Evidence map›Paper›PMID 40837667›Full record

ArticleAfrican health sciences2025

The impact of femtosecond laser small incision lenticule extraction on accommodative function.

Liwen Li, Lu Liu, Wenjun Gou

Abstract read
In one paragraph

Article in African health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Liwen LiDepartment of Ophthalmology, Suining Central Hospital, Suining, Sichuan, 629000, China.
Lu LiuDepartment of Cerebrovascular Diseases, Suining Central Hospital, Suining, Sichuan, 629000, China.
Wenjun GouDepartment of Ophthalmology, Suining Central Hospital, Suining, Sichuan, 629000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective case study assessed the influence of femtosecond laser small incision lenticule extraction (SMILE) on accommodative function. The study included 42 patients from August 2020 to July 2021 at Suining Central Hospital. They were categorized into near-vision fatigue (20 cases) and asymptomatic groups (22 cases) post-surgery. The near-vision fatigue group received visual training. Comparing pre-surgery, one week, and one month after surgery, accommodative changes were analyzed using variance and t-tests. The near-vision fatigue group had lower preoperative accommodative function (PAPM=0.16, PAF<0.001, PPRA=0.009). One-week post-surgery, they experienced further declines (PAPM=0.021, PAF=0.038, PPRA=0.001), but after one month of training, improvements were evident (PAPM<0.001, PBAF=0.005, PPRA<0.001). The asymptomatic group also had temporary declines one week after surgery, recovering by one month. Negative relative accommodation and accommodative response were minimally affected. SMILE surgery briefly reduced accommodative parameters, predominantly in the near-vision fatigue group. Appropriate training effectively alleviated postoperative near-vision discomfort. In conclusion, SMILE surgery affects accommodative function, leading to temporary declines in specific parameters. Adequate training mitigates these effects, enhancing postoperative comfort.

Indexed as

Accommodation, OcularCorneal Surgery, LaserMyopiaAdultFemaleHumansMaleMiddle AgedRetrospective StudiesVisual AcuityYoung AdultAccommodative amplitudeAccommodative flexibilityMyopiaPositive and negative relative accommodationSMILE surgery

Identifiers

PMID40837667
PMCPMC12361949

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.