Smile For The Treatment Of Residual Refraction Error And Presbyopia After Photorefractive Keratectomy (Prk) And Lasik.
Published 2023 - 41st Congress of the ESCRS
Reference: PO0954 | Type: Free paper | DOI: 10.82333/ar46-0t56
Authors: Njomza Hima-Musa* 1 , Faruk Semiz 1 , Anita Syla-Lokaj 1 , Olcay Semiz 1 , Ceren Ece Semiz 2 , Zekeriya Alp Demirsoy 3 , Gokçe Idil Semiz 4
1Opthalmology,Eye Hospital,Prishtina,Kosovo, 2Medical University,Medical Faculty, Gazi University ,Ankara,Türkiye, 3Medical University,Yedi Tepe University,istanbul,Türkiye, 4Medical University,Bahce Sehir University,Istanbul,Türkiye
Purpose
Purpose: we aimed to investigate the improvement in visual acuity, presbyopia, and patient satisfaction after small-incision intrastromal myopic lenticule implantation using (the SMILE module) with residual hyperopic refraction after PRK And LASIK surgery.
Setting
Eye Hospital Prishtina Kosova
Methods
Methods: This included 54 eyes of 22 patients (aged 43 to 52 years).
Postop PRK and Lasik included hyperopic residual refraction. Patients had residual hyperopia between +1.0 and +3.25 D and
Astigmatism between +0.75 and +1.75 D. The cap thickness was set to 130 µm from the corneal surface and a 2.0-mm incision. The pocket was dissected using a blunt spatula washed with normal saline and a 7.70 mm intrastromal pocket was prepared with SMILE Module and a Myopic lenticule implanted.
Results
Results: Patients were followed for 12 months. No reaction, infection, epithelial defects, punctate keratitis, or signs of allogeneic rejection were observed in any of the patients. The UDVA increased from 0.70 ± 0.06 logMAR preoperatively to 0.05 ± 0.02 logMAR 12 months postoperatively (p < 0.001). And UNVA had an increase in J 2 one year after preop J 7.
Conclusions
Conclusion
SMILE module is a reliable method for treating residual refraction and presbyopia after PRK and Lasik, as it provides results in the shortest time without complications and increases patient satisfaction.