1. Effect of corneal stromal pocket irrigation in small-incision lenticule extraction
- Author
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Hong-Ming Fan, Zhenduo Yang, Han Wang, Tan Zhong, Bo-wen Ouyang, Hui Ding, and Xingwu Zhong
- Subjects
medicine.medical_specialty ,Intraocular pressure ,Visual acuity ,Stromal cell ,Distance visual acuity ,genetic structures ,Corneal Surgery, Laser ,Corneal Stroma ,Refraction, Ocular ,Article ,Ophthalmology ,medicine ,Myopia ,Small incision lenticule extraction ,Humans ,Prospective Studies ,business.industry ,Significant difference ,Corneal Topography ,Endothelial Cells ,eye diseases ,Refractive errors ,Outcomes research ,Corneal endothelial cell ,Lasers, Excimer ,Surgery ,sense organs ,medicine.symptom ,business - Abstract
Objectives To investigate the effect of corneal stromal pocket irrigation after small-incision lenticule extraction (SMILE) on visual acuity, intraocular pressure (IOP), corneal parameters and complications after surgery. Methods A total of 242 eyes of 121 patients undergoing SMILE were enrolled in this prospective controlled study, and it was designed for one eye to randomly undergo SMILE with balanced salt solution irrigation of the corneal stromal pocket, while the other eye was not. The uncorrected distance visual acuity (UDVA) and slit lamp examination were recorded at 1 hour, 1 day, 1 week, and 1 month. Postoperative corneal density, corneal biomechanical, corneal endothelial cell number, and anterior OCT images were compared at 1 day, 1 week, and 1 month. Results Compared with the nonirrigation group, the irrigation group showed significantly higher UDVA at 1 day postoperatively (P Conclusions Interlamellar irrigation did not affect IOP, corneal parameters, morphology, complications, or UDVA at 1 hour, 1 week, and 1 month after the operation, but it may promote UDVA 1 day after the operation.
- Published
- 2019