Clinical Study

Corneal Cap Thickness and Its Effect on Visual Acuity and Corneal Biomechanics in Eyes Undergoing Small Incision Lenticule Extraction

Table 1

Baseline characteristics of all eyes preoperatively and at 3 months postoperatively. (mean ± SD or Q2 ± IQR).

110 μm cap ()150 μm cap () value

Pre-BCVA0.1 ± 0.10.1 ± 0.10.16
Pre-sph (D)−4.77 ± 1.26−4.25 ± 1.31<0.001
Pre-cyl (D)−0.75 ± 0.43−0.77 ± 0.480.88
Post-UCVA (LogMAR)−0.10 ± 0.0−0.10 ± 0.00.99
Post-sph (D)0.31 ± 0.500.20 ± 0.610.41
Post-cyl (D)0.11 ± 0.340.06 ± 0.450.73
Pre-CCT (µm)549.8 ± 23.7548.9 ± 24.70.48
Pre-K1 (D)42.4 ± 1.142.4 ± 1.10.63
Pre-K2 (D)43.5 ± 1.243.5 ± 1.20.74
OBL ≥ level 2 (eyes)700.004a
Pre-SR0.24 ± 0.080.20 ± 0.070.18
Post-SR0.19 ± 0.050.16 ± 0.040.08
Pre-OSI0.68 ± 0.470.69 ± 0.420.09
Post-OSI0.88 ± 0.540.99 ± 0.470.10
Pre-MTF cutoff (cpd)36.85 ± 12.2134.84 ± 12.080.64
Post-MTF cutoff (cpd)33.82 ± 11.0332.26 ± 8.630.49
Prephotopic contrast sensitivity at low frequency (cpd)&1.62 ± 0.041.62 ± 0.040.99
Postphotopic contrast sensitivity at low frequency (cpd)1.66 ± 0.031.62 ± 0.030.25
Prephotopic contrast sensitivity at high frequency (cpd)@1.17 ± 0.041.11 ± 0.030.28
Postphotopic contrast sensitivity at high frequency (cpd)1.24 ± 0.041.08 ± 0.040.001
Prescotopic contrast sensitivity at low frequency (cpd)1.62 ± 0.041.60 ± 0.020.57
Postscotopic contrast sensitivity at low frequency (cpd)1.66 ± 0.051.51 ± 0.040.004
Prescotopic contrast sensitivity at high frequency (cpd)1.05 ± 0.051.09 ± 0.050.38
Postscotopic contrast sensitivity at high frequency (cpd)1.18 ± 0.041.05 ± 0.030.009
Precorneal spherical aberration (µm)0.17 ± 0.080.20 ± 0.080.10
Postcorneal spherical aberration (µm)0.38 ± 0.190.32 ± 0.100.003
Precorneal coma (µm)#0.20 ± 0.090.20 ± 0.070.36
Postcorneal coma (µm)0.41 ± 0.160.36 ± 0.200.32
Pre-higher-order aberration (µm)0.35 ± 0.080.36 ± 0.080.65
Post-higher-order aberration (µm)0.64 ± 0.140.62 ± 0.150.47
Preendothelia cell density (/mm2)2343 ± 4722369 ± 5010.28
Postendothelia cell density (/mm2)2321 ± 4872336 ± 4550.35

We classified intraoperative OBL into 3 levels, which are mild, moderate, and severe; low frequency, &3 cpd; high frequency, @18 cpd; BCDVA, best-corrected distance visual acuity; UCDVA, uncorrected distance visual acuity; SR, Strehl ratio; OSI, objective scatter index; MTF cutoff, modulate transfer function cutoff value; coma# = [(C7) [2] + (C8) [2]]1/2. aFisher’s exact test.