Small Incision Lenticule Extraction (Smile Pro) Following Explantion Of Implantable Collamer Lense

To present the results of treatment with Small Incision Lenticule Extraction (SMILE Pro) following explanation of a phakic Implantable Collamer Lense (ICL)

MVZ Augen Op Centrum Köln, Cologne, Germany

A 31 years old female Patient underwent implantation of a phakic Implantable Collamer Lense (ICL) for the correction of refractive errors on both eyes. A toric ICL with a power of -11.5/+0.5/92 Diopter (D) has been implanted in the left eye. Postoperatively, the patient was satisfied and the slitlamp examination revealed perfect positioning and vault of the toric ICL. One week thereafter, an ICL with a power of -3.0 D has been implanted in the right eye. On the first day postoperatively, the refraction was plano/-0.25/134, the Corrected Distance Visual Acuity (CDVA) was 8/10, the Intraocular pressure was 20 mm Hg, but the slitlamp examination revealed a high vault of 1640 microns and a shallow anterior chamber. The eye has been observed for 10 days postoperatively then the decision has been made with the patient and an explanation of the ICL has been done without replacing it with another ICL with smaller diameter. One week postoperatively, the eye achieved a CDVA of 10/10 with a refractive error of -3.0/-0.25/30. Seven months postoperatively the right eye underwent Small Incision Lenticule Extraction (Smile Pro) to correct her myopia. The patient achieved an uncorrected distance visual acuity of 10/10 postoperatively which remained stable during the 3 years follow up period.

Smile Pro is a safe and effective procedure to correct refractive errors in eyes that underwent previous refractive Surgery with phakic IOL.