ESCRS - P097 - CORRECTION OF MODERATE MYOPIA BY RELEX SMILE METHOD IN PATIENTS WITH UNSTABLE EPITHELIUM

CORRECTION OF MODERATE MYOPIA BY RELEX SMILE METHOD IN PATIENTS WITH UNSTABLE EPITHELIUM

Published 2022 - 26th ESCRS Winter Meeting

Reference: P097 | Type: Abstracts | DOI: 10.82333/7wea-jm88

Authors: Kim Robertovna Olga* 1

1Laser refractive surgery,Scientific Research Institute of Eye Diseases Kazakhstan, Almaty,Almaty,Kazakhstan

Purpose

Purpose: To investigate the possibility and the effectiveness of the correction moderate myopia by ReLEx SMILE method in patients with unstable epithelium

Setting

Patient after ReLEx SMILE correction

Methods

Methods 14 patients( 28 eyes)  with moderate myopia -  spherical equivalent refraction was  average equal to (-) 5,5 ± 0,04 D, cylinder (-) 0,75 ± 0,17 D. - underwent a standard diagnostic examination to determine the possibility of laser vision correction. During the examination, it was determined that the corneal epithelium is vulnerable to minor mechanical stress, reacting with superficial deepithelialization. 

A month before the correction, all patients were forbidden to use contact lenses, drip drops and limit visual stress, especially with the use of a computer. ReLEx SMILE was performed with femtolaser VisuMax «Carl Zeiss Meditec».  Observation period was 24 months.

Results

Results. After correction UCVA at all patient was 0,95 ± 0/08 -  sphere (-) 0/25 ± 0,03 D, cylinder (-) 0,25±0,07. In 4 patients, intraoperative deepithelialization occurred at the site of the laser-formed entrance during the separation of the lenticula. In 3 patients, pronounced postoperative edema was observed, which was stopped by using regenerating and osmotic eye drops for 3 days. One patient had an incomplete incision of the intracorneal lens, the operation was canceled, and six months later, the correction was performed using the FemtoLASIK method

Conclusion

Conclusion: The received results showed the effectiveness of ReLEx SMILE in correction moderate myopia in patients with unstable epithelium. So when the surgery choose the method of correction, it is necessary to pay attention to the state of the corneal epithelium, conduct appropriate preoperative preparation, and act with extreme caution when performing any actions with surgical instruments when separating the lenticula and forming tunnels.