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Small lenticule extraction laser

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https://www.readbyqxmd.com/read/28732617/vector-analysis-of-astigmatic-changes-after-small-incision-lenticule-extraction-and%C3%A2-wavefront-guided-laser-in-situ-keratomileusis
#1
Mounir A Khalifa, Ahmed M Ghoneim, Mohamed Shafik Shaheen, David P Piñero
PURPOSE: To evaluate and compare the efficacy of the astigmatic correction after wavefront-guided laser in situ keratomileusis (LASIK) and small-incision lenticule extraction (SMILE) and in myopic eyes. DESIGN: Prospective case series. SETTING: Horus Vision Correction Center and Ellite Vision Correction Center, Alexandria, Egypt. METHODS: Myopic eyes with astigmatism up to 4.00 diopters (D) had wavefront-guided LASIK or small-incision lenticule extraction...
June 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28732614/incidence-and-management-of-intraoperative-complications-during-small-incision-lenticule-extraction-in-3004-cases
#2
Yan Wang, Jiaonan Ma, Jiamei Zhang, Rui Dou, Hui Zhang, Liuyang Li, Wei Zhao, Pinghui Wei
PURPOSE: To assess the intraoperative complications during small-incision lenticule extraction (SMILE) for myopia and myopic astigmatism correction and evaluate visual outcomes 6 months postoperatively. SETTING: Tianjin Eye Hospital, Tianjin, China. DESIGN: Retrospective case series. METHODS: Patients who had small-incision lenticule extraction surgery were examined 1 day, 7 days, 1 month, 3 months, and 6 months postoperatively...
June 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28708898/retreatment-strategies-following-small-incision-lenticule-extraction-smile-in-vivo-tissue-responses
#3
Andri K Riau, Yu-Chi Liu, Chris H L Lim, Nyein C Lwin, Ericia P Teo, Gary H Yam, Donald T Tan, Jodhbir S Mehta
With any refractive correction, including Small Incision Lenticule Extraction (SMILE), there may be a residual refractive error that requires a retreatment. Here, we investigated the tissue responses following various retreatment procedures in a rabbit model of SMILE. All rabbits underwent a -6.00D correction with SMILE. Two weeks later, they underwent -1.00D enhancement by: (i) VisuMax Circle, followed by excimer ablation (S+C); (ii) secondary SMILE anterior to the primary procedure (S+SE); or (iii) surface ablation (S+P), and were examined for 28 days...
2017: PloS One
https://www.readbyqxmd.com/read/28681903/contralateral-eye-comparison-of-smile-and-flap-based-corneal-refractive-surgery-computational-analysis-of-biomechanical-impact
#4
Ibrahim Seven, Ali Vahdati, Iben Bach Pedersen, Anders Vestergaard, Jesper Hjortdal, Cynthia J Roberts, William J Dupps
PURPOSE: Computational analyses were performed to quantify and directly compare the biomechanical impact of flapless and flap-based procedures in a series of patients undergoing small incision lenticule extraction (SMILE) in one eye and flap-based femtosecond lenticule extraction in the other. METHODS: Tomographic data from 10 eyes of 5 patients undergoing femtosecond laser refractive lenticule extraction for myopic astigmatism with or without a stromal flap (femtosecond lenticule extraction in one eye, SMILE in the contralateral eye) were used to generate computational models...
July 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28644239/effect-of-the-learning-curve-on-visual-and-refractive-outcomes-of-small-incision-lenticule-extraction
#5
Tommy C Y Chan, Alex L K Ng, George P M Cheng, Victor C P Woo, Jiamei Zhang, Yan Wang, Vishal Jhanji
PURPOSE: To investigate the effect of the learning curve for small-incision lenticule extraction during the first 2 years of experience. METHODS: Small-incision lenticule extraction was performed using the 500-kHz VisuMax femtosecond laser (Carl Zeiss Meditec) by the same surgeon. The initial 100 patients since the surgeon started operating independently were considered as group 1; the recent 100 patients were considered as group 2. The same laser settings and technique were used...
June 21, 2017: Cornea
https://www.readbyqxmd.com/read/28644232/case-of-presumed-transient-light-sensitivity-syndrome-after-small-incision-lenticule-extraction
#6
Jordan D Desautels, Majid Moshirfar, Tyler S Quist, David F Skanchy, Phillip C Hoopes
PURPOSE: To report the first presumed case of transient light-sensitivity syndrome (TLSS) after small-incision lenticule extraction (SMILE). METHODS: A 27-year-old male patient was treated for severe photophobic symptoms occurring 7 weeks after undergoing a bilateral SMILE procedure. His comprehensive ocular examination was unremarkable and his visual acuity was unaffected. Treatment was a month-long tapering dose of topical steroids. RESULTS: Photophobic symptoms fully resolved after steroid treatment...
June 21, 2017: Cornea
https://www.readbyqxmd.com/read/28631305/two-years-results-of-small-incision-lenticule-extraction-and-wavefront-guided-laser-in%C3%A2-situ-keratomileusis-for-myopia
#7
Hidenaga Kobashi, Kazutaka Kamiya, Akihito Igarashi, Masahide Takahashi, Kimiya Shimizu
PURPOSE: To compare the 2-years visual and refractive outcomes between small-incision lenticule extraction (SMILE) and wavefront-guided laser in situ keratomileusis (LASIK) in eyes with myopia and myopic astigmatism. METHODS: Our retrospective case-control study examined 30 eyes of 30 patients with the manifest refraction spherical equivalent (MRSE) of -3.71 ± 1.83 dioptres (D) who underwent SMILE and 30 eyes of 30 patients with MRSE of -3.81 ± 1.40 D who underwent wavefront-guided LASIK...
June 20, 2017: Acta Ophthalmologica
https://www.readbyqxmd.com/read/28622316/corneal-densitometry-after-photorefractive-keratectomy-laser-assisted-in-situ-keratomileusis-and-small-incision-lenticule-extraction
#8
F Poyales, N Garzón, J Mendicute, I Illarramendi, P Caro, O Jáñez, F Argüeso, A López
PurposeThe aim of this study was to gain greater insight into the corneal densitometry changes occurring as a result of refractive surgery and to compare these changes across three widely used surgical techniques, namely, photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis with a femtosecond laser (LASIK-FS), or ReLEx small-incision lenticule extraction (ReLEx SMILE).Patients and methodsThree hundred and thirty-six patients (184 male and 152 female patients) participated in this study. They were split into three groups according to the refractive surgery technique they had undergone: LASIK-FS (74 patients), PRK (153 patients), and ReLEx SMILE (109 patients)...
June 16, 2017: Eye
https://www.readbyqxmd.com/read/28586497/a-three-year-observation-of-corneal-backscatter-after-small-incision-lenticule-extraction-smile
#9
Tian Han, Jing Zhao, Yang Shen, Yingjun Chen, Mi Tian, Xingtao Zhou
PURPOSE: To investigate changes in corneal backscatter after small incision lenticule extraction (SMILE). METHODS: One eye was randomly selected from 34 patients who underwent SMILE procedures. Corneal backscatter was analyzed using Scheimpflug technology before surgery and at postoperative 1 day, 1 week, 1 month, 3, 6, and 12 months, and 3 years. Three different corneal depths (the anterior 120 µm, the center, and the posterior 60 µm) and three concentric radial zones (0 to 2, 2 to 6, and 6 to 10 mm) were analyzed...
June 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28586496/small-incision-lenticule-extraction-smile-for-hyperopia-optical-zone-diameter-and-spherical-aberration-induction
#10
Dan Z Reinstein, Kishore R Pradhan, Glenn I Carp, Timothy J Archer, Marine Gobbe, Walter Sekundo, Raynan Khan, Purushottam Dhungana
PURPOSE: To evaluate optical zone diameter efficacy and spherical aberration change in hyperopic small incision lenticule extraction (SMILE). METHODS: Prospective study of 60 consecutive hyperopic SMILE procedures using the VisuMax femtosecond laser (Carl Zeiss Meditec, Jena, Germany) and matched LASIK procedures with the VisuMax and MEL 80 excimer (Carl Zeiss Meditec) lasers. Inclusion criteria were maximum attempted hyperopic meridian of between +1.00 and +7.00 diopters (D)...
June 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28551832/comparison-of-relex-smile-and-prk-in-terms-of-visual-and-refractive-outcomes-for-the-correction-of-low-myopia
#11
Sri Ganesh, Sheetal Brar, Utsav Patel
PURPOSE: To compare the objective and subjective quality of vision after femtosecond laser-assisted small incision lenticule extraction (SMILE) and photorefractive keratectomy (PRK) for low myopia. METHODS: One hundred and twenty eyes from 60 patients (34 females, 26 males) undergoing bilateral correction of low myopia (≤-4 D SE) with either ReLEx SMILE or PRK were included. Visual acuity, contrast sensitivity and higher-order aberrations were recorded preoperatively and compared postoperatively...
May 27, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28545414/the-observation-during-small-incision-lenticule-extraction-for-myopia-with-corneal-opacity
#12
Shaowei Zhang, Haipeng Xu, Ke Zheng, Jing Zhao, Weijun Jian, Meiyan Li, Xingtao Zhou
BACKGROUND: To evaluate the feasibility and efficacy of small incision lenticule extraction (SMILE) in the treatment of myopia with corneal opacity. METHODS: To evaluate the treatment of myopia with corneal opacity, 9 patients (4 males, 5 females) who underwent SMILE were enrolled in this prospective clinical study. One eye of each patient was treated. The results of laser scanning and lenticule extraction were observed during the surgery, and the surgical videos were again reviewed after surgery...
May 25, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/28503439/dry-eye-and-corneal-sensitivity-after-small-incision-lenticule-extraction-and-femtosecond-laser-assisted-in-situ-keratomileusis-a-meta-analysis
#13
Wen-Ting Cai, Qing-Yu Liu, Cheng-Da Ren, Qing-Quan Wei, Jun-Ling Liu, Qian-Yi Wang, Ya-Ru Du, Meng-Mei He, Jing Yu
AIM: To assess the corneal sensitivity and the incidences of dry eye after small incision lenticule extraction (SMILE) and femtosecond laser-assisted in situ keratomileusis (FS-LASIK). METHODS: The Meta-analysis was performed using RevMan 5.3. We searched on PubMed from inception to March 2016. Summary weighted mean difference (WMD) and 95% confidence intervals (CIs) were used to analyze the datum. Random-effects or fixed-effects models were chosen up to between-study heterogeneity...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28499707/lower-laser-energy-levels-lead-to-better-visual-recovery-after-small-incision-lenticule-extraction-prospective-randomized-clinical-trial
#14
RANDOMIZED CONTROLLED TRIAL
Yong Woo Ji, Minseo Kim, David Sung Yong Kang, Dan Z Reinstein, Timothy J Archer, Jin Young Choi, Eung Kweon Kim, Hyung Keun Lee, Kyoung Yul Seo, Tae-Im Kim
PURPOSE: To determine the effect of lowering laser energy on clinical outcomes in small-incision lenticule extraction (SMILE). DESIGN: Prospective randomized clinical trial. METHODS: A total of 151 patients (151 eyes) with moderate myopia scheduled for SMILE were included: 58 eyes received SMILE with low energy (100, 105, and 110 nJ; L-SMILE group) and 93 with conventional energy (115-150 nJ; C-SMILE group). Patients received complete ophthalmic examinations preoperatively and over 3 months postoperatively...
July 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28486720/comparative-analysis-of-the-clinical-outcomes-of-smile-and-wavefront-guided-lasik-in-low-and-moderate-myopia
#15
Mounir A Khalifa, Ahmed Ghoneim, Mohamed Shafik Shaheen, Mohamed G Aly, David P Piñero
PURPOSE: To compare the clinical outcomes of small incision lenticule extraction (SMILE) and wavefront-guided LASIK (WFG LASIK) in eyes with low and moderate myopia. METHODS: This was a prospective, comparative study enrolling 110 eyes with low and moderate myopia (spherical equivalent ≤ 6.00 diopters [D]). Two groups were differentiated according to the surgical technique used: the WFG LASIK group included 51 eyes (51 patients) undergoing WFG LASIK using the STAR S4IR excimer laser and the iDesign aberrometer (Abbott Medical Optics, Abbott Park, IL) and the SMILE group included 59 eyes (59 patients) undergoing SMILE with the VisuMax platform (Carl Zeiss Meditec, Jena, Germany)...
May 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28421140/comparison-of-corneal-power-and-astigmatism-between-simulated-keratometry-true-net-power-and-total-corneal-refractive-power-before-and-after-smile-surgery
#16
Yishan Qian, Yan Liu, Xingtao Zhou, Rajeev Krishnan Naidu
Purpose. To compare the mean corneal power (Km) and total astigmatism (Ka) estimated by three methods: simulated keratometry (simK), true net power (TNP), and total corneal refractive power (TCRP) before and after femtosecond laser small incision lenticule extraction (SMILE) surgery. Methods. A retrospective, cross-sectional study. SimK, TNP, and TCRP from a Scheimpflug analyzer were obtained from 144 patients before and 6 months after SMILE surgery. Km and Ka were recorded as the mean of individual paracentral rings of 1...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28407165/comparison-of-corneal-epithelial-remodeling-after-femtosecond-laser-assisted-lasik-and-small-incision-lenticule-extraction-smile
#17
Ik-Hee Ryu, Bong Jun Kim, Jong-Hyuck Lee, Sun Woong Kim
PURPOSE: To comparatively investigate changes in epithelial thickness between myopic femtosecond laser-assisted LASIK (FS-LASIK) and small incision lenticule extraction (SMILE). METHODS: This study compared the topographic epithelial thickness changes in 175 myopic eyes undergoing FS-LASIK (62 eyes) or SMILE (113 eyes). Epithelial thickness was obtained using spectral-domain optical coherence tomography before surgery and 1 and 3 months after surgery. Topographic epithelial thickness obtained by automatic algorithm and thickness variability (standard deviation over 17 imaged areas) was compared between two groups...
April 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28407161/preliminary-evidence-of-successful-near-vision-enhancement-with-a-new-technique-presbyopic-allogenic-refractive-lenticule-pearl-corneal-inlay-using-a-smile-lenticule
#18
Soosan Jacob, Dhivya Ashok Kumar, Amar Agarwal, Athiya Agarwal, Ramalingam Aravind, A I Saijimol
PURPOSE: To describe a new technique (PrEsbyopic Allogenic Refractive Lenticule [PEARL] inlay) using an allogenic corneal inlay prepared from a small incision lenticule extraction (SMILE) lenticule. METHODS: A SMILE lenticule of specified thickness (mean: 61.5 ± 3.32 µm) was trephined at the center to 1-mm diameter and implanted in the cornea on the coaxially sighted light reflex under a femtosecond laser-created cap of 120 µm in the nondominant eye of presbyopic patients...
April 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28396804/impact-of-treatment-decentration-on-higher-order-aberrations-after-smile
#19
Ying Yu, Wenwen Zhang, Xinliang Cheng, Jianru Cai, Hui Chen
Purpose. To evaluate decentration following femtosecond laser small incision lenticule extraction (SMILE) and sub-Bowman keratomileusis (SBK) and its impact on higher-order aberrations (HOAs). Methods. Prospective, nonrandom, and comparison study. There were 96 eyes of 52 patients who received SMILE and 96 eyes of 49 patients who received SBK in this study. Decentration was calculated 6 months after surgery with Pentacam. HOAs and visual acuity after the surgery were examined for patients in both groups before and 6 months after surgery...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28396803/corneal-clarity-and-visual-outcomes-after-small-incision-lenticule-extraction-and-comparison-to-femtosecond-laser-assisted-in-situ-keratomileusis
#20
Apostolos Lazaridis, Konstantinos Droutsas, Walter Sekundo, Michael Petrak, Stephan Schulze
Purpose. To evaluate corneal clarity and visual outcomes after small-incision lenticule extraction (SMILE) and compare them to femtosecond laser-assisted in situ keratomileusis (FS-LASIK). Materials and Methods. Fifty-eight myopic eyes of 33 patients who underwent SMILE were compared to 58 eyes of 33 patients treated with FS-LASIK. All procedures were performed using VisuMax® femtosecond laser and MEL 80® excimer laser (Carl Zeiss Meditec AG, Germany). Pentacam™ (Oculus, Germany) was used for pre- and 3-month postoperative corneal densitometry (CD) analysis...
2017: Journal of Ophthalmology
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