ESCRS - PO707 - Refractive Outcomes Of Smile Pro For Myopia And Myopic Astigmatism.

Refractive Outcomes Of Smile Pro For Myopia And Myopic Astigmatism.

Published 2025 - 43rd Congress of the ESCRS

Reference: PO707 | Type: Free paper | DOI: 10.82333/kyrd-zs79

Authors: Francisco Mendes* 1 , Jay Michael Jaber 1 , Xuesen Cheng 1 , Kusona Fortingo 1 , Li Wang 2 , Allison J Chen 1 , Mitchell Weikert 1 , Douglas D. Koch 1

1Ophthalmology,Baylor College of Medicine,Houston,United States, 2ophthalmology,Baylor College of Medicine,Houston,United States

Purpose

To evaluate the safety and efficacy of myopia correction treatments with SMILE-pro. 

Setting

The Laservision.gr Clinical and Research Institute, Athens, Greece 

Methods

An observational Consecutive Case Series; 100 consecutive myopic and myopic astigmatic SMILE-pro treatments. All cases were treated with SMILE-pro with Zeiss VISUMAX-800. Visual Acuity, Refractive Error, Scheimpflug and OCT Tomography, were evaluated over a three-month follow-up. 

Results

The femto-lenticule preparation was under 8 seconds in all cases compared to the minimum 25 seconds with the older version of the Visumax 500, that we had published extensively. At the  three-month follow-up, all eyes reached UDVA of 20/20 or more, change from pre- to post- operative mean values were: refractive error from -4.34D (range -7.25 to -2.00D) to -0.35 D; refractive astigmatism from -0.75 D (range 0 to -3.25D) to -0.44 D, mean topographic astigmatism from -1.28D (range -4.1 to -0.7D) to -0.88D. Defocus equivalent of 0.55 D

Conclusions

We report safe and efficient initial outcomes in Greece using SMILE-pro for myopic treatments. This technique carries the comparable outcomes and advantages with standard myopic femto LASIK without the potential short and long term disadvantages of a stromal flap.