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| 角膜地形图引导与波前像差优化的FS-LASIK术后高阶像差比较的Meta分析 | |
| 引用本文： | 范浩博,宋唯琦,唐秀平,王英,陈思宇,谢娟,邹云春.角膜地形图引导与波前像差优化的FS-LASIK术后高阶像差比较的Meta分析[J].国际眼科杂志,2021,21(10):1757-1763. |
| 作者姓名： | 范浩博 宋唯琦 唐秀平 王英 陈思宇 谢娟 邹云春 |
| 作者单位： | 中国四川省南充市,川北医学院附属医院眼科; 中国四川省南充市,川北医学院眼视光学系,中国四川省南充市,川北医学院附属医院眼科; 中国四川省南充市,川北医学院眼视光学系,中国四川省南充市,川北医学院附属医院眼科; 中国四川省南充市,川北医学院眼视光学系,中国四川省南充市,川北医学院附属医院眼科; 中国四川省南充市,川北医学院眼视光学系,中国四川省南充市,川北医学院附属医院眼科; 中国四川省南充市,川北医学院眼视光学系,中国四川省南充市,川北医学院附属医院眼科; 中国四川省南充市,川北医学院眼视光学系,中国四川省南充市,川北医学院附属医院眼科; 中国四川省南充市,川北医学院眼视光学系 |
| 基金项目： | 四川省科技厅计划项目(No.2015JY0263); 四川省医学科研课题(No.S18034); 南充市科技项目市校合作战略合作专项(No.18SXHZ0386) |
| 摘 要： | 目的：系统评价经角膜地形图引导与波前像差优化的FS-LASIK术后屈光度与高阶像差的增幅。 方法：检索PubMed、the Cochrane Library、Medline、CNKI、CBM、VIP和WanFang Data数据库中的RCT与CT研究，语言限定为中文或英文，语言限定为中文或英文。对纳入的RCT与CT文献分别采用《Cochrane干预措施系统评价手册》中偏倚风险评价工具与《NOS量表》进行质量评价； 对纳入文献的发表偏倚采用Egger检验进行检测； 采用Review Manager 5.4软件进行Meta分析。 结果：共有8篇文献符合纳入和排除标准，包含987例研究对象(角膜地形图引导组482例，波前像差优化组505例)。Meta分析结果显示：地形图引导组术后等效屈光度高于波前优化组\〖WMD=0.11，95%CI(0.07，0.14)，P<0.00001\〗； 与波前优化组相比，地形图引导组术后能够获得更低的HOAs\〖WMD=-0.09，95%CI(-0.13，-0.05)，P<0.0001\〗、球差\〖WMD=-0.05，95%CI(-0.09，-0.01)，P=0.008\〗、彗差\〖WMD=-0.08，95%CI(-0.12，-0.05)，P<0.00001\〗增幅。 结论：经角膜地形图引导的FS-LASIK手术方式能使患者获得更高的屈光度，并有效降低术后HOAs、球差、彗差增幅。 |
| 关 键 词： | 角膜地形图引导 波前像差优化 像差 飞秒激光 角膜磨镶术 |
| 收稿时间： | 2021/3/12 0:00:00 |
| 修稿时间： | 2021/9/7 0:00:00 |
Meta-analysis of corneal topography-guided and wavefront aberration-optimized comparison of higher-order aberrations after FS-LASIK |
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| Hao-Bo Fan,Wei-Qi Song,Xiu-Ping Tang,Ying Wang,Si-Yu Chen,Juan Xie and Yun-Chun Zou.Meta-analysis of corneal topography-guided and wavefront aberration-optimized comparison of higher-order aberrations after FS-LASIK[J].International Journal of Ophthalmology,2021,21(10):1757-1763. | |
| Authors: | Hao-Bo Fan Wei-Qi Song Xiu-Ping Tang Ying Wang Si-Yu Chen Juan Xie and Yun-Chun Zou |
| Institution: | Department of Ophthalmology, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China; Department of Optometry, North Sichuan Medical College, Nanchong 637000, Sichuan Province, China,Department of Ophthalmology, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China; Department of Optometry, North Sichuan Medical College, Nanchong 637000, Sichuan Province, China,Department of Ophthalmology, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China; Department of Optometry, North Sichuan Medical College, Nanchong 637000, Sichuan Province, China,Department of Ophthalmology, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China; Department of Optometry, North Sichuan Medical College, Nanchong 637000, Sichuan Province, China,Department of Ophthalmology, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China; Department of Optometry, North Sichuan Medical College, Nanchong 637000, Sichuan Province, China,Department of Ophthalmology, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China; Department of Optometry, North Sichuan Medical College, Nanchong 637000, Sichuan Province, China and Department of Ophthalmology, the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China; Department of Optometry, North Sichuan Medical College, Nanchong 637000, Sichuan Province, China |
| Abstract: | |
| Keywords: | topography-guided wavefront-optimized aberration femtosecond laser keratomileusis |
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