Approach To Residual Refraction After Cataract Surgery

We aim to demonstrate that SMILE is a safe and effective treatment modality for pseudophakic myopic residual refractions to improve patient visual outcomes and satisfaction after cataract surgery.

EYE HOSPITAL,PRISTINA,KOSOVO

A 62-year-old male patient diagnosed with cataracts in the right and left eyes 6 months ago was implanted with a Zeiss Trifocal with the Phaco method. Postop, He had a complaint of distance visual acuity in the right eye. Right cornea clear, CCT .525 μm and UDVA,0.4, CDVA,1.0 with -1.25 diopters and to:15 mm Hg, UNVA, J 2.
Left cornea clear, pseudophakia, CCT,518 μm and UDVA,0.9-1.0, to:18 mmHg, UNVA, J2.

SMILE Surgery

The low vacuum was applied so that the patient could see the fixation light during docking,2-mm incision, and an Intrastromal pocket of 7.6 mm. The optic zone is 6.60 mm, Cap thickness of 130 µm. Femtosecond laser (spot energy 130 nJ). The postoperative therapy included antibiotic eye drops (moxifloxacin hydrochloride) and steroidal eye drops (dexamethasone), administered four times per day for 1 month.

Results

The patient was followed for six months. No complications were observed in the patient, the cornea was transparent, right and left UDVA,1.0.

Right and left UNVA had an increase in J 2 one year after preop J 7.

The patient did not need glasses for distance and near vision after the operation. This study demonstrates two important concepts, 

i.e., success was achieved by following the path without excessively increasing the Q value or excessively reducing the total RMS.

The SMILE technique is a safe and effective treatment modality for pseudophakic myopic residual refractions to improve the visual outcomes and satisfaction of patients after cataract surgery. With this surgical technique, there is no need for glasses, and the improvement of vision in a short time increases patient satisfaction.

NCT04693663