Unusual Intraoperative Complications Of Femtosmile

To Report Unusual intraoperative complications of refractive small incision lenticule extraction, how to manage and how to avoid.

We describe the stepwise management of for uncommon complications & how to minimize these complications

Single Center Study

We report 4 cases with unusual intraoperative complications, The first case with multiple lenticular cut into multiple pieces , another case with large cap cut into two half , the third case show two lenticular levels in one case & the last case show incorrect data entry by the optician with surprise to the surgeon.The videos show how these cases managed

Also these ware unusual unexpected intraoperative complications but they were managed with good postoperative results, each patient reach the expected postoperative UCVA

SMILE is technically more demanding than excimer based surgical approaches, with a different complication profile.

Even unusual intraoperative complications could be managed without affecting the end results