Abstract
Purpose :
To compare visual acuity, refraction measurements and the quality of life in high myopic patients before and after SMILE and Implantable Collamer Lens (ICL).
Methods :
Retrospective case series. Patients who underwent bilateral high myopic treatments (-6.00 D to -10.00 D). UCVA and refraction follow-up was performed at day 1, 7, 30, 90 days. The Quality of life Impact of Refractive Correction (QIRC) questionnaire was applied; the outcome was the comparison of the overall QIRC score.
Results :
34 eyes for each group were analyzed. Preoperative mean spherical equivalent was -7.43 D (range -6.00D to -9.75D) in the SMILE group and -8.55 (range -6.00 to -10.00D) in ICL group (P>0.50). There was a statistical significant difference in spherical equivalent and visual acuity at day one towards the ICL group. At 3 months spherical equivalent and visual acuity values were similar in both groups. The QIRC median score of the patients with SMILE (51.58, 95%CI from 47.49 to 55.68) was not different from the median score of the ICLV4 group (52.59, 95%CI from 44.85 to 60.33) (p=0.053) after adjustment by spherical equivalent and baseline logMAR.
Conclusions :
ICL group showed better visual acuity at day one than the SMILE group, after 1 week the values were similar for both groups and continued during follow-up. SMILE patients had similar QIRC scores than ICL patients
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.