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Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
Published on: September 20, 2024
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Small incision lenticule extraction (SMILE) refractive surgery: Our initial experience
Vijay K Sharma1, Alok Sati2, Santosh Kumar3
1Senior Advisor (Ophthalmology) & Anterior Segment Surgeon, Command Hospital (Eastern Command), Kolkata, India.
Medical Journal, Armed Forces India
|September 23, 2022
Summary
Small Incision Lenticule Extraction (SMILE) offers a safe, flap-free refractive surgery option. This study shows significant visual acuity improvement with minimal complications in 202 eyes over 3 months.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Laser Vision Correction
Background:
- Small Incision Lenticule Extraction (SMILE) is a minimally invasive, flap-free refractive surgery utilizing femtosecond laser technology.
- It is increasingly recognized as a safe alternative to traditional flap-based refractive surgeries.
Purpose of the Study:
- To evaluate the safety and efficacy of SMILE surgery.
- To assess visual outcomes and complications in a cohort of patients undergoing SMILE.
Main Methods:
- A retrospective data review of 202 eyes from 101 patients who underwent SMILE surgery.
- Data collected included preoperative and postoperative visual acuity, with a 3-month follow-up period.
Main Results:
- Mean age of participants was 24.1 years; 75.2% underwent surgery for cosmetic reasons.
- Uncorrected Visual Acuity (UCVA) significantly improved from 1.049 logMAR preoperatively to 0.03 logMAR at 3 months postoperatively.
- Two cases experienced difficult lenticule extraction with minor cap tears, indicating a low complication rate.
Conclusions:
- SMILE surgery is an effective flap-free refractive technique with reduced risks of dry eyes and flap-related issues.
- The procedure may be suitable for military personnel following comprehensive preoperative screening.
