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Updated: Jan 27, 2026

Ye's Swing Technique for Small-incision Lenticule Extraction Surgery
Published on: June 27, 2025
[Historical Overview of the Clinical Development of the Small Incision Lenticule Extraction Surgery (SMILE)]
M Blum1, K S Kunert1, W Sekundo2
1Klinik für Augenheilkunde, Helios Klinikum Erfurt GmbH.
Small Incision Lenticule Extraction (SMILE) is a flapless refractive surgery using femtosecond lasers. This article reviews the advancements in this minimally invasive, one-step laser procedure over the past decade.
Area of Science:
- Ophthalmology
- Laser Surgery
- Refractive Surgery
Background:
- Femtosecond laser technology has advanced refractive surgery.
- Traditional laser procedures often involve creating a corneal flap.
Purpose of the Study:
- To describe the development of Small Incision Lenticule Extraction (SMILE) surgery.
- To highlight the evolution of this femtosecond laser procedure over ten years.
Main Methods:
- Review of the gradual development of SMILE surgery.
- Focus on the one-step intrastromal laser procedure without a flap.
Main Results:
- SMILE represents a significant advancement in refractive surgery.
- The procedure is a one-step intrastromal laser application.
Conclusions:
- SMILE femtosecond laser surgery offers a flapless alternative.
- The development over ten years shows significant progress in refractive surgery quality.
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