15 EyeWorld Asia-Pacific | December 2024 专题通向精准和完美之路—SMILE vs. LASIK 参考文献 1. Kremer FB, Pronesti G, Solat J, et al. Prospective LASIK trial for myopia and myopic astigmatism: 1-year results. Ann Ophthalmol. 2001;33(4):315-322. 2. Yuen KH, Chan WK, Kho J, et al. A 10-year prospective audit of LASIK outcomes for myopia in 37,932 eyes at a single institution in Asia. Ophthalmology. 2010;117(6):12361244. 3. Stulting RD, Carr JD, Thompson KP, et al. Complications of laser in situ keratomileusis for the correction of myopia. Ophthalmology. 1999;106(1):13-20. 4. Melki SA, Azar DT. LASIK complications: etiology, management, and prevention. Surv Ophthalmol. 2001;46(2):95-116. 5. Donnenfeld ED. The best for LASIK. Paper presented at the: AAO Subspecialty Days; November 10-11, 2017; New Orleans. 6. Pasquali TA, Smadja D, Savetsky MJ, et al. Long-term follow-up after laser vision correction in physicians: Quality of life and patient satisfaction. J Cataract Refract Surg. 2014;40(3):395-402. 7. Solomon KD, Fernández de Castro LE, Sandoval HP, et al. LASIK world literature review. Ophthalmology. 2009;116(4):691-701. 8. Hashemi H, Roberts CJ, Elsheikh, et al. Corneal biomechanics after SMILE, femtosecond-assisted LASIK, and photorefractive keratectomy: a matched comparison study. Transl Visc Sci Technol. 2023;12(3):12. 9. Guo H, Hosseini-Moghaddam SM, Hodge W. Corneal biomechanical properties after SMILE versus FLEX, LASIK, LASEK, or PRK: a systematic review and meta-analysis. BMC Ophthalmol. 2019;19(1):167. 10. Wolle MA, Randleman JB, Woodward MA. Complications of refractive surgery: ectasia after refractive surgery. Int Ophthalmol Clin. 2016;56(2):129-141. 11. Ahn CS, Clinch TE, Moshirfar M, Weiss JR, Hutchinson CB. Initial results of photorefractive keratectomy and laser in situ keratomileusis performed by a single surgeon. J Cataract Refract Surg. 1999;25(8):1048-1055. 12. Wiley WM, Wiley RG. 10,000 LASIK Eyes Treated NIDEK. Paper presented at the: Carribbean Eye Meeting. March 2001; Cancun, Mexico. 13. Wiley WM, Moarefi A. Long-term outcomes of visual improvement after small-incision lenticule extraction for myopic correction. Paper presented at the: ASCRS/ASOA Annual Meeting; April 13-17, 2018; Washington, DC. 14. Tamimi A, Sheikhzadeh F, Ezabadi SG, et al. Post-LASIK dry eye disease: a comprehensive review of management and current treatment options. Front Med (Lausanne). 2023;10:1057685. 15. Li M, Niu L, Qin B, et al. Confocal comparison of corneal reinnervation after small incision lenticule extraction (SMILE) and femtosecond laser in situ keratomileusis (FSLASIK). PLoS One. 2013;9;8(12):e81435. 16. Wang D, Liu M, Chen Y, et al. Differences in the corneal biomechanical changes after SMILE and LASIK. J Refract Surg. 2014;30(10)702-707. 17. Charters L. SMILE offers low enhancement rate after nomogram adjustment. Ophthalmology Times. 2021;46(5). 18. Jeng Ting DS, Srinivasan S, Danjoux JP. Epithelial ingrowth following laser in situ keratomileusis (LASIK): prevalence, risk factors, management and visual outcomes. BMJ Open Ophthalmol. 2018;3(1):e000133. 19. Lohmann CP, Güell JL. Regression after LASIK for the treatment of myopia: the role of the corneal epithelium. Semin Ophthalmol. 1998;13(2):79-82. 20. Moshifar M, Parsons MT, Chartrand NA, et al. Photorefractive keratectomy enhancement (PRK) after small-incision lenticule extraction (SMILE). Clin Ophthalmol. 2022;16:3033-3042. 21. Siedlecki J, Luft N, Mayer WJ, et al. CIRCLE enhancement after myopic SMILE. J Refract Surg. 2018;34(5):304-309. 22. Decourcey M. Analysis of refractive outcomes in SMILE converted to LASIK (“cap to flap”) enhancements. Paper presented at the: 2023 American Society of Cataract and Refractive Surgeons annual meeting; May 5-8, 2023; San Diego. 23. Sedky AN, Wahba SS, Roshdy MM, Ayaad NR. Cap-preserving SMILE enhancement surgery. BMC Ophthalmol. 2018;18(1):49. 24. Brar S, Ganesh S, Bhargav S. Comparison of intraoperative time taken for docking, dissection, and overall workflow for SMILE procedure with VisuMax 800 versus the VisuMax 500 for femtosecond laser. J Refract Surg. 2023;39(9):648. by Thomas Kohnen, MD LASIK LASIK技术是矫正近视、远视和散光的最先进、最安全和最个性化的 手术之一。最近，屈光性角膜透镜摘除（KLex）方法，如SMILE，已成 为治疗这些疾病的替代选择。 制定德国屈光手术指南的官方科学机构屈光手术委员会 (KRC) 建 议，两种技术均可矫正高达 -8 D的近视和高达 -5 D的散光。然而，对 于远视，建议仅使用LASIK进行高达+3D的矫正。 对LASIK疗效和安全性的科学综述提供了令人信服的结果，98.6% 的研究眼的等效球镜和目标屈光度差值在±1.0D内，同时具有高 度的可预测性、效率和患者满意度。1 和LASIK、PRK和SMILE手术比 较，它们在这些结果方面都没有显示出明显的优势2。然而，目前只有 PRK和LASIK手术有长期数据（长达10年）。因此，KLex手术的长期结 果仍有待确定。关于三种手术的恢复时间，另一项综述发现，LASIK 的恢复期最短，而所有手术的适用性、有效性、安全性和可预测性基 本相当3。 当谈到二次手术（增强）矫正残余屈光不正的可能性时，LASIK有多 种选择：重新掀开角膜瓣再次做LASIK，在现有角膜瓣上进行PRK， 或者根据原始角膜瓣的情况，制作一个新的角膜瓣。相应地，KLex手 术只允许二期PRK或转换为LASIK（CIRCLE手术）。 散光的地形图照片。来源: University eye clinic Frankfurt.
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