Keratorefractive Lenticule Extraction: Early Postoperative Day 1 Outcomes in 1350 Consecutive Procedures.
Kishore Raj Pradhan1, Samuel Arba Mosquera2
1Matrika Eye Center, Kathmandu, Nepal ; and.
Cornea
|January 21, 2025
Summary
Lenticule extraction using SCHWIND ATOS is a safe and effective procedure for myopia astigmatism, providing accurate visual and refractive outcomes on postoperative day 1. This study demonstrates excellent visual acuity and refractive stability one year post-surgery.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Corneal Surgery
Background:
- Myopic astigmatism correction is a common goal in refractive surgery.
- Lenticule extraction offers a minimally invasive approach to correct refractive errors.
Purpose of the Study:
- To evaluate the early postoperative visual outcomes after lenticule extraction for myopia astigmatism.
- To assess the safety and efficacy of the SCHWIND ATOS procedure in a large patient cohort.
Main Methods:
- Retrospective chart review of 1357 eyes treated with SCHWIND ATOS lenticule extraction.
- Analysis of visual acuity, refractive error, and astigmatism outcomes on postoperative day 1 (POD1).
- Evaluation of outcome stability from POD1 to 1-year follow-up.
Main Results:
- 82% of eyes achieved uncorrected distance visual acuity (UDVA) of 20/20 or better on POD1.
- 98% of cases had postoperative spherical equivalent within 0.75 D, with high accuracy for astigmatism correction.
- Excellent stability of visual and refractive outcomes observed from 1 week to 1 year post-surgery.
Conclusions:
- Lenticule extraction with SCHWIND ATOS is safe and effective for myopia astigmatism.
- The procedure provides accurate and precise correction of both defocus and astigmatism.
- Outcomes demonstrate significant stability in the long term, supporting its efficacy.
Keywords:
SCHWIND ATOSastigmatism outcomesearly postoperative day 1 outcomeskeratorefractive lenticule extractionvisual and refractive outcomes

