{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T06:57:00Z","timestamp":1776322620878,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81873684"],"award-info":[{"award-number":["81873684"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To systematically evaluate the clinical effect of wavefront\u2010guided laser in situ keratomileusis (WFG\u2010LASIK) and small incision lenticule extraction (SMILE) in terms of refractive errors and high\u2010order aberrations. A systematic literature search of PubMed, EMBASE, the Cochrane Library, Web of Science and China National Knowledge Internet was performed to identify studies evaluating the clinical outcomes of SMILE and WFG\u2010LASIK ended in May 2022. Meta\u2010analyses were performed according to the PRISMA guidelines. The risk of bias of the RCTs was evaluated using the Cochrane Handbook criteria, and the quality of the non\u2010randomised controlled studies was assessed using the Newcastle\u2010Ottawa Scale. In total, 1385 eyes (SMILE group, 750 eyes; WFG\u2010LASIK group, 635 eyes) from 12 studies were included. The meta\u2010analysis demonstrated that spherical aberration was smaller in the SMILE group than in the WFG\u2010LASIK group (standardised mean difference [SMD]: \u22120.34, 95% confidence interval [CI]: \u22120.47, \u22120.22; <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.00001), and that the postoperative values of vertical coma (SMD: 0.83; 95% CI: 0.63, 1.03; <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.00001) and trefoil (SMD: 0.37; 95% CI: 0.02, 0.72; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04) were higher in the SMILE group compared to the WFG LASIK group. There were no significant differences in the clinical outcomes and the values of induced total higher order aberrations between the WFG\u2010LASIK and SMILE groups (SMD: 0.05; 95% CI: \u22120.09, 0.19; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.47). Both SMILE and WFG\u2010LASIK were found to be safe, effective, and predictable. SMILE may induce more vertical coma and trefoil, whereas WFG LASIK may induce more spherical aberrations, but no significant differences were found in the total higher order aberrations between SMILE and WFG\u2010LASIK.<\/jats:p>","DOI":"10.1111\/aos.15638","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T06:35:38Z","timestamp":1675319738000},"page":"606-618","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Clinical outcomes and higher order aberrations of wavefront\u2010guided <scp>LASIK<\/scp> versus <scp>SMILE<\/scp> for correction of myopia: A systemic review and meta\u2010analysis"],"prefix":"10.1111","volume":"101","author":[{"given":"He","family":"Tian","sequence":"first","affiliation":[{"name":"School of Medicine Nankai University  Tianjin China"},{"name":"Nankai University Eye Institute Nankai University Affiliated Eye Hospital Nankai University  Tianjin 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