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Modified Technique for Small-Incision Lenticule Extraction: Ye's Swing Technique.

Jun Zhu1, Fen-Fen Li1, Qi Dai1

  • 1School of Ophthalmology and Optometry, The Eye Hospital of Wenzhou Medical University, 618 East Fengqi Road, Hangzhou, 310000, Zhejiang, China.

Ophthalmology and Therapy
|November 19, 2022
PubMed
Summary

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Ye's swing technique safely and effectively extracts lenticules during small-incision lenticule extraction (SMILE), achieving excellent refractive outcomes with intact lenticules and no tearing.

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Corneal Surgery

Background:

  • Small-incision lenticule extraction (SMILE) is a popular refractive surgery procedure.
  • Evaluating novel techniques for lenticule dissection in SMILE is crucial for improving outcomes.
  • Ye's swing technique is a new method for lenticule dissection during SMILE.

Purpose of the Study:

  • To assess the safety and efficacy of Ye's swing technique for lenticule dissection in SMILE.
  • To evaluate lenticule integrity and refractive outcomes following the use of Ye's swing technique.
  • To compare refractive results and lenticule quality with preoperative measurements.

Main Methods:

  • A prospective study involving 246 patients (490 eyes) with myopia and myopic astigmatism.
Keywords:
Intraoperative complicationsLenticule tearMyopiaSMILESmall-incision lenticule extractionSwing technique

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  • Patients underwent SMILE using Ye's swing technique for lenticule dissection.
  • Ocular parameters, including visual acuity and refraction, were assessed preoperatively and 1 month postoperatively using optical coherence tomography.

    • Main Results:

    • The technique successfully dissected lenticules ranging from 52 to 148 µm in all cases.
    • Complete lenticule extraction was achieved in 100% of the eyes.
    • No incisional edge tearing or complications related to lenticule separation were observed.

    Conclusions:

    • Ye's swing technique is a safe and effective method for lenticule dissection in SMILE.
    • The technique yields favorable refractive outcomes and maintains lenticule integrity.
    • This method has been adopted as the routine procedure for SMILE surgeries.