Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysis Article Swipe
Songbai Chen
,
Hongjie Ma
,
Congling Zhao
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1097/md.0000000000034580
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1097/md.0000000000034580
Background: Small incision lenticule extraction (SMILE) and femtosecond laser in situ keratomileusis (FS-LASIK) have been extensively studied as the main surgical methods for corneal refractive surgery. However, there is no consensus on whether SMILE is superior to FS-LASIK in corneal biomechanics. Therefore, this systematic review and meta-analysis used the results of ocular response analyzer and corvis ST to explore whether SMILE is superior to FS-LASIK in corneal biomechanics. Methods: The literature was searched in PubMed, EMBASE, and Controlled Trials Register databases. The Cochrane Collaboration’s “risk of bias” tool was used to evaluate the quality of the included randomized clinical trials, and the Newcastle-Ottawa Scale was used to evaluate the included non-randomized controlled trials. The results were analyzed using Revman 5.3. Results: Sixteen studies (3 randomized clinical trials and 13 non-randomized controlled trials) were included in this meta-analysis. There was no statistical difference in corneal biomechanics between SMILE and FS-LASIK in corneal hysteresis [mean difference (MD), 0.20; 95% confidence interval (CI): −0.09, 0.49; P = .18] and corneal resistant factor (MD, 0.31; 95% CI: −0.09, 0.71; P = .13), A1 time (MD, −0.02; 95% CI: −0.11, 0.07; P = .66), A1 length (MD, 0.01; 95% CI: −0.01, 0.03; P = .42), A1 velocity (MD, 0.00; 95% CI: −0.01, 0.01; P = .85), A2 velocity (MD, −0.01; 95% CI: −0.11, 0.09; P = .86), HC time (MD, 0.12; 95% CI: −0.13, 0.38; P = .35), The stiffness parameter at first applanation (MD, −7.91; 95% CI: −17.96, 2.14; P = .12), The ratio between the deformation amplitude 2 mm away from apex and the apical deformation (MD, 0.01; 95% CI: −0.26, 0.27; P = .96). Conclusion: A comprehensive assessment of the parameters of ocular response analyzer and corvis ST showed that SMILE is not superior to LASIK in corneal biomechanics 3 months post-surgery.
Related Topics
Concepts
Keratomileusis
Medicine
LASIK
Meta-analysis
Randomized controlled trial
Ophthalmology
Confidence interval
Small incision lenticule extraction
Refractive surgery
Biomechanics
Cornea
Surgery
Internal medicine
Physiology
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1097/md.0000000000034580
- OA Status
- gold
- Cited By
- 5
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4385751704
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4385751704Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/md.0000000000034580Digital Object Identifier
- Title
-
Corneal biomechanics after small incision lenticule extraction and femtosecond laser in situ keratomileusis: A systematic review and meta-analysisWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-08-11Full publication date if available
- Authors
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Songbai Chen, Hongjie Ma, Congling ZhaoList of authors in order
- Landing page
-
https://doi.org/10.1097/md.0000000000034580Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1097/md.0000000000034580Direct OA link when available
- Concepts
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Keratomileusis, Medicine, LASIK, Meta-analysis, Randomized controlled trial, Ophthalmology, Confidence interval, Small incision lenticule extraction, Refractive surgery, Biomechanics, Cornea, Surgery, Internal medicine, PhysiologyTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 2Per-year citation counts (last 5 years)
- References (count)
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26Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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