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Updated: Mar 18, 2026
Ye's Swing Technique for Small-incision Lenticule Extraction Surgery
Published on: June 27, 2025
Bilateral Ectasia After Femtosecond Laser-Assisted Small Incision Lenticule Extraction (SMILE)
Purpose:
To describe a case of bilateral ectasia after small incision lenticule extraction (SMILE) in a patient with early keratoconus.
Methods:
Case report.
Results:
Bilateral SMILE was performed on a patient even though preoperative topographies showed changes indicating early keratoconus. The right eye underwent further photorefractive keratectomy enhancement 18 months later. The patient developed a bilateral corneal ectasia.
Conclusions:
This case underlines the importance of thorough preoperative assessment for possible keratoconus suspect changes with corneal topography to avoid postoperative ectasia. [J Refract Surg. 2016;32(7):497-500.].
