SMILE术中角膜层间冲洗对高度近视治疗术后24小时内疗效分析
The Analysis of the Therapeutic Effect of Corneal Interlayer Flushing on the Treatment of High Mypia during Smile Operation in Preliminary 24 Hours

目的：观察SMILE术中角膜层间冲洗对高度近视治疗术后24小时内疗效。方法：回顾性分析在我院先后手术的近视患者50例100眼，其中根据是否进行层间冲洗分为未冲洗组25例50眼，冲洗组25例50眼。观察时间点为术后2 h、4 h、24 h。分别观察两组术后眼部刺激感、雾视感、裸眼视力。结果：两组术后2 h、4 h、24 h患者刺激感差异无统计学意义(P > 0.05)；术后4 h两组雾视感差异无统计学意义(P > 0.05)；术后24 h两组裸眼视力差异无统计学意义(P > 0.05)。结论：在术后24小时内SMILE术中层间冲洗与否不影响患者早期舒适感、雾视感及视力恢复，层间不冲洗可以减少手术步骤，节约手术时间。
Objective: To observe the surgical results of corneal interlayer flushing on the treatment of high mypia during smile operation in preliminary 24 hours. Methods: 100 eyes of 50 consecutive patients were enrolled in this retrospective study, which included 50 eyes of 25patients with no interlayer flushing group and 50 eyes of 25 patients with interlayer flushing group, divided into 2 groups depending on the interlayer flushing. We observed the postoperative results after 2 hours, 4 hours, 24 hours. The eye irritation, the foggy vision sense, Postoperative uncorrected visual acuity was observed. Results: There was no significant difference in stimulation between the two groups at 2 h, 4 h and 24 h after operation (P > 0.05). Four hours after operation, there was no significant difference in fog perception between the two groups (P > 0.05). There was no significant difference in naked-eye vision between the two groups 24 h after operation (P > 0.05). Conclusion: Whether the interlayer flushing is performed during the smile operation, which does not affect the patient’s early comfort, foggy vision sense and visual recovery. No layering flushing can reduce surgical steps and save surgical time.