Smile For The Management Of Residual Refractive Error After Cataract Surgery
Published 2025 - 43rd Congress of the ESCRS
Reference: PO284 | Type: Free paper | DOI: 10.82333/nwjz-rk02
Authors: Ramón Calvo* 1 , Marina Aguilar González 2 , Valia Monforte 1 , Luis Perez Zaballos 1 , Lucia Mata moret 1 , enrique cervera 1
1Ophthalmology,Hospital General Universitario de Valencia,Valencia,Spain, 2Ophthalmology,Fisabio oftalmologia medica,Valencia,Spain
Purpose
to investigate the improvement in visual acuity and patientsatisfaction after small-incision lenticule extraction (SMILE) in pseudophakic (trifocal intraocular lens, IOL) patients with residual myopic refraction after cataract surgery.
Setting
Eye Hospital, Prishtia, Kosovo
Methods
Seventy-six patients (82 eyes) who underwent cataract surgery with ZEISS AT LISA tri 839MP IOL implantation were included in this retrospective study.The included patients were 56–79 years old, wanted spectacle independence, and had preoperative myopic refraction between − 1.0 and − 2.25 diopters (D)and astigmatism between − 0.75 and − 1.75 D. The treatment status of these patients was defined as trifocal IOL (n= 82). SMILE was performed on patients who were dissatisfied after cataract surgery,and these patients were followed up for 1 year on average. We evaluated visual acuity and satisfaction and further examined laser visioncorrection and satisfaction levels in patients who were dissatisfied after trifocal IOL implantation.
Results
Following SMILE surgery, the residual myopic refractive error (spherical) significantly decreased from -2.08 ± 0.28 D (range: -2.25 to -1.00 D) preoperatively to -0.25 ± 0.20 D (range: -0.50 to 0.00 D) at 1 year postoperatively (p < 0.001). Furthermore, the uncorrected distancevisual acuity increased from 0.65 ± 0.08[0.52–0.7] logMAR preoperatively to 0.09 ± 0.02 [0.05–0.1] logMAR at 1 month postoperatively (p\0.001), 0.09 ± 0.02[0.05–0.1] logMAR at 6 months postoperatively, and 0.06 ± 0.02 [0.05–0.1] logMAR at 12 months postoperatively (p\0.001). Patient satisfaction measures after SMILE (reading, night driving, and using a computer) were significantly improved.
Conclusions
SMILE is a safe and effective option for managing pseudophakic myopic refractive errors, providing significant improvements in visual outcomes and enhancing patient satisfaction following cataract surgery.