咁激光唔介紹用 都可以講解下嗎
矯視手術其實有好多種,早期有RK,有LASEK,LASIK,到近來嘅SMILE
略略講就係愈新嘅procedure愈低侵入性,如果就咁比嘅話當然SMILE會最好,因為最低侵入性。佢同LASIK嘅分別主要係唔會製造個瓣(flap)出嚟,開刀範圍細好多,理論上會少啲併發症(當然根據evidence based medicine要真係做研究先可以肯定)
有唔少study 做左,LASIK 同SMILE outcomes 係comparable, 但SMILE做完之後 dryness 同corneal nerve sensitivity 都好d。第二份paper 的conclusion 係 SMILE induces less keratocyte apoptosis, proliferation and inflammation compared with femtosecond laser LASIK.
ref:
Zhang, Y., Shen, Q., Jia, Y., Zhou, D., & Zhou, J. (2016). Clinical outcomes of SMILE and FS-LASIK used to treat myopia: a meta-analysis. Journal of Refractive Surgery, 32(4), 256-265.
Dong, Z., Zhou, X., Wu, J., Zhang, Z., Li, T., Zhou, Z., ... & Li, G. (2014). Small incision lenticule extraction (SMILE) and femtosecond laser LASIK: comparison of corneal wound healing and inflammation. British Journal of Ophthalmology, 98(2), 263-269.
唔該師兄