J Korean Ophthalmol Soc > Volume 60(8); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(8):719-724.
DOI: https://doi.org/10.3341/jkos.2019.60.8.719    Published online August 15, 2019.
Short-term Clinical Outcomes of Small Incision Lenticule Extraction for Correction of Myopia Patients with Corneal Opacity.
Buki Kim, Sujoung Mun, Jisun Kim, Younghoon Yang, Junhyung Moon, Youngtaek Chung
Onnuri Smile Eye Clinic, Seoul, Korea. ytchungc@daum.net
각막혼탁이 있는 환자에서 스마일수술의 단기간 임상 성적
김부기 · 문수정 · 김지선 · 양영훈 · 문준형 · 정영택
온누리스마일안과
Correspondence:  Youngtaek Chung,
Email: ytchungc@daum.net
Received: 21 March 2019   • Revised: 29 March 2019   • Accepted: 18 July 2019
Abstract
PURPOSE
To evaluate the clinical outcomes of small incision lenticule extraction (SMILE) for the treatment of myopia with corneal opacity. METHODS: Thirteen eyes of 13 patients with corneal opacities who underwent SMILE were retrospectively studied. Uncorrected distance visual acuity, spherical equivalence, efficacy index, and safety index were noted at 3 months after the procedure. The density and area of the corneal opacities were measured and compared preoperatively and 3 months postoperatively. RESULTS: All eyes had preoperative corneal opacities within the lenticule formation areas. The mean area and density of corneal opacities were 0.72 ± 0.33 mm2 and 52.46 ± 15.74, respectively. All procedures were uneventful and no intraoperative complications were observed. At 3 months after the procedure, the efficacy and safety indices were 1.01 ± 0.15, and 1.05 ± 0.10, respectively, and the mean densities and areas of corneal opacities were 46.85 ± 14.56 (p = 0.038) and 0.70 ± 0.36 mm2 (p = 0.776), respectively. CONCLUSIONS: The SMILE procedure was effective and safe for the correction of myopic patients with corneal opacities.
Key Words: Corneal opacity;Small incision lenticule extraction


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