J Korean Ophthalmol Soc > Volume 60(3); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(3):223-232.
DOI: https://doi.org/10.3341/jkos.2019.60.3.223    Published online March 15, 2019.
Clinical Outcomes of One Day Small-incision Lenticule Extraction Compared with Scheduled Methods for Myopic Patients.
Wook Kyum Kim, Ik Hee Ryu, Jung Sub Kim, Ga Hee Jeon, In Sik Lee, Hee Sun Kim, Jin Kuk Kim
B&VIIt Eye Center, Seoul, Korea. kiki0306@hanmail.net
근시환자에서 당일 스마일수술과 계획 스마일수술의 결과 비교
김욱겸⋅류익희⋅김정섭⋅전가희⋅이인식⋅김희선⋅김진국
비앤빛 강남밝은세상안과의원
Correspondence:  Wook Kyum Kim,
Email: kiki0306@hanmail.net
Received: 26 July 2018   • Revised: 27 August 2018   • Accepted: 19 February 2019
Abstract
PURPOSE
To evaluate the clinical outcomes of one day small incision lenticule extraction (SMILE), which was performed on the same day as preoperative examinations in myopic patients. METHODS: This study included 163 patients (163 eyes) who underwent SMILE with Visumax from January to June in 2017. We divided the patients into two groups. The one day SMILE group underwent surgery on the same day as the preoperative examinations including dilated fundus examinations. The scheduled group underwent the surgery on a different day. Only the right eye was included in the analysis. Visual acuity and refractive results were compared between groups. RESULTS: The one day SMILE group included 83 patients and the scheduled SMILE group included 80 patients. At postoperative 1 month, the myopic errors were −0.07 ± 0.43 diopters (D) for the one day SMILE group and −0.09 ± 0.37 D for the scheduled SMILE group (p = 0.81); the astigmatic refractions were −0.48 ± 0.29 D and −0.46 ± 0.28 D, respectively (p = 0.57), the postoperative uncorrected visual acuities were −0.02 ± 0.11 logarithm of the minimum angle of resolution (logMAR) and −0.02 ± 0.11 logMAR, respectively (p = 0.79). At postoperative 6 months, the myopic errors were −0.06 ± 0.42 D for the one day SMILE group and −0.08 ± 0.34 D for the scheduled SMILE group (p = 0.81), and the astigmatic refractions were −0.48 ± 0.25 D and −0.48 ± 0.30 D, respectively (p = 0.99); the postoperative uncorrected visual acuities were −0.04 ± 0.09 logMAR and −0.05 ± 0.07 logMAR, respectively (p = 0.45). CONCLUSIONS: The postoperative results of the one day SMILE patients, whose surgery was performed on the same day as the preoperative dilating fundus examination were not significantly different compared with patients treated with conventional scheduled SMILE.
Key Words: Fundus exam;Laser refractive surgery;One day surgery;Pupil dilation;Small incision lenticule extraction


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