ESCRS - P096 - TREATMENT OF APHAKIC PATIENTS WITH INTRASTROMAL LENTICULE IMPLANTATION USING SMILE SURGERY.

TREATMENT OF APHAKIC PATIENTS WITH INTRASTROMAL LENTICULE IMPLANTATION USING SMILE SURGERY.

Published 2022 - 26th ESCRS Winter Meeting

Reference: P096 | Type: Abstracts | DOI: 10.82333/rm08-kr85

Authors: Njomza Hima Musa* 1 , Faruk Semiz 1 , Anita Syla Lokaj 1 , Ceren Ece Semiz 2 , Gulser Caliskan 3 , Zekeriya Alp Demirsoy 4

1Ophthalmology,Eye Hospital,Pristina,Albania, 2medical student,Medical Faculty, Gazi University of Medicine, Ankara,Turkey,Türkiye, 3Medical statistics,Unit of Epidemiology and Medical Statistics, Department of diagnostics and Public Health, University of Verona, ,Verona,Italy, 4medical student,Medical Faculty, Yeditepe University of Medicine, Istanbul, Turkey,istanbul,Türkiye

Purpose

To investigate patient satisfaction and vision improvement by performing intrastromal fresh myopic lenticule implantation in aphakic patients using Smile.

Setting

Department of Ophthalmology

Eye Hospital

Prishtina

Kosova

Methods

Eye Hospital Pristina was performed in 13 eyes of 13 patients aged 18 and 35 years. Corrected and uncorrected visions were obtained preoperatively. When calculating diopters in aphakic patients, we determine the lenticule thickness to be added by considering variables such as AC (anterior chamber distance), K values, lens bag distance, and cornea thickness. Since there is no lens in the eye, all the task falls on the cornea.VisuMax femtosecond laser created the stromal pocket with a diameter 7.50 mm and cap thickness set to 120 μm from corneal surface and with a small opening - 3 mm superior incision at 90° and side cut angle 50°. The pocket was dissected using a blunt spatula. The lenticule was held with lenticule forceps and gently inserted into the pocket through the 3 mm superior incision.

Results

The patients were followed up for one year. There were no complications. Postoperative uncorrected vision increased to 4 lines in 7 eyes and improved to 5 lines in 6 eyes. Patient satisfaction has increased. We think statistics and formulations for calculating implanted lenticule thickness in aphakic eyes can be easily obtained in future studies with more patients and longer follow-ups.

Conclusion

Intrastromal lenticule implantation is a feasible and complication-free treatment method in aphakic patients. However, more patients should be studied in order to calculate the lenticule to be implanted accurately.