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Ye's Swing Technique for Small-incision Lenticule Extraction Surgery
Published on: June 27, 2025
268
Advantages of Small Incision Lenticule Extraction (SMILE) for Mass Eye and Ear Special Issue
Amani A Ahmed1,2, Kathryn M Hatch1,2
1Anterior Segment - Cornea and Refractive Surgery, Mass Eye and Ear Main Campus , Boston, MA, USA.
Seminars in Ophthalmology
|September 7, 2020
Summary
Small-incision lenticule extraction (SMILE) offers numerous advantages, including better patient experience and corneal stability. Visual outcomes are comparable to LASIK, making SMILE a growing refractive surgery choice.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- Small-incision lenticule extraction (SMILE) is a minimally invasive refractive surgical procedure.
- It has gained significant global popularity since its introduction.
Purpose of the Study:
- To review the advantages of SMILE.
- To compare its outcomes with LASIK.
- To discuss its growing market potential.
Main Methods:
- Literature review summarizing existing data on SMILE.
- Comparison of visual and refractive outcomes with LASIK.
- Analysis of patient experience and corneal biomechanics.
Main Results:
- SMILE offers improved intraoperative experience and postoperative ocular surface.
- Low incidence of regression and re-treatment rates are noted.
- Corneal biomechanical stability is advantageous.
- Visual and refractive outcomes are similar to LASIK, supported by large studies.
Conclusions:
- SMILE demonstrates favorable outcomes and patient benefits.
- Its increasing adoption, especially in the US post-FDA approval, is expected to expand the refractive surgery market.

