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KMID : 0360220190600080719
Journal of the Korean Ophthalmological Society
2019 Volume.60 No. 8 p.719 ~ p.724
Short-term Clinical Outcomes of Small Incision Lenticule Extraction for Correction of Myopia Patients with Corneal Opacity
Kim Bu-Ki

Mun Su-Joung
Kim Ji-Sun
Yang Young-Hoon
Moon Jun-Hyung
Chung Young-Taek
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 ¡¾ 0.33 mm2 and 52.46 ¡¾ 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 ¡¾ 0.15, and 1.05 ¡¾ 0.10, respectively, and the mean densities and areas of corneal opacities were 46.85 ¡¾ 14.56 (p = 0.038) and 0.70 ¡¾ 0.36 mm2 (p = 0.776), respectively.

Conclusions: The SMILE procedure was effective and safe for the correction of myopic patients with corneal opacities.
KEYWORD
Corneal opacity, Small incision lenticule extraction
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