Related Experiment Video
Updated: Oct 7, 2025
05:14
Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
Published on: September 16, 2025
83
Visual and Refractive Outcomes Following SMILE to Correct Myopia Performed by Surgeons in Training
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|January 12, 2022
Summary
Small Incision Lenticule Extraction (SMILE) by cornea fellows is safe and effective, demonstrating excellent visual outcomes. The procedure has a short learning curve, making it a viable refractive option.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- Small Incision Lenticule Extraction (SMILE) is an advanced laser vision correction procedure.
- Assessing the safety and efficacy of SMILE is crucial for its widespread adoption.
Purpose of the Study:
- To evaluate the visual results and complications of SMILE surgery.
- To determine the learning curve for cornea fellows performing SMILE under supervision.
Main Methods:
- Retrospective case series of 114 patients (228 eyes) undergoing SMILE.
- Data collected included uncorrected and corrected distance visual acuity, refractive error (SE), and complications.
- Follow-up averaged 6.4 months.
Main Results:
- 94% of patients achieved uncorrected visual acuity of 20/30 or better.
- 96% of patients experienced stable vision post-surgery.
- 17.5% of eyes (40) had adverse events, most commonly epithelial defects; 2 patients needed re-intervention.
Conclusions:
- SMILE is an effective and safe refractive procedure when performed by supervised cornea fellows.
- The study indicates a short learning curve for SMILE.
- Excellent visual outcomes were achieved, supporting SMILE's role in refractive surgery.
