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Small lenticule extraction laser

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https://www.readbyqxmd.com/read/28264135/smile-rescue-delayed-lenticule-removal-in-a-patient-with-high-myopia
#1
Jessica Y Tong, Svetlana Cherepanoff, John J Males
PURPOSE: To report successful stromal lenticule extraction, 18 weeks after an aborted small incision lenticule extraction (SMILE) procedure. METHODS: Case report. RESULTS: SMILE was planned in both eyes in another center to correct high myopia. The right eye was treated uneventfully with immediate lenticule extraction and normal postoperative corneal and topographic appearance. Femtosecond laser treatment was applied to the left eye, but the lenticule could not be removed and the procedure was aborted...
March 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28264134/biomechanical-weakening-of-different-re-treatment-options-after-small-incision-lenticule-extraction-smile
#2
Sabine Kling, Bogdan Spiru, Farhad Hafezi, Walter Sekundo
PURPOSE: To determine the corneal weakening induced by different re-treatment options after small incision lenticule extraction (SMILE) and investigate the potential of corneal cross-linking (CXL) to reestablish the original corneal stress resistance. METHODS: A total of 96 freshly enucleated porcine corneas were used. The initial refractive correction was defined to be -11.00 diopters (D) and the required enhancement to be -3.00 D. Three different re-treatment options were analyzed: -3D Re-SMILE, -3D photorefractive keratectomy (PRK) on top of the SMILE cap, and cap-to-flap conversion and -3D excimer ablation on the stromal bed (LASIK)...
March 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28264128/small-incision-lenticule-extraction-smile-for-hyperopia-optical-zone-centration
#3
Dan Z Reinstein, Kishore R Pradhan, Glenn I Carp, Timothy J Archer, Marine Gobbe, Walter Sekundo, Raynan Khan, Kim Citron, Purushottam Dhungana
PURPOSE: To evaluate optical zone centration of hyperopic small incision lenticule extraction (SMILE). METHODS: This prospective study of 60 consecutive hyperopic SMILE procedures used the VisuMax femtosecond laser and matched LASIK procedures with the VisuMax and MEL 80 excimer lasers (Carl Zeiss Meditec AG, Jena, Germany). Inclusion criteria were maximum attempted hyperopic meridian of between +1.00 and +7.00 diopters (D) and astigmatism up to 6.00 D. For SMILE, the optical zone was between 6...
March 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28135749/-limitations-of-smile-small-incision-lenticule-extraction
#4
T Seiler, T Koller, V V Wittwer
Background SMILE is a relatively new technique to correct moderate and high myopia. The limits of SMILE are yet unknown. Methods Literature research using PubMed until October 1, 2016. Results/Discussion Recently presented axial 2D-strain-stress measurements indicate that the biomechanical impairment of the cornea after SMILE and LASIK is comparable. The difference in elastic moduli is statistically not different. The visual rehabilitation after SMILE takes significantly longer (weeks) compared to LASIK (days)...
January 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28135748/-historical-overview-of-the-clinical-development-of-the-small-incision-lenticule-extraction-surgery-smile
#5
M Blum, K S Kunert, W Sekundo
The clinical use of femtosecond lasers has led to significant progress in the quality of refractive surgery. SMILE femtosecond laser surgery (SMILE: Small Incision Lenticule Extraction) permits the first one step intrastromal laser procedure without a flap. This article describes the gradual development of this surgery during the last ten years.
January 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28060071/corneal-lenticule-allotransplantation-after-femtosecond-laser-small-incision-lenticule-extraction-in-rabbits
#6
Jing Zhao, Yang Shen, Mi Tian, Ling Sun, Yu Zhao, Xiaoyu Zhang, Xingtao Zhou
PURPOSE: To investigate the feasibility of allotransplanting extracted lenticules after femtosecond laser-assisted small incision lenticule extraction (SMILE) in rabbits and the subsequent healing process. METHODS: Fourteen New Zealand white rabbits were divided evenly into 2 groups. The rabbits in group A received SMILE procedures with a -6.00 D correction. The lenticules from group A were immediately inserted into a femtosecond laser-created corneal stromal pocket in group B...
February 2017: Cornea
https://www.readbyqxmd.com/read/28058160/long-term-results-of-small-incision-lenticule-extraction-in-high-myopia
#7
Yusuf Yıldırım, Cengiz Alagöz, Abdülvahit Demir, Onur Ölçücü, Mehmet Özveren, Alper Ağca, Engin Bilge Özgürhan, Ahmet Demirok
OBJECTIVES: To evaluate two-year results of small-incision lenticule extraction (SMILE) for correction of high myopia. MATERIALS AND METHODS: Forty-five eyes of 35 patients with mean spherical equivalent (SE) of -7.10±0.95 D who underwent routine SMILE by a single surgeon and were followed for at least 2 years were analyzed by retrospective chart review. SMILE was performed with a Visumax femtosecond laser (Carl Zeiss Meditec, Jena, Germany). Follow-up intervals were at 1, 6, 12, and 24 months after surgery...
October 2016: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/27992482/dry-eye-after-small-incision-lenticule-extraction-smile-versus-femtosecond-laser-assisted-in-situ-keratomileusis-fs-lasik-for-myopia-a-meta-analysis
#8
Zeren Shen, Yanan Zhu, Xiaohui Song, Jie Yan, Ke Yao
PURPOSE: To compare dry eye after small incision lenticule extraction (SMILE) and femtosecond laser-assisted LASIK (FS-LASIK) for correcting myopia. METHODS: CENTRAL, Embase and PubMed were searched in November 2016. All randomized controlled trials (RCTs) and prospective cohorts that compared dry eye after SMILE with FS-LASIK were selected. RESULTS: Five cohorts and one RCT were identified for comparing dry eye after SMILE (291 eyes) and FS-LASIK (277 eyes)...
2016: PloS One
https://www.readbyqxmd.com/read/27957338/comparison-of-the-optical-quality-between-small-incision-lenticule-extraction-and-femtosecond-laser-lasik
#9
Ying Jin, Yan Wang, Lulu Xu, Tong Zuo, Hua Li, Rui Dou, Jiamei Zhang
Purpose. To investigate the visual quality after SMILE and Femto-LASIK. Methods. About 123 eyes from 63 patients were enrolled in this study. The parameters were measured preoperatively and 1 week, 1 month, and 3 months postoperatively using Sirius System. Results. The MTF curve increase slightly from low to high frequency at 3 mm and 6 mm pupil diameter after SMILE surgery (P < 0.05) during the follow-up time comparing with the preoperative values. And the SR has a significant increase at various pupil diameters as well (P < 0...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27936474/-three-years-follow-up-study-after-refractive-small-incision-lenticule-extraction-smile-using-500%C3%A2-khz-femtosecond-laser-in-fast-mode
#10
A Messerschmidt-Roth, W Sekundo, A Lazaridis, S Schulze
Background  The aim of this clinical trial was to check the results of laser built-in settings 3 years after ReLEx SMILE for moderate and high myopia in unselected "real life" patients. Patients and Methods  50 myopic eyes of 27 patients were called in for examination after 3 years. 25 of these eyes with a preoperative myopia under - 6D comprised the "moderate myopia subgroup". All surgeries were performed with the 500 kHz VisuMax® femtosecond laser (Carl Zeiss Meditec AG, Jena) in the "fast mode" setting...
January 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/27930794/using-donor-lenticules-obtained-through-smile-for-an-epikeratophakia-technique-combined-with-phototherapeutic-keratectomy
#11
Jing Zhao, Ling Sun, Yang Shen, Mi Tian, Peijun Yao, Xingtao Zhou
PURPOSE: To investigate the feasibility, safety, and efficacy of using a donor lenticule created during small incision lenticule extraction (SMILE) in an epikeratophakia technique combined with phototherapeutic keratectomy (PTK). METHODS: Six patients with decreased visual acuity due to a recurrence of corneal dystrophy were included in this prospective pilot study. PTK was performed using the MEL 80 excimer laser (Carl Zeiss Meditec, Jena, Germany) followed by the transplantation of donor lenticules onto the recipient eyes...
December 1, 2016: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/27916313/influence-of-the-flap-on-outcomes-in-corneal-refractive-surgery-with-femtosecond-laser-smile-vs-flex
#12
J L Alió, M El Bahrawy, A Angelov, D Ortiz, P Yébana
OBJECTIVE: To investigate the influence of creating a flap on the postoperative optical quality of the cornea in terms of predicted corneal curvature and Seidel aberrations after 2 modalities of femtosecond assisted corneal lenticule extraction laser for the correction of myopia and myopic astigmatism: The flapless procedure small incision lenticular extraction (SMILE) and the flap-based femtosecond lenticular extraction (FLEx). METHODS: The study is a prospective consecutive non-randomised comparative interventional case series including 64 eyes with myopic or myopic astigmatism refractive errors...
December 1, 2016: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/27911101/in-vivo-and-ex-vivo-evaluation-of-inflammation-and-apoptosis-induced-after-smile-procedures-for-different-refractive-error-range
#13
Leonardo Mastropasqua, Roberta Calienno, Claudia Curcio, Rodolfo Mastropasqua, Mario Nubile, Niccolò Salgari, Manuela Lanzini
PURPOSE: To detect corneal inflammation and apoptosis induced after small incision lenticule extraction (SMILE) at different refractive corrections for moderate to high values of myopia. METHODS: Fifty patients (50 eyes) suffering from medium to high myopia (spherical equivalent refraction from -3.75 to -10.00 diopters (D) with refractive astigmatism under -0.75 D) underwent SMILE in order to correct myopic error. In vivo evaluation was done by corneal confocal microscopy (IVCM) and ex vivo by immunohistochemistry...
December 2, 2016: Current Eye Research
https://www.readbyqxmd.com/read/27898448/laser-vision-correction-in-treating-myopia
#14
REVIEW
Germano Leal Ehlke, Ronald R Krueger
Myopia is a generally benign refractive error with an increasing prevalence worldwide. It can be corrected temporarily with glasses and contact lenses and permanently with laser vision correction. The 2 main procedures currently being performed for myopia correction are photorefractive keratectomy and laser-assisted in situ keratomileusis. Each technique has its advantages, but they appear to yield similar visual outcomes 1 year after surgery. Laser vision correction for myopia was considered a paradigm shift because healthy eyes could now undergo a surgical procedure to permanently and safely correct the error by altering the center of the cornea, which was previously off limits because of the potential for loss of transparency...
November 2016: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/27893524/visual-outcomes-after-smile-lasek-and-lasek-combined-with-corneal-collagen-cross-linking-for-high-myopic-correction
#15
Sangyoon Hyun, Seongjun Lee, Jae-Hyung Kim
PURPOSE: To compare the visual and refractive outcomes of small-incision lenticule extraction (SMILE), laser-assisted subepithelial keratomileusis (LASEK), and LASEK combined with corneal collagen cross-linking (LASEK-CXL) surgery for high-degree myopia. METHODS: Medical records of patients with spherical equivalent (SE) greater than -6.00 diopters (D) treated with SMILE, LASEK, and LASEK-CXL were reviewed. Uncorrected distance visual acuity (UCVA), SE, and corneal haze were followed up in the 3 groups for 6 months...
November 23, 2016: Cornea
https://www.readbyqxmd.com/read/27830201/corneal-biomechanics-after-small-incision-lenticule-extraction-versus-q-value-guided-femtosecond-laser-assisted-in-situ-keratomileusis
#16
Jun Zhang, Li Zheng, Xia Zhao, Yang Xu, Shu Chen
PURPOSE: The aim of this study was to compare the changes in corneal biomechanical properties following small-incision lenticule extraction (SMILE) versus Q-value-guided femtosecond laser-assisted in situ keratomileusis (Q-FS-LASIK). METHODS: In this prospective comparative study, patients with a sphere plus cylinder measurement of less than -10.00 D and cylinder measurement of less than -5.00 D were included in the study. A total of 160 patients (160 eyes) with myopia and myopic astigmatism were divided into the two groups, with 80 patients (80 eyes) allocated to SMILE and 80 patients (80 eyes) allocated to Q-FS-LASIK...
December 2016: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/27818792/smile-and-wavefront-guided-lasik-out-compete-other-refractive-surgeries-in-ameliorating-the-induction-of-high-order-aberrations-in-anterior-corneal-surface
#17
Min-Jie Ye, Cai-Yuan Liu, Rong-Feng Liao, Zheng-Yu Gu, Bing-Ying Zhao, Yi Liao
Purpose. To compare the change of anterior corneal higher-order aberrations (HOAs) after laser in situ keratomileusis (LASIK), wavefront-guided LASIK with iris registration (WF-LASIK), femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK), and small incision lenticule extraction (SMILE). Methods. In a prospective study, 82 eyes underwent LASIK, 119 eyes underwent WF-LASIK, 88 eyes underwent FS-LASIK, and 170 eyes underwent SMILE surgery. HOAs were measured with Pentacam device preoperatively and 6 months after surgery...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/27757010/refractive-lenticule-extraction-relex-through-a-small-incision-smile-for-correction-of-myopia-and-myopic-astigmatism-current-perspectives
#18
REVIEW
Alper Ağca, Ahmet Demirok, Yusuf Yıldırım, Ali Demircan, Dilek Yaşa, Ceren Yeşilkaya, İrfan Perente, Muhittin Taşkapılı
Small-incision lenticule extraction (SMILE) is an alternative to laser-assisted in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK) for the correction of myopia and myopic astigmatism. SMILE can be performed for the treatment of myopia ≤-12 D and astigmatism ≤5 D. The technology is currently only available in the VisuMax femtosecond laser platform. It offers several advantages over LASIK and PRK; however, hyperopia treatment, topography-guided treatment, and cyclotorsion control are not available in the current platform...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27722756/impact-of-suction-loss-during-small-incision-lenticule-extraction-smile
#19
Manli Liu, Jianchao Wang, Wen Zhong, Danyang Wang, Yugui Zhou, Quan Liu
PURPOSE: To evaluate the clinical results of suction loss in eyes during small incision lenticule extraction (SMILE). METHODS: This prospective paired-eye case study enrolled 8,490 eyes of 4,296 patients, of which 35 eyes experienced suction loss during the SMILE procedure while being treated for myopia or myopic astigmatism. The eyes with suction loss were re-treated with SMILE, femtosecond laser-assisted LASIK (FS-LASIK), or pseudo SMILE, and the fellow eyes were treated with SMILE...
October 1, 2016: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/27716112/accommodative-changes-after-smile-for-moderate-to-high-myopia-correction
#20
Ke Zheng, Tian Han, Xingtao Zhou
BACKGROUND: To investigate accommodative response and accommodative lag changes after femtosecond laser small incision lenticule extraction (SMILE) for moderate to high myopia correction. METHODS: A total of 32 eyes of 32 patients with no strabismus who underwent SMILE were enrolled in this prospective clinical study. The accommodative response was obtained viewing monocularly with spherical equivalent refractive error corrected, using an open-field autorefractor at different stimulus levels (2...
October 4, 2016: BMC Ophthalmology
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