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    Resume Tugas Akademik 8-Journal Reading 5-REF

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    Raissa
    This journal article summarizes the results of a randomized clinical trial comparing the refractive outcomes of femtosecond LASIK and small-incision lenticule extraction (SMILE) laser eye surgery. The trial found that both procedures produced similar results in terms of efficacy, predictability, and safety at 3 and 12 months post-operation. While SMILE is a promising new technique, the study suggests its outcomes are comparable to the established LASIK procedure. For SMILE to be widely adopted, standardization of techniques and adequate surgeon training will be important to reduce variability in outcomes.

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    Resume Tugas Akademik 8-Journal Reading 5-REF

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    Raissa
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    This journal article summarizes the results of a randomized clinical trial comparing the refractive outcomes of femtosecond LASIK and small-incision lenticule extraction (SMILE) laser eye surgery. The trial found that both procedures produced similar results in terms of efficacy, predictability, and safety at 3 and 12 months post-operation. While SMILE is a promising new technique, the study suggests its outcomes are comparable to the established LASIK procedure. For SMILE to be widely adopted, standardization of techniques and adequate surgeon training will be important to reduce variability in outcomes.

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    This journal article summarizes the results of a randomized clinical trial comparing the refractive outcomes of femtosecond LASIK and small-incision lenticule extraction (SMILE) laser eye surgery. The trial found that both procedures produced similar results in terms of efficacy, predictability, and safety at 3 and 12 months post-operation. While SMILE is a promising new technique, the study suggests its outcomes are comparable to the established LASIK procedure. For SMILE to be widely adopted, standardization of techniques and adequate surgeon training will be important to reduce variability in outcomes.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    38 views3 pages

    Resume Tugas Akademik 8-Journal Reading 5-REF

    Uploaded by

    Raissa
    This journal article summarizes the results of a randomized clinical trial comparing the refractive outcomes of femtosecond LASIK and small-incision lenticule extraction (SMILE) laser eye surgery. The trial found that both procedures produced similar results in terms of efficacy, predictability, and safety at 3 and 12 months post-operation. While SMILE is a promising new technique, the study suggests its outcomes are comparable to the established LASIK procedure. For SMILE to be widely adopted, standardization of techniques and adequate surgeon training will be important to reduce variability in outcomes.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 3

    Raissa Vaniana Hartanto

    PPDS IK Mata Semester 5

    RESUME TUGAS AKADEMIK 8/ dr.RAISSA VANIANA HARTANTO


    JOURNAL READING 5 / REFRAKSI

    Judul Jurnal : Randomized Clinical Trial Comparing


    Femtosecond LASIK and Small-
    Incision Lenticule Extraction
    Latar Belakang : Currently, LASIK is the most popular laser
    refractive surgery technique, with good visual
    outcomes, rapid postoperative recovery, and good
    safety profile. As such, LASIK has been reported by
    the American Academy of Ophthalmology as an
    established, safe, and effective treatment for myopia
    with rapid postoperative visual improvement,
    minimal patient discomfort, and good long-term
    refractive stability.
    Small-incision lenticule extraction (SMILE), recently
    approved by the United States Food and Drug
    Administration for the treatment of myopia and
    myopic astigmatism, is a flapless laser refractive
    technique that uses a single femtosecond laser system.
    The potential advantages of this minimally invasive
    SMILE technique over traditional femtosecond
    LASIK include reduced iatrogenic dry eye, a
    biomechanically stronger postoperative cornea with a
    smaller incision, and reduced laser energy required for
    refractive corrections.
    Although SMILE is rapidly gaining popularity in the
    United States and many parts of Asia, the number of
    cases is still far fewer than that for other laser
    refractive procedures; hence, it is important to study
    its outcomes and safety compared with an established
    LASIK technique in a well conducted clinical trial.
    Thus, we conducted a paired-eye randomized
    controlled trial comparing SMILE and LASIK in
    the same patient, with the main advantage being
    that the patient was the objective subject of
    assessment in terms of visual outcomes.
    Tujuan : To compare femtosecond LASIK with small-
    incision lenticule extraction (SMILE) for the
    treatment of myopia and myopic astigmatism
    Metodologi : Prospective, randomized, single-masked, paired-
    eye study design, 70 patients, May 2014 –
    November 2016, Singapore National Eye Center
    All participants were randomized to undergo either
    SMILE or LASIK first in each eye. The main outcome
    measure was refractive predictability after surgery,
    achieving a postoperative spherical equivalent (SE)
    within  0.50 diopter (D) and 1.0D of the intended
    target. Our secondary outcome measures included
    UDVA, CDVA, Refractive Astigmatis, contrast
    sensitivity, and HOA after surgery. Statistical Package
    for the Social Sciences version 17.0 (SPSS, Inc,
    Chicago, IL) was used to analyze the data. A P value of
    less than 0.05 was considered significant.
    Hasil : We recruited 70 consecutive patients (mean age, 285
    years; 64% women; all Asian) with no difference
    in preoperative spherical equivalent (SE) between eyes
    (-5.31.8 diopters [D] vs. -5.2 1.7 D; P = 0.87). At 3
    months, 99% of SMILE eyes and 97% of LASIK eyes
    achieved SE within1.0 D of attempted correction (P=
    1.0). Small-incision lenticule extraction achieved
    similar results as LASIK in terms of efficacy index
    (0.97 0.20 vs. 0.99 0.20; P=0.56), uncorrected
    distance visual acuity (UDVA) of 20/40 or better
    (100% vs. 100%; P=1.0), and UDVA of 20/20 or better
    (84% vs. 87%; P=0.63). Safety index (1.10.2 vs. 1.1
    0.2; P=0.57) was similar between SMILE and LASIK
    eyes at 3 months. At 12 months, SMILE was similar to
    LASIK in terms of efficacy (85% vs. 83%
    UDVA>20/20; P=0.81), predictability (99% vs. 99% _
    1.0 D of attempted correction SE; P =1.0), and safety
    (1.150.20 vs. 1.150.20; P,c0.93).
    Kesimpulan SMILE produced promising refractive outcomes in
    terms of predictability, efficacy, and safety at 3 and 12
    months of follow-up.

    Rangkuman dan Hasil The results from this clinical trial suggest that SMILE
    Pembelajaran is a promising laser refractive surgery technique in
    terms of safety and refractive outcomes. It would be
    difficult to demonstrate that a new technique such as
    SMILE is superior.
    However, as surgical nomograms and refinement of
    surgical techniques are being developed, clinical
    outcomes after SMILE would likely improve over
    time. Current literature suggests that the refractive
    outcomes and safety of SMILE and LASIK are
    similar, but many of these studies are not comparative
    studies, with few randomized trials. Studies on quality
    of vision and questionnaires also suggest that SMILE
    is similar to LASIK in terms of patient satisfaction
    without using a paired-eye study design, leading to
    subjective differences between patient-reported
    outcomes between groups. However, when
    generalizing these trial results to other populations, it
    is important to recognize that SMILE is a refractive
    technique that is more surgeon dependent compared
    with LASIK. Thus, reducing intersurgeon variability
    through adequate training and experience is important
    for SMILE to become a safe and effective
    alternative to LASIK.

    Pembimbing,

    dr. Fatimah Dyah Nur Astuti,MARS, SpM (K)

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