PMID- 33783676 OWN - NLM STAT- MEDLINE DCOM- 20210630 LR - 20210630 IS - 1573-2630 (Electronic) IS - 0165-5701 (Linking) VI - 41 IP - 7 DP - 2021 Jul TI - Comparison of corneal aberrations and refractive outcomes after small-incision lenticule extraction and femtosecond-assisted laser-assisted in situ keratomileusis. PG - 2521-2531 LID - 10.1007/s10792-021-01810-4 [doi] AB - PURPOSES: To retrospectively compare the short-term refractive outcomes and corneal aberrations after small-incision lenticule extraction (SMILE) and femtosecond-assisted laser-assisted in situ keratomileusis (FS-LASIK) combined with smart pulse technology (SPT) in patients with compound myopic astigmatism. METHODS: A total of 91 eyes (91 patients) were included, 43eyes in FS-LASIK group and 48 eyes in the SMILE group. Uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), refractive results and corneal topography were evaluated 1 and 3 months postoperatively. Corneal aberrations of anterior corneal surface were calculated from the topography data over 6 mm-diameter. RESULTS: There was no significant difference in UCVA, BCVA, and refractive results between the two groups. There were no statistical difference in TIA (target induced astigmatism), SIA (surgery induced astigmatism), DV (difference vector), ME (magnitude of error), AE (angle of error), AE (absolute value) and CI (correction index) between both groups at 1 and 3 months. Coma and spherical aberration improved in all the patients in both groups at 1 and 3 months postoperatively. The amount of induced spherical aberrations was higher in FS-LASIK group compared to SMILE group. CONCLUSIONS: Both FS-LASIK and SMILE achieved similar refractive outcomes in patients with myopia and compound myopic astigmatism. FS-LASIK combined with SPT resulted in higher spherical aberration than SMILE in early postoperative period. FAU - Zhang, Riping AU - Zhang R AUID- ORCID: 0000-0002-4213-0087 AD - Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, 515041, China. zrp@jsiec.org. FAU - Wei, Heng AU - Wei H AD - Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, 515041, China. FAU - Jhanji, Vishal AU - Jhanji V AD - Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, 515041, China. AD - Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. FAU - Sun, Lixia AU - Sun L AD - Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, 515041, China. FAU - Li, Jinyu AU - Li J AD - Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, 515041, China. FAU - Jiang, Jingjing AU - Jiang J AD - Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, 515041, China. FAU - Zhuang, Suoqing AU - Zhuang S AD - Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, 515041, China. FAU - Zhang, Mingzhi AU - Zhang M AD - Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, Shantou, 515041, China. LA - eng GR - 2019-106/Science and Technology Project of Shantou City/ PT - Journal Article DEP - 20210330 PL - Netherlands TA - Int Ophthalmol JT - International ophthalmology JID - 7904294 SB - IM MH - *Astigmatism/surgery MH - Corneal Stroma/surgery MH - Humans MH - *Keratomileusis, Laser In Situ MH - Lasers, Excimer/therapeutic use MH - Prospective Studies MH - Retrospective Studies EDAT- 2021/03/31 06:00 MHDA- 2021/07/01 06:00 CRDT- 2021/03/30 12:35 PHST- 2020/07/08 00:00 [received] PHST- 2021/03/10 00:00 [accepted] PHST- 2021/03/31 06:00 [pubmed] PHST- 2021/07/01 06:00 [medline] PHST- 2021/03/30 12:35 [entrez] AID - 10.1007/s10792-021-01810-4 [pii] AID - 10.1007/s10792-021-01810-4 [doi] PST - ppublish SO - Int Ophthalmol. 2021 Jul;41(7):2521-2531. doi: 10.1007/s10792-021-01810-4. Epub 2021 Mar 30.