Postoperative Pain After Laser Refractive Surgery

Benatti, Caterina; Afshari, Natalie A.

doi:10.1097/iio.0000000000000114

Cited by 4 publications

(1 citation statement)

References 97 publications

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“…Refractive surgery is the most commonly used method for the correction of refractive errors, and it can help achieve spectacle or contact lens independence. However, while refractive surgery is popular, it is associated with the prevalence of postoperative complications, such as ocular dryness [1], corneal ectasia [2], and pain [3]. Today, procedures such as small incision lenticule extraction (SMILE) are widely used to correct myopia with less postoperative dryness and pain [4,5]; these procedures offer superior biomechanical stabilities compared to other types of refractive surgeries [6].…”

Section: Introductionmentioning

confidence: 99%

Corneal Surface Irregularity and Surgically Induced Astigmatism Changes in the Small Incision Versus Microincision After SMILE

Piao¹,

Y²,

Wang³

2020

Preprint

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Background: To evaluate the corneal surface irregularity and surgically induced astigmatism changes in the small incision versus microincision after small incision lenticule extraction (SMILE) surgery.Methods: A total of 70 eyes of 35 patients with myopia who underwent SMILE surgery were enrolled in this retrospective study. Patients were divided into two groups according to the incision size (small incision, 4.0 mm or microincision, <2.5 mm) and subjected to a standard ophthalmologic examination preoperatively. The changes in corneal topographic and surface irregularities were evaluated using a TMS-4N topographer during a 6-month follow-up period.Results: According to Friedman’s ANOVA test, there were statistically significant changed in SRI, SAI, and IOP between two groups during a 6-month follow-up (all p < 0.001). At last follow-up, SRI values less than 0.50 D were shown 27 eyes (75%) in the small incision group and 28 eyes (82%) in the microincision group; SAI values less than 0.50 D were shown 22 eyes (61%) in the small incision group and 18 eyes (53%) in the microincision group (all p<0.001).Conclusions: SMILE procedures, using both small incisions and microincisions, are safe and effective surgical options for patients with low to high myopia and provide stable postoperative biomechanical properties and superior postoperative visual outcomes.

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Section: Introductionmentioning

confidence: 99%

Corneal Surface Irregularity and Surgically Induced Astigmatism Changes in the Small Incision Versus Microincision After SMILE

Piao¹,

Y²,

Wang³

2020

Preprint

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The two-faced effects of nerves and neuropeptides in corneal diseases

Vitar

Rama

Ferrari

2022

Progress in Retinal and Eye Research

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Immunity and pain in the eye: focus on the ocular surface

Vitar

Bonelli

Rama

et al. 2021

Clinical and Experimental Immunology

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Most ocular diseases are associated with pain. While pain has been generally considered a mere (deleterious) additional symptom, it is now emerging that it is a key modulator of innate/adaptive immunity. Because the cornea receives the highest nerve density of the entire body, it is an ideal site to demonstrate interactions between pain and the immune response. Indeed, most neuropeptides involved in pain generation are also potent regulators of innate and adaptive leukocyte physiology. On the other hand, most inflammatory cells can modulate the generation of ocular pain through release of specific mediators (cytokines, chemokines, growth factors, lipid mediators). This review will discuss the reciprocal role(s) of ocular surface (and specifically: corneal) pain on the immune response of the eye. Finally, we will discuss clinical implications of such reciprocal interactions in the context of highly prevalent corneal diseases.

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Postoperative Pain After Laser Refractive Surgery

Cited by 4 publications

References 97 publications

Corneal Surface Irregularity and Surgically Induced Astigmatism Changes in the Small Incision Versus Microincision After SMILE

Corneal Surface Irregularity and Surgically Induced Astigmatism Changes in the Small Incision Versus Microincision After SMILE

The two-faced effects of nerves and neuropeptides in corneal diseases

Immunity and pain in the eye: focus on the ocular surface

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