Lenticular Profiling And Corneal Nerve Regeneration: A Thorough Investigative Analysis
Published 2024 - 42nd Congress of the ESCRS
Reference: PO1173 | Type: Free paper | DOI: 10.82333/j4w2-x575
Authors: Panaah Shetty* 1 , Rohit Shetty 2 , Pooja Khamar 2 , Durgalakshmi Modak 1
1refractive ,Narayana nethralaya,bangalore ,India, 2refractive ,narayana nethralaya ,bangalore ,India
Purpose
This study aims to assess the impact of lenticular profiles in various lenticular extraction surgeries on corneal nerve regeneration and its influence on outcomes.
Setting
Tertiary eye care centre, India
Methods
In-vivo confocal microscopy was performed to evaluate corneal nerve changes in eyes undergoing ELITA SILK, SCHWIND ATOS SMARTSIGHT, and SMILE procedures (n=42 each). Corneal nerve fiber density (CNFD) and corneal nerve fiber length (CNFL) were assessed using CCMetrics software. Changes in parameters from pre to postoperative stages were compared.
Results
Preoperative CNFD and CNFL were similar in all three groups. Changes in CNFD and CNFL were significantly less in the SILK and Smart Sight groups compared to SMILE at 1, 3, and 6 months postoperatively.
Conclusions
The SILK and Smart Sight groups showed a reduced change in CNFD and CNFL, indicating less nerve damage and faster nerve regeneration. This suggests that these procedures may lead to quicker recovery of ocular surface balance and a reduction in dry eye symptoms.