Research Article

Effect of Cap-Lenticule Diameter Difference on the Visual Outcome and Higher-Order Aberrations in SMILE: 0.4 mm versus 1.0 mm

Table 1

Demographic and ocular findings of the study groups throughout the study.

Group 1
(CLDD = 0.4 mm)
Group 2
(CLDD = 1.0 mm)
p valuea

Number of patients5478
Number of eyes108156
Age (years), mean ± SD (range)29.25 ± 5.36 (19–39)29.54 ± 5.03 (20–40)0.326
Gender (male/female)33/2146/32

Sphere (D)Preoperative−3.01 ± 1.81−3.13 ± 1.720.582
Month 6−0.02 ± 0.36−0.01 ± 0.420.943
p valueb<0.001<0.001

Spherical equivalent (D)Preoperative−3.47 ± 1.78−3.55 ± 1.800.750
Month 6−0.20 ± 0.37−0.24 ± 0.430.412
p valueb<0.001<0.001

CDVA (logMAR)Preoperative−0.08 ± 0.08−0.08 ± 0.080.658
Day 1−0.07 ± 0.070.04 ± 0.07<0.001
Week 1−0.07 ± 0.07−0.04 ± 0.070.001
Month 1−0.08 ± 0.07−0.07 ± 0.070.333
Month 3−0.08 ± 0.07−0.07 ± 0.070.445
Month 6−0.08 ± 0.07−0.08 ± 0.070.456
p valuec0.089<0.001

UDVA (logMAR)Day 10.07 ± 0.070.29 ± 0.09<0.001
Week 10.02 ± 0.060.11 ± 0.08<0.001
Month 1−0.05 ± 0.070.02 ± 0.06<0.001
Month 3−0.07 ± 0.07−0.04 ± 0.06<0.001
Month 6−0.08 ± 0.07−0.06 ± 0.060.038
p valuec<0.001<0.001

Total HOAs (μm)Preoperative0.16 ± 0.060.14 ± 0.120.248
Month 60.24 ± 0.080.32 ± 0.260.002
p valueb<0.001<0.001

Horizontal coma (μm)Preoperative0.02 ± 0.020.02 ± 0.020.937
Month 60.04 ± 0.030.07 ± 0.05<0.001
p valueb<0.001<0.001

Vertical coma (μm)Preoperative−0.02 ± 0.02−0.03 ± 0.020.326
Month 6−0.14 ± 0.02−0.24 ± 0.02<0.001
<0.001<0.001

Spherical aberration (μm)Preoperative0.23 ± 0.050.23 ± 0.060.786
Month 60.36 ± 0.010.49 ± 0.04<0.001
p valueb<0.001<0.001

CLDD: cap-lenticule diameter difference; SD: standard deviation; CDVA: corrected distance visual acuity; UDVA: uncorrected distance visual acuity; HOA: higher-order aberrations. aIndependent sample t-test for the difference between study groups. bPaired t-test for the significance of intragroup change during study. cRepeated measures of ANOVA for the significance of intragroup change during study.