AIM:To investigate the size of functional optical zone(FOZ)after small incision lenticule extraction(SMILE)versus femtosecond laser assisted excimer laser keratomileusis(FS-LASIK)for myopia correction and potential as...AIM:To investigate the size of functional optical zone(FOZ)after small incision lenticule extraction(SMILE)versus femtosecond laser assisted excimer laser keratomileusis(FS-LASIK)for myopia correction and potential associated factors for FOZ.METHODS:A total of 133 patients who received corneal refractive surgery in our hospital between November 2018 and July 2021 were retrospectively enrolled.There were 63 patients(123 eyes)in SMILE group and 70patients(139 eyes)in FS-LASIK group.The size of FOZ was measured using Pentacam 3-dementional anterior segment analyzer before and 3mo after surgery,so as to analyze postoperative achieved functional optical zone(AFOZ)and its contributing parameters.RESULTS:When planned functional optical zone(PFOZ)was 6.5 mm for both groups,AFOZ was 1.45±0.27 and 1.67±0.25 mm smaller than preoperative FOZ in SMILE group and FS-LASIK group 3mo after surgery.AFOZ in SMILE group was significantly larger than that in FS-LASIK group(P<0.001).Variation of FOZ was negatively correlated with preoperative spherical equivalent(SE)and positively correlated with variation of mean keratometry value(△Km),variation of spherical aberration(△SA),and variation of Q-value(△Q,all P<0.001)in both groups.Multiple variable linear regression equations were△FOZ=1.354-0.1×pre-SE+0.336×△Q+1.462×△SA in SMILE group and△FOZ=1.512+0.137×△Q+0.468×△SA in FS-LASIK group.CONCLUSION:AFOZ is significantly smaller than preoperative FOZ in both SMILE and FS-LASIK groups.With the same PFOZ,larger AFOZ is achieved in SMILE group than in FS-LASIK group.展开更多
Background:In this retrospective randomized case series,we compared bilateral symmetry between OD and OS eyes,intercorneal differences and Functional Optical Zone(FOZ)of the corneal aberrations.Methods:Sixty-seven nor...Background:In this retrospective randomized case series,we compared bilateral symmetry between OD and OS eyes,intercorneal differences and Functional Optical Zone(FOZ)of the corneal aberrations.Methods:Sixty-seven normal subjects(with no ocular pathology)who never had any ocular surgery were bilaterally evaluated at Augenzentrum Recklinghausen(Germany).In all cases,standard examinations and corneal wavefront topography(OPTIKON Scout)were performed.The OD/OS bilateral symmetry was evaluated for corneal wavefront aberrations,and FOZ-values were evaluated from the Root-Mean-Square(RMS)of High-Order Wavefront-Aberration(HOWAb).Moreover,correlations of FOZ,spherical equivalent(SE),astigmatism power,and cardinal and oblique astigmatism for binocular vs.monocular,and binocular vs.intercorneal differences were analyzed.Results:Mean FOZ was 6.56±1.13 mm monocularly,6.97±1.34 mm binocularly,and 7.64±1.30 mm intercorneal difference,with all strongly positively correlated,showing that the diameter of glare-free vision is larger in binocular than monocular conditions.Mean SE was 0.78±1.30 D,and the mean astigmatism power(magnitude)was 0.46±0.52 D binocularly.The corresponding monocular values for these metrics were 0.78±1.30 D and 0.53±0.53 D respectively.SE,astigmatism magnitude,cardinal astigmatism component,and FOZ showed a strong correlation and even symmetry;and oblique astigmatism component showed odd symmetry indicating Enantiomorphism between the left and right eye.Conclusions:These results confirm OD-vs.-OS bilateral symmetry(which influences binocular summation)of HOWAb,FOZ,defocus,astigmatism power,and cardinal and oblique astigmatism.Binocular Functional Optical Zone calculated from corneal wavefront aberrations can be used to optimize refractive surgery design.展开更多
基金Supported by Scientific and Technological Innovation Programs of Higher Education Institutions in Shanxi(No.2022L201)。
文摘AIM:To investigate the size of functional optical zone(FOZ)after small incision lenticule extraction(SMILE)versus femtosecond laser assisted excimer laser keratomileusis(FS-LASIK)for myopia correction and potential associated factors for FOZ.METHODS:A total of 133 patients who received corneal refractive surgery in our hospital between November 2018 and July 2021 were retrospectively enrolled.There were 63 patients(123 eyes)in SMILE group and 70patients(139 eyes)in FS-LASIK group.The size of FOZ was measured using Pentacam 3-dementional anterior segment analyzer before and 3mo after surgery,so as to analyze postoperative achieved functional optical zone(AFOZ)and its contributing parameters.RESULTS:When planned functional optical zone(PFOZ)was 6.5 mm for both groups,AFOZ was 1.45±0.27 and 1.67±0.25 mm smaller than preoperative FOZ in SMILE group and FS-LASIK group 3mo after surgery.AFOZ in SMILE group was significantly larger than that in FS-LASIK group(P<0.001).Variation of FOZ was negatively correlated with preoperative spherical equivalent(SE)and positively correlated with variation of mean keratometry value(△Km),variation of spherical aberration(△SA),and variation of Q-value(△Q,all P<0.001)in both groups.Multiple variable linear regression equations were△FOZ=1.354-0.1×pre-SE+0.336×△Q+1.462×△SA in SMILE group and△FOZ=1.512+0.137×△Q+0.468×△SA in FS-LASIK group.CONCLUSION:AFOZ is significantly smaller than preoperative FOZ in both SMILE and FS-LASIK groups.With the same PFOZ,larger AFOZ is achieved in SMILE group than in FS-LASIK group.
文摘Background:In this retrospective randomized case series,we compared bilateral symmetry between OD and OS eyes,intercorneal differences and Functional Optical Zone(FOZ)of the corneal aberrations.Methods:Sixty-seven normal subjects(with no ocular pathology)who never had any ocular surgery were bilaterally evaluated at Augenzentrum Recklinghausen(Germany).In all cases,standard examinations and corneal wavefront topography(OPTIKON Scout)were performed.The OD/OS bilateral symmetry was evaluated for corneal wavefront aberrations,and FOZ-values were evaluated from the Root-Mean-Square(RMS)of High-Order Wavefront-Aberration(HOWAb).Moreover,correlations of FOZ,spherical equivalent(SE),astigmatism power,and cardinal and oblique astigmatism for binocular vs.monocular,and binocular vs.intercorneal differences were analyzed.Results:Mean FOZ was 6.56±1.13 mm monocularly,6.97±1.34 mm binocularly,and 7.64±1.30 mm intercorneal difference,with all strongly positively correlated,showing that the diameter of glare-free vision is larger in binocular than monocular conditions.Mean SE was 0.78±1.30 D,and the mean astigmatism power(magnitude)was 0.46±0.52 D binocularly.The corresponding monocular values for these metrics were 0.78±1.30 D and 0.53±0.53 D respectively.SE,astigmatism magnitude,cardinal astigmatism component,and FOZ showed a strong correlation and even symmetry;and oblique astigmatism component showed odd symmetry indicating Enantiomorphism between the left and right eye.Conclusions:These results confirm OD-vs.-OS bilateral symmetry(which influences binocular summation)of HOWAb,FOZ,defocus,astigmatism power,and cardinal and oblique astigmatism.Binocular Functional Optical Zone calculated from corneal wavefront aberrations can be used to optimize refractive surgery design.
