MANAGEMENT OF MYOPIC RESIDUAL REFRACTION AFTER TRIFOCAL IOL IMPLANTATION USING SMILE SURGERY
Published 2026 - 30th ESCRS Winter Meeting
Reference: PO074 | Type: Presented Poster & Poster | DOI: 10.82333/89ds-tp88
Authors: Gökçe İdil Semiz* 1 , Faruk Semiz 2 , Ceren Ece Semiz 2 , Fetih Furkan Arslan 3 , Njomza Hima Musa 2
1Faculty of Medicine,Atılım University,Ankara,Türkiye, 2Eye Hospital,Prishtina,Kosovo, 3Istanbul University-Cerrahpaşa,İstanbul,Türkiye
Purpose
To assess the effectiveness of Small Incision Lenticule Extraction (SMILE) in improving visual acuity and patient satisfaction in patients with myopic residual refractive error following trifocal intraocular lens (IOL) implantation.
Setting
Eye Hospital, Prishtina, Kosovo
Methods
This retrospective study included 124 patients (162 eyes) who had previously undergone cataract surgery with implantation of a Zeiss AT Lisa tri 839MP trifocal intraocular lens. Preoperative myopic refraction ranged from –1.00 to –2.75 diopters (D), and astigmatism from –0.75 to –2.50 D. After SMILE, surgery all patients were followed for 12 months. Patient-reported outcomes were assessed using structured questionnaires administered before and 1 year after SMILE to evaluate perceived visual quality and vision-related difficulties. (ClinicalTrials.gov Identifier: NCT04693663)
Results
Uncorrected distance visual acuity (UDVA) improved significantly from 0.66 ± 0.07 logMAR preoperatively to 0.07 ± 0.02 logMAR at 12 months postoperatively (p < 0.001). Patient-reported satisfaction scores also showed a significant increase following SMILE.
Conclusion
The study showed that using the SMILE technique can effectively address residual refraction, a common concern after trifocal IOL implantation. This treatment modality was found to be safe and successful in enhancing visual acuity for patients with pseudophakic myopic refractions. Ultimately, the use of SMILE post-trifocal IOL implantation can lead to increased patient satisfaction.