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SmartSurf^(ACE)transepithelial photorefractive keratectomy with mitomycin C enhancement after small incision lenticule extraction

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Eye and Vision 2021年第1期8卷 276-285页

作者： Amr A.Gab‑Alla Faculty of Medicine Ophthalmology DepartmentSuez Canal UniversityRing RoadIsmailiaEgypt

Background:To evaluate predictability,stability,efficacy,and safety of transepithelial photorefractive keratectomy(TPRK)using smart pulse technology(SPT)(smartsurface procedure)of Schwind Amaris with mitomycin C for correction of post small incision lenticule extraction(SMILE)myopic residual refractive ***:This study is a prospective,non-comparative case series conducted at a private eye centre in Ismailia,Egypt,on eyes with post-SMILE myopic residual refractive errors because of undercorrection or suction loss(suction loss occurred after the posterior lenticular cut and the creation of side-cuts;redocking was attempted,and the treatment was completed in the same session with the same parameters)with myopia or myopic *** patients were followed up post-SMILE for six months before the smartsurface procedure,and then they were followed up for one year after *** were performed using Amaris excimer laser at 500 *** main outcomes included refractive predictability,stability,efficacy,safety and any reported ***:This study included 68 eyes of 40 patients out of 1920 total eyes(3.5%)with post-SMILE technique myopic residual refractive *** average duration between the SMILE surgery and TPRK was 6.7±0.4 months(range 6 to 8 months).The mean refractive spherical equivalent(SE)was within±0.50 D of plano correction in 100%of the eyes at 12 months *** of<0.50 D was achieved in 100%of the *** mean of the residual SE error showed statistically significant improvement from preoperative−1.42±0.52 D to 0.23±0.10 D(P<0.0001).Uncorrected distance visual acuity(UDVA)(measured by Snellen’s chart and averaged in logMAR units)was improved significantly to 0.1±0.07(P<0.0001).UDVA was 0.2 logMAR or better in 100%of the eyes,0.1 logMAR or better in 91.2%of the eyes,and 0.0 logMAR in 20.6%of the *** distance visual acuity(CDVA)remained unchanged in 79.4%of eyes.14.7%of eyes gained one line of CDVA(Snellen).

关键词： Transepithelial PRK Mitomycin C Refractive enhancement Small incision lenticule extraction Smart pulse technology smartsurface procedure

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