Small-incision lenticule extraction for correction of refractive error after 2 years of follow-up

African Vision and Eye Health

Field Value
Title Small-incision lenticule extraction for correction of refractive error after 2 years of follow-up
Creator Shuber, Hassenien S. Alhamami, Hussein A. Alasadi, Salah Z.
Subject ophthalmology myopia; femto-SMILE; small-incision lenticule extraction; SMILE; astigmatism
Description Background: Small-incision lenticule extraction (SMILE) is a relatively novel refractive procedure introduced to correct myopia and myopic astigmatism using femtosecond technology.Aim: The aim of this study was to prospectively assess the predictability, efficacy and safety of SMILE surgery.Setting: The study took place in Alyamama Vision Refractive Center, Baghdad, Iraq.Methods: In this prospective, non-randomised, single-centre clinical study, all patients with myopia or myopic astigmatism underwent the SMILE procedure performed by one surgeon (H.S.S.) with a targeted post-operative refraction of 0 to −0.5 dioptres (D). The procedure was performed using the VisuMax femtosecond platform. Post-operative data, including slit-lamp examination and measurements of uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), objective and subjective refraction, and intraocular pressure (IOP), were recorded.Results: A total of 141 eyes of 76 patients (51 females and 25 males) were included in the study. The mean preoperative spherical equivalent (SE) (−4.37 D ± 1.65 D) ranged from −2.0 D to −10.25 D after 2 years of follow-up, and the mean post-operative SE (−0.06 D ± 0.18 D) ranged from −0.75 D to 0.63 D. A UCVA of 20/40 or better was noted in 98% of the eyes at the 2-year follow-up. Most of the surgical complications, which were seen in 30 eyes, did not result in permanent visual loss. Corneal abrasion was the most common surgical complication, constituting 10.6% of all complications, followed by adherence of the lenticule to the cap (3.5%).Conclusion: The SMILE procedure is effective with high safety and efficacy, and its complication rate will probably decrease with improvement in the surgeon experience level and refinement of the laser parameters.
Publisher AOSIS
Contributor n/a
Date 2021-02-24
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — prospective, non randamised outcome study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/aveh.v80i1.596
Source African Vision and Eye Health; Vol 80, No 1 (2021); 6 pages 2410-1516 2413-3183
Language eng
Coverage Iraq 2016- 2018 myopic astigmatic poeple
Rights Copyright (c) 2021 hassenien Safa Shuber