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CIRCLE Software for Management of Epithelial Ingrowth After SMILE.
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|November 10, 2021
Summary
CIRCLE software offers a new way to treat visually significant epithelial ingrowth after small incision lenticule extraction (SMILE) surgery. This method successfully removed ingrowth in three cases, preventing recurrence and restoring vision.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Refractive Surgery
Background:
- Epithelial ingrowth is a rare but serious complication after small incision lenticule extraction (SMILE).
- Managing epithelial ingrowth after SMILE presents challenges due to limited access to the surgical interface.
- Existing methods may be insufficient for complete removal and carry risks.
Purpose of the Study:
- To present a novel therapeutic application of CIRCLE software for managing visually significant epithelial ingrowth post-SMILE.
- To evaluate the efficacy and safety of this new approach in a case series.
Main Methods:
- A case series of three eyes experiencing visually significant epithelial ingrowth after SMILE.
- Conversion of the SMILE cap into a flap utilizing CIRCLE software to gain access to the interface.
- Complete debridement of epithelial ingrowth, followed by thorough interface irrigation.
Main Results:
- Successful management of progressive and visually significant epithelial ingrowth in all three cases.
- Uneventful postoperative recovery with no observed recurrence of epithelial ingrowth.
- The CIRCLE software facilitated complete removal of the ingrowth.
Conclusions:
- The use of CIRCLE software represents a novel and effective strategy for treating vision-threatening epithelial ingrowth after SMILE.
- This technique provides adequate access for complete debridement, leading to favorable outcomes.

