A NEW SUCCESSFUL APPROACH FOR EMMETROPIC PRESBYOPIC PATIENTS USING INTRASTROMAL POCKET WITH SMILE MODULE.

Published 2022 - 26th ESCRS Winter Meeting

Reference: FP24 | Type: Abstracts | DOI: 10.82333/7pj8-3f57

Authors: Faruk Semiz ¹ , Anita syla lokaj ¹ , Njomza Hima Musa* ¹ , Gulser Caliskan ² , ceren ece Semiz ³ , Zekeriya Alp Demirsoy ⁴

¹ophtalmoloji,Eye Hospital,Prishtina,Albania, ²Unit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health,University of Verona,Verona,Italy, ³Medical Faculty,Gazi University of Medicine,Ankara,Türkiye, ⁴Medical Faculty,Yeditepe University of Medicine,Istanbul,Türkiye

Purpose

To show that near vision improves and patient satisfaction increases by preparing an intrastromal pocket for emmetropic patients with near vision problems using the SMILE module.

Setting

Department of Ophtalmology

Eye Hospital

Prishtina

Kosova

Methods

This study was performed in Eye Hospital Pristina in 22 eyes of 11 patients aged (40-50) with the emmetropic presbyopic complaint.VisuMax femtosecond laser created the stromal pocket with a diameter 7.60 mm and cap thickness set to 120 μm from corneal surface and with a small opening - 2 mm superior incision at 90° and side cut angle 50°. The pocket was dissected using a blunt spatula.

Results

The patients were followed up for one year with distance, intermediate, and near visual acuity, slit lamp, corneal topography, anterior segment optical coherence tomography. Uncorrected near visual acuity at 35 cm increased from J7 to J2 in 8 eyes operated on, from J8 to J2 in 7 eyes, and from J6 to J2 in 6 eyes. Uncorrected intermediate visual acuity ranged from J4 to J5 at 70 cm, and uncorrected distance visual acuity remained binocular at 20/20. The patients reported satisfaction while reading a book, looking at the phone, and using a computer. No discomfort was observed from the lights while driving at night. We are shaping the surface of the cornea via an introstrımal pocket. We are using the SMILE module without removing the lenticule, and we are just separating the center of the cap from the top of lenticule

In the short term, we have observed increases in spherical aberrations of patients. We also think that corneal shaping has an effect on the presbyopic correction. We will see and analyze the long-term effects by observing them.

Conclusion

This study shows that by preparing an intrastromal pocket for emmetropic patients with near vision problems using the SMILE module, near vision improves, patient satisfaction increases, and it is safe and effective. We think that it would be better to conduct studies that require more patients and longer follow-up in future studies.