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Ye's Swing Technique for Small-incision Lenticule Extraction Surgery
Published on: June 27, 2025
Management of incision failure during small incision lenticule extraction because of conjunctivochalasis
Bu Ki Kim1, Su Joung Mun1, Dae Gyu Lee1
1Onnuri Smile Eye Clinic, Hyobong Building 9F 1, Gangnam-daero 65 gil, Seocho-gu, Seoul, South Korea.
Purpose:
We report a case of incision failure during small incision lenticule extraction (SMILE) and its management.
Observations:
The incision could not be made using the femtosecond laser because of a redundant conjunctiva, so it was instead done manually using a diamond knife. The lenticule was successfully separated and extracted. Three months after the procedure, the uncorrected distance visual acuity was 20/20 and no complication was observed.
Conclusions And Importance:
This case demonstrates that the conjunctiva should be carefully examined before SMILE. If a complication occurs because of conjunctivochalasis, it can be resolved with proper management without compromising the patient's visual acuity.
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