Official ESCRS | European Society of Cataract & Refractive Surgeons
Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


escrs app advert yo advert

SMILE for hyperopia: visual and refractive outcomes

Search Title by author or title

Session Details

Session Title: SMILE: Small Intrastromal Lenticule Extraction I

Session Date/Time: Sunday 11/09/2016 | 08:00-10:00

Paper Time: 09:38

Venue: Hall H1

First Author: : D.Reinstein UK

Co Author(s): :    K. Pradhan   P. Dhungana   G. Carp   T. Archer   R. Khan        

Abstract Details


To evaluate visual and refractive outcomes of small incision lenticule extraction (SMILE) for hyperopia.


Tilganga Institute of Ophthalmology, Kathmandu, Nepal


This was a prospective study of vertex-centered hyperopic SMILE using the VisuMax femtosecond laser (Carl Zeiss Meditec). Inclusion criteria were intended sphere ≤+7.00 D, astigmatism ≤6.00 D, age ≥21 years, and CDVA 20/40 or better. Lenticule parameters were 6.3-6.5 mm diameter optical zone, 2 mm transition zone, 30 μm minimum thickness, and 120 μm cap thickness. Manifest refraction, corrected and uncorrected distance visual acuity were obtained before and 3 months after surgery for 31 eyes. Standard outcomes analysis was performed. Refractive predictability was compared to a MEL80 LASIK control group matched for sphere and cylinder within ±0.50 D.


Mean attempted SEQ was +5.73±0.80 D (+3.38 to +6.50 D). Mean astigmatism was 1.15±0.82 D (0.00 to 2.75 D). Preoperatively, CDVA was 20/32 or better in 52% and 20/40 or better in 100% of eyes. For 15 eyes intended for full correction, postoperative UDVA was 20/40 or better in 87% and 20/50 or better in 100% of eyes. Mean postop SEQ relative to the intended target was -0.04±0.79 D (-2.20 to +1.88 D), with 65% within ±0.50 D and 87% within ±1.00 D. There was 1 line loss CDVA in 32% of eyes, but no eyes lost 2 or more lines CDVA. Predictability was 53% within ±0.50 D for the LASIK control group.


Visual and refractive outcomes were promising after SMILE for this hyperopic population demonstrating a good safety profile for hyperopia up to +6.87 D. Refractive predictability of SMILE was similar or better than for matched LASIK.

Financial Disclosure:

... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, ... travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

Back to previous