ESCRS - PP21.08 - Successful Treatment Of Myopic Lenticule Implantation By Changing The Corneal Q Value, Using The Smile Module In Patients With High Hyperopia And Astigmatism

Successful Treatment Of Myopic Lenticule Implantation By Changing The Corneal Q Value, Using The Smile Module In Patients With High Hyperopia And Astigmatism

Published 2023 - 41st Congress of the ESCRS

Reference: PP21.08 | Type: Free paper | DOI: 10.82333/rjmw-df19

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

1Ophthalmology,Eye Hospital,Prishtina,Kosovo, 2Medical Faculty,Gazi University ,Ankara,Türkiye, 3Medical Faculty,Yedi Tepe University,Istanbul,Türkiye, 4Medical Faculty,Bahce Sehir University,Istanbul,Türkiye

Purpose

Purpose:To show that allogeneic lenticular implants removed by Smile surgery from
patients with myopic refractive error in the cornea were implanted in high hyperopia patients
with high astigmatism, changing the shape of the cornea (Q value), increasing visual acuity,
intermediate and near vision, and decreasing high astigmatism.

Setting

Eye Hospital,Prishtina,Kosova

Methods

Methods:
Forty eyes of 30 patients between the ages 20 to 50 with and corneal thickness minimum of
450 µm and a maximum of 550 µm were included in this study. Fresh corneal lenticule
implantation as an allogenic implant that we took from myopic patients (-4.50 D) to implant
in hyperopic patients (+4.0 D to +6.50, astigmatism between +1.0 D and +3.0cyl) according
to Corneal corneal topography. The stromal pocket diameter was 8 mm, 2 mm super incision,
and 130-µm cap thickness.

Results

Results: After the myopic lenticule implantation, patients were followed for 1 year the
uncorrected distance visual acuity increased from 0.70 ± 0.08 logMAR preoperatively to 0.04
± 0.02 [0.05–0.1] logMAR at 12 months postoperatively (p < 0.001).Qvalue decreased from
− 0.50 ± 0.04 preoperatively to − 0.78 ± 0.05 1 year postoperatively. Preoperative UNVA (35
cm) J6 and postoperative UNVA (35 cm) J2.Preoperative UNVA (70 cm) J5 and
postoperative UNVA (70 cm) J3

Conclusions

Conclusion:
Intrastromal myopic lenticule implantation is a safe and effective treatment method in
patients with high hyperopia and astigmatism. Patients were an increase in distance visual
acuity, intermediate and near vision