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Flapless LASIK treatment revisited: one year results after small incision lenticule extraction (SMILE)

Poster Details

First Author: D.Breyer GERMANY

Co Author(s):    H. Kaymak   K. Klabe   C. Pohl        

Abstract Details


Flapless LASIK treatment represents an alternative technique to treat myopic patients. Longtime results are still rarely reported. We are interested, whether the high expectations concerning parameters like security, efficacy, fast recovery and high visual quality can be achieved and kept by this new method in comparison to FemtoLASIK.


Breyer Kaymak Augenchirurgie, Dusseldorf, Germany


The current study presents results from 1 day up to one year after treatment. Results were analyzed from wave front analysis, subjective refraction and corneal flexibility. Patients were questioned for dry eye symptoms, comfort and recovery. For accurate quality evaluation we compared the results to a controll population, which comprised 70 eyes operated with FemtoLASIK. Complications were documented.


Both groups show a remarkable good visual acuity even after longtime periods (average > 0.90 uncorrected decimal visus, both populations). Wave front analysis showed up to three month slightly disadvantages of the Smile technique, but these differences vanished after three month. The most obvious difference resulted in patients comfort. Less pain and dry eye were reported in the SMILE treated patients. No complications were seen in the Smile group.


Since the Smile technique seems to provide the same efficiency and a higher security than the flaprelated-technique, we use the Smile technique as standard procedure even in dry eyes and contact lens wear discomfort.

Financial Disclosure:


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