Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery

To observe changes in retinal refraction difference values (RDV) and aberrations after small incision lenticule extraction (SMILE) surgery and evaluate their correlations. This study recruited 112 patients (112 eyes) who underwent SMILE for myopia. Participants were classified into the Low and Moder...

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Veröffentlicht in:PloS one 2023-10, Vol.18 (10), p.e0291681-e0291681
Hauptverfasser: Du, Yuqin, Zhou, Yuehua, Ding, Mingwei, Zhang, Mingxu, Guo, Yujuan
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Zhou, Yuehua
Ding, Mingwei
Zhang, Mingxu
Guo, Yujuan
description To observe changes in retinal refraction difference values (RDV) and aberrations after small incision lenticule extraction (SMILE) surgery and evaluate their correlations. This study recruited 112 patients (112 eyes) who underwent SMILE for myopia. Participants were classified into the Low and Moderate Myopia group (LM, -0.50 to -6.0 D) and High Myopia group (HM, >-6.0 D) according to the central spherical equivalent (SE). RDVs in the five retinal eccentricities from 0° to 10°, 10° to 20°, 20° to 30°, 30° to 40°, and 40° to 53° are recorded as RDV-(0-10), RDV-(10-20), RDV-(20-30), RDV-(30-40), and RDV-(40-53), respectively; additionally, RDVs have four sectors, i.e., RDV-Superior (RDV-S), RDV-Inferior (RDV-I), RDV-Temporal (RDV-T), and RDV-Nasal (RDV-N). With a 3-month follow-up, changes in RDV ([DELTA]RDV) and changes in aberrations [[DELTA]trefoil, [DELTA]coma, [DELTA]spherical aberration (SA), and [DELTA]total higher-order aberrations (HOA)] after surgery were recorded. No significant differences were observed in total RDV (TRDV), RDV-(0-53), RDV-S, RDV-I, RDV-N, trefoil, coma, and SA between the two groups before SMILE surgery. However, after SMILE, hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, RDV-T, and RDV-N] in the LM group and hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, and RDV-N] in the HM group were significantly lower at 3 months postoperatively than preoperatively, and the RDV-(40-53), RDV-S, and RDV-N were lower in the HM group than in the LM group. Aberrations [trefoil (vertical), coma, and HOA] in the LM group and aberrations (trefoil, coma, SA, and HOA) in the HM group were significantly higher at 3 months postoperatively than preoperatively, and the coma, trefoil(horizontal), SA, and HOA were higher in the HM group than in the LM group. In the multivariate analysis, [DELTA]RDV-(40-53) was significantly correlated with [DELTA]SA, and [DELTA]RDV-T and [DELTA]RDV-N were significantly correlated with [DELTA]coma (horizontal). Our findings suggest that SMILE reduces retinal peripheral hyperopic defocus but introduces some higher-order aberrations, especially in people with high myopia refractive errors.
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This study recruited 112 patients (112 eyes) who underwent SMILE for myopia. Participants were classified into the Low and Moderate Myopia group (LM, -0.50 to -6.0 D) and High Myopia group (HM, &gt;-6.0 D) according to the central spherical equivalent (SE). RDVs in the five retinal eccentricities from 0° to 10°, 10° to 20°, 20° to 30°, 30° to 40°, and 40° to 53° are recorded as RDV-(0-10), RDV-(10-20), RDV-(20-30), RDV-(30-40), and RDV-(40-53), respectively; additionally, RDVs have four sectors, i.e., RDV-Superior (RDV-S), RDV-Inferior (RDV-I), RDV-Temporal (RDV-T), and RDV-Nasal (RDV-N). With a 3-month follow-up, changes in RDV ([DELTA]RDV) and changes in aberrations [[DELTA]trefoil, [DELTA]coma, [DELTA]spherical aberration (SA), and [DELTA]total higher-order aberrations (HOA)] after surgery were recorded. No significant differences were observed in total RDV (TRDV), RDV-(0-53), RDV-S, RDV-I, RDV-N, trefoil, coma, and SA between the two groups before SMILE surgery. However, after SMILE, hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, RDV-T, and RDV-N] in the LM group and hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, and RDV-N] in the HM group were significantly lower at 3 months postoperatively than preoperatively, and the RDV-(40-53), RDV-S, and RDV-N were lower in the HM group than in the LM group. Aberrations [trefoil (vertical), coma, and HOA] in the LM group and aberrations (trefoil, coma, SA, and HOA) in the HM group were significantly higher at 3 months postoperatively than preoperatively, and the coma, trefoil(horizontal), SA, and HOA were higher in the HM group than in the LM group. In the multivariate analysis, [DELTA]RDV-(40-53) was significantly correlated with [DELTA]SA, and [DELTA]RDV-T and [DELTA]RDV-N were significantly correlated with [DELTA]coma (horizontal). Our findings suggest that SMILE reduces retinal peripheral hyperopic defocus but introduces some higher-order aberrations, especially in people with high myopia refractive errors.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0291681</identifier><identifier>PMID: 37792813</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Aberration ; Biology and Life Sciences ; Care and treatment ; Complications and side effects ; Contact lenses ; Cornea ; Correlation ; Diagnosis ; Engineering and Technology ; Eye surgery ; Horizontal cells ; Hospitals ; Informed consent ; Lasers in surgery ; Medical research ; Medicine and Health Sciences ; Medicine, Experimental ; Multivariate analysis ; Myopia ; Optical properties ; Optometry ; Patient outcomes ; Refraction ; Regression analysis ; Retina ; Statistical analysis ; Surgery ; Topography ; Visual acuity</subject><ispartof>PloS one, 2023-10, Vol.18 (10), p.e0291681-e0291681</ispartof><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Du et al. 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This study recruited 112 patients (112 eyes) who underwent SMILE for myopia. Participants were classified into the Low and Moderate Myopia group (LM, -0.50 to -6.0 D) and High Myopia group (HM, &gt;-6.0 D) according to the central spherical equivalent (SE). RDVs in the five retinal eccentricities from 0° to 10°, 10° to 20°, 20° to 30°, 30° to 40°, and 40° to 53° are recorded as RDV-(0-10), RDV-(10-20), RDV-(20-30), RDV-(30-40), and RDV-(40-53), respectively; additionally, RDVs have four sectors, i.e., RDV-Superior (RDV-S), RDV-Inferior (RDV-I), RDV-Temporal (RDV-T), and RDV-Nasal (RDV-N). With a 3-month follow-up, changes in RDV ([DELTA]RDV) and changes in aberrations [[DELTA]trefoil, [DELTA]coma, [DELTA]spherical aberration (SA), and [DELTA]total higher-order aberrations (HOA)] after surgery were recorded. No significant differences were observed in total RDV (TRDV), RDV-(0-53), RDV-S, RDV-I, RDV-N, trefoil, coma, and SA between the two groups before SMILE surgery. However, after SMILE, hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, RDV-T, and RDV-N] in the LM group and hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, and RDV-N] in the HM group were significantly lower at 3 months postoperatively than preoperatively, and the RDV-(40-53), RDV-S, and RDV-N were lower in the HM group than in the LM group. Aberrations [trefoil (vertical), coma, and HOA] in the LM group and aberrations (trefoil, coma, SA, and HOA) in the HM group were significantly higher at 3 months postoperatively than preoperatively, and the coma, trefoil(horizontal), SA, and HOA were higher in the HM group than in the LM group. In the multivariate analysis, [DELTA]RDV-(40-53) was significantly correlated with [DELTA]SA, and [DELTA]RDV-T and [DELTA]RDV-N were significantly correlated with [DELTA]coma (horizontal). Our findings suggest that SMILE reduces retinal peripheral hyperopic defocus but introduces some higher-order aberrations, especially in people with high myopia refractive errors.</description><subject>Aberration</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Contact lenses</subject><subject>Cornea</subject><subject>Correlation</subject><subject>Diagnosis</subject><subject>Engineering and Technology</subject><subject>Eye surgery</subject><subject>Horizontal cells</subject><subject>Hospitals</subject><subject>Informed consent</subject><subject>Lasers in surgery</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Medicine, Experimental</subject><subject>Multivariate analysis</subject><subject>Myopia</subject><subject>Optical properties</subject><subject>Optometry</subject><subject>Patient outcomes</subject><subject>Refraction</subject><subject>Regression analysis</subject><subject>Retina</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Topography</subject><subject>Visual acuity</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1uL1DAUx4so7rr6DQQLgujDjE3SNu2TLIOXgYUFb6_hND1tM2SabpIuzlfwU5vOdGUr-yB5SDj5nX9yblH0kiRrwjh5vzOj7UGvB9PjOqElyQvyKDonJaOrnCbs8b3zWfTMuV2SZKzI86fRGeO8pAVh59HvTQd9iy5WfWxRg1e3GA9o1dChBR1sjQXplelj6OvYDF7JYL4ZQSt_mLw2nerRYbw_mEHJeAgS2HsXQ-PRxm4PWgdMKjdp6HCl5Kgxxl_-TtiNtkV7eB49aUA7fDHvF9GPTx-_b76srq4_bzeXVyuZk9KvmjpDVjYS0qxiVVUhgaKqCZWypkU4Vhml0FQkqzlKxliaI6NlTrMkpQWDil1Er066gzZOzGl0ghaccp4zngZieyJqAzsxWLUHexAGlDgajG0F2BCHRpEBSEq5ZFjmacqbgmQpKxKQvK4hrafXPsyvjdUeaxkSEPK6EF3e9KoTrbkVJMmyhKRFUHg7K1hzM6LzYq-cRK2hRzMeP85oqGwxoa__QR8Ob6ZaCBGovjFTKSZRcclzztM8O1LrB6iwatwrGZquUcG-cHi3cAiMD1VuYXRObL99_X_2-ueSfXOP7RC075zR49Q7bgmmJ1Ba41zo3L9ZJomYZuYuG2KaGTHPDPsD0Y4LvA</recordid><startdate>20231004</startdate><enddate>20231004</enddate><creator>Du, Yuqin</creator><creator>Zhou, Yuehua</creator><creator>Ding, Mingwei</creator><creator>Zhang, Mingxu</creator><creator>Guo, Yujuan</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9836-1706</orcidid></search><sort><creationdate>20231004</creationdate><title>Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery</title><author>Du, Yuqin ; Zhou, Yuehua ; Ding, Mingwei ; Zhang, Mingxu ; Guo, Yujuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c619t-fd5e39fca45b3bbbe1a8bd12ccd28a8bb522afb15d7ec33346e32962504283ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aberration</topic><topic>Biology and Life Sciences</topic><topic>Care and treatment</topic><topic>Complications and side effects</topic><topic>Contact lenses</topic><topic>Cornea</topic><topic>Correlation</topic><topic>Diagnosis</topic><topic>Engineering and Technology</topic><topic>Eye surgery</topic><topic>Horizontal cells</topic><topic>Hospitals</topic><topic>Informed consent</topic><topic>Lasers in surgery</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Medicine, Experimental</topic><topic>Multivariate analysis</topic><topic>Myopia</topic><topic>Optical properties</topic><topic>Optometry</topic><topic>Patient outcomes</topic><topic>Refraction</topic><topic>Regression analysis</topic><topic>Retina</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Topography</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Du, Yuqin</creatorcontrib><creatorcontrib>Zhou, Yuehua</creatorcontrib><creatorcontrib>Ding, Mingwei</creatorcontrib><creatorcontrib>Zhang, Mingxu</creatorcontrib><creatorcontrib>Guo, Yujuan</creatorcontrib><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; 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This study recruited 112 patients (112 eyes) who underwent SMILE for myopia. Participants were classified into the Low and Moderate Myopia group (LM, -0.50 to -6.0 D) and High Myopia group (HM, &gt;-6.0 D) according to the central spherical equivalent (SE). RDVs in the five retinal eccentricities from 0° to 10°, 10° to 20°, 20° to 30°, 30° to 40°, and 40° to 53° are recorded as RDV-(0-10), RDV-(10-20), RDV-(20-30), RDV-(30-40), and RDV-(40-53), respectively; additionally, RDVs have four sectors, i.e., RDV-Superior (RDV-S), RDV-Inferior (RDV-I), RDV-Temporal (RDV-T), and RDV-Nasal (RDV-N). With a 3-month follow-up, changes in RDV ([DELTA]RDV) and changes in aberrations [[DELTA]trefoil, [DELTA]coma, [DELTA]spherical aberration (SA), and [DELTA]total higher-order aberrations (HOA)] after surgery were recorded. No significant differences were observed in total RDV (TRDV), RDV-(0-53), RDV-S, RDV-I, RDV-N, trefoil, coma, and SA between the two groups before SMILE surgery. However, after SMILE, hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, RDV-T, and RDV-N] in the LM group and hyperopic defocus values [TRDV, RDV-(20-53), RDV-S, and RDV-N] in the HM group were significantly lower at 3 months postoperatively than preoperatively, and the RDV-(40-53), RDV-S, and RDV-N were lower in the HM group than in the LM group. Aberrations [trefoil (vertical), coma, and HOA] in the LM group and aberrations (trefoil, coma, SA, and HOA) in the HM group were significantly higher at 3 months postoperatively than preoperatively, and the coma, trefoil(horizontal), SA, and HOA were higher in the HM group than in the LM group. In the multivariate analysis, [DELTA]RDV-(40-53) was significantly correlated with [DELTA]SA, and [DELTA]RDV-T and [DELTA]RDV-N were significantly correlated with [DELTA]coma (horizontal). Our findings suggest that SMILE reduces retinal peripheral hyperopic defocus but introduces some higher-order aberrations, especially in people with high myopia refractive errors.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>37792813</pmid><doi>10.1371/journal.pone.0291681</doi><tpages>e0291681</tpages><orcidid>https://orcid.org/0000-0002-9836-1706</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aberration
Biology and Life Sciences
Care and treatment
Complications and side effects
Contact lenses
Cornea
Correlation
Diagnosis
Engineering and Technology
Eye surgery
Horizontal cells
Hospitals
Informed consent
Lasers in surgery
Medical research
Medicine and Health Sciences
Medicine, Experimental
Multivariate analysis
Myopia
Optical properties
Optometry
Patient outcomes
Refraction
Regression analysis
Retina
Statistical analysis
Surgery
Topography
Visual acuity
title Changes in relative peripheral refraction and optical quality in Chinese myopic patients after small incision lenticule extraction surgery
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