010. Optom. Vis. Sci. 2016; 93 (3): 227–34. doi: 10.1097/OPX.0000000000000796
3. Dolgin E. The myopia boom. Nature. 2015; 519 (7543): 276–8. doi: 10.1038/519276a
4. Foster P.J., Jiang Y. Epidemiology of myopia. Eye. 2014; 28 (2): 202–8. doi: 10.1038/eye.2013.280
5. Holden B.A., Fricke T.R., Wilson D.A. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016; 123 (5): 1036–42. doi: 10.1016/j.ophtha.2016.01.006
6. Doga A.V., Mushkova I.A., Semenov A.D., Karimova A.N., Kechin E.V. Stages of development and modern aspects of keratorefractive surgery. Practical medicine. 2016; 6 (98): 36–41 (in Russian).
7. Pisarevskaya O.V., Shchuko A.G., Yurieva T.N. SMILE is an innovative technology of refractive surgery. Tikhookeanskiy meditsinskij zhurnal. 2016; 3: 74–6 (in Russian). doi: 10.17238/PmJ1609- 1175.2016.3.76–78
8. Morgan I.G., French A.N., Ashby R.S. The epidemics of myopia: aetiology and prevention. Prog. Retin Eye Res. 2018; 62: 134–49. doi:10.1016/j.preteyeres.2017.09.004
9. Maychuk N.V., Doga A.V., Takhchidi N.H. A new approach to improving the quality of vision in patients with keratorefractive disorders. Practical medicine. 2012; 59 (4): 45–8 (in Russian). EDN: PCAGQP
10. Guzowski M.L., Wang J.J., Rochtchina E., Rose K.A., Mitchell P. Five-year refractive changes in an older population: the Blue Mountains Eye Study. Ophthalmology. 2003; 110 (7): 1364–70. doi: 10.1016/S0161-6420(03)00465-2
11. Applegate R.A., Howland H.C. Refractive Surgery, optical aberrations, and visual performance. J. Refract. Surg. 1997; 13: 295–9. doi: 10.3928/1081-597X-19970501-16
12. Zhang Y., Shen Q., Jia Y., Zhou D., Zhou J. Clinical Outcomes of SMILE and FS-LASIK used to treat myopia: AmMeta-analysis. J. Refract. Surg. 2016; 32 (4): 256–65. doi: 10.3928/1081597X20151111-06
13. Liu Y.C., Mehta J.S. Surgical instruments for small incision lenticule extraction (SMILE). Expert. Rev. Ophthalmol. 2016; 11: 171-2. doi.org/10.1 080/17469899.2016.1187065
14. Kostenev S.V., Nosirov P.O. Method of optimized correction of myopia by fractional extraction of corneal lenticula on a low-energy femtosecond laser. RU Patent 2764362, 17.01.2022 (in Russian).
15. Vestergaard A.H. Past and present of corneal refractive surgery: a retrospective study of longterm results after photorefractive keratectomy and a prospective study of refractive lenticule extraction. Acta Ophthalmol. 2014: 92 Thesis 2: 1–21. doi: 10.1111/aos.12385
16. Kostenev S.V., Chernykh V.V. Femtosecond laser surgery. Principles and application in ophthalmology. Novosibirsk; 2012 (in Russian).
17. Qiu P.-J., Yang Y.-B. Early changes to dry eye and ocular surface after smallincision lenticule extraction for myopia. Int. J. Ophthalmol. 2016; 9: 575–9. doi: 10.18240/ijo.2016.04.17
18. Wong J.X., Wong E.P., Htoon H.M., Mehta J.S. Intraoperative centration during small incision lenticule extraction (SMILE). Medicine (Baltimore). 2017; 96 (16): e6076. doi: 10.1097/MD.0000000000006076
19. Hyman L. Myopic and hyperopic refractive error in adults: an overview. Ophthalmic Epidemiol. 2007; 14 (4): 192–7. doi: 10.1080/09286580701535517
20. L’Esperance F.A., Taylor D.M., Del Pero R.A., et al. Human excimer laser corneal surgery: preliminary report. Trans Am. Ophthalmol. Soc. 1988; 86: 208–75.
Review
For citations:
Mushkova I.A., Kostenev S.V., Maychuk N.V., Obraztsova M.R., Nosirov P.O., Malyshev I.S. Modern technologies of refractive lenticular extraction in the correction of myopia. Russian Ophthalmological Journal. 2022;15(2 (Прил)):98-103. (In Russ.) https://doi.org/10.21516/2072-0076-2022-15-2-supplement-98-103
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