Official ESCRS | European Society of Cataract & Refractive Surgeons
Vienna 2018 Delegate Registration Programme Exhibition Virtual Exhibition Satellites 2018 Survey


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A new step in SMILE surgery to differentiate the posterior and anterior lenticular planes

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Session Details

Session Title: SMILE

Session Date/Time: Sunday 23/09/2018 | 16:30-18:00

Paper Time: 17:24

Venue: Room A3, Podium 2

First Author: : L.El Maataoui MOROCCO

Co Author(s): :    A. Raiss                    

Abstract Details


To analyze a new method to differentiate the posterior and anterior lenticular planes in SMILE surgery


Casablanca laser vision, clinic Val d 'Anfa


31 patients (62 eyes) underwent SMILE surgery with VISUMAX technology (Carl Zeiss meditec). Two "differentiator" devices were used. Before the dissection of the anterior plane, one device was inserted through the incision above the anterior plane of the lenticule, and the second one, below the posterior plane of the lenticule. The first device was removed when the dissection of the anterior plane beginned. The second one, when the spatula entered in space below the posterior plane.


this method of differentiating lenticular planes during SMILE, enabled the surgeon to recognize anterior and posterior planes of the lenticule, to dissect always the anterior plane first, and to facilitate other step of the surgery. All eyes were operated without any complication.


The use of 'differentiator'' devices during SMILE surgery, is a safe and effective method, wich help surgeons to recognize both planes of the lenticule and to prevent intraoperative complications.

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