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10 - 12 February 2017, MECC Maastricht,The Netherlands.

This Meeting has been awarded 15 CME credits.


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ReLEx SMILE push-up and push-down techniques

Poster Details

First Author: A. Hamed EGYPT

Co Author(s): A. Fekry                    

Abstract Details


To compare a newly proposed surgical technique for manipulating the edge of the lenticule in ReLEX SMILE; the “push-up & push-dwon” technique, to the conventional technique, in terms of intraoperative complications.


Ebsar eye center, Benha, Qalyopia, Egypt


A prospective randomized comparative study were done.Two groups of patients were operated upon; the conventional technique group and the “push-up & push-dwon” technique group. The intraoperative complications and mean duration of the ReLEX smile operations of the both groups were compared.


The conventional and the “push-up” groups comprised 94 and 142 eyes respectively. Operative mean duration for both groups were 13.76±3.71 and 4.45±1.45 minutes respectively (p<0.0001). Complications related to the technique used included, Incision tear occurred in a total of 21 eyes (18 eyes in the conventional group and 3 eyes in the “push-up” group), Lenticule adherence to the cap occurred in 2 eyes (2 eyes in the conventional group and none in the “push-up” group). The incidence of intraoperative complications for the conventional and the “push-up” groups was 23.40% and 2.11% respectively (p<0.0001)


The newly proposed “push-up” technique seems to facilitate visualization of the edge of the lenticule in ReLEX SMILE, resulting in shorter mean operative duration and less intraoperative complications than the conventional technique.

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