ReviewClinical ophthalmology (Auckland, N.Z.)2018
Small incision lenticule extraction (SMILE) techniques: patient selection and perspectives.
Review in Clinical ophthalmology (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
30 citing papers in PubMed, 73 citations in OpenAlex.
- One year outcomes after small incision lenticule extraction ReLEX in the correction of myopia and myopic astigmatism.BMC ophthalmology · 2021Trial
- Clinical outcomes of the new generation VISUMAX 800 platform in small incision lenticule extraction for Myopia in Chinese patients.Scientific reports · 2026Article
- Predicting Small Effective Optical Zone After SMILE via Multimodal Machine Learning Integrating Corneal Topography and Clinical Parameters.Translational vision science & technology · 2026Article
- Real-World Study Assessing the Efficacy and Safety of a Novel KLEx Procedure with a Next-Generation Femtosecond Laser for Refractive Error Correction.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Slow granular corneal dystrophy type 2 exacerbation after SMILE: a bilateral asymmetric case resembling a unique previous unilateral case.International journal of ophthalmology · 2026Article
- Comparative Vector Analysis of Astigmatic Changes After Small-incision Lenticule Extraction versus Femtosecond Laser In -situ Keratomileusis.Journal of ophthalmic & vision research · 2026Article
- Influence of axial length and myopia severity on the achieved optical zone in KLEx surgery: a pilot study.European journal of medical research · 2025Article
- Ex vivo evaluation of corneal filler injection for enhancement after small incision lenticule extraction.Scientific reports · 2025Article
- Atomic Force Microscopy and Scanning Electron Microscopy for Characterization of Interface Surface Roughness After ELITA Femtosecond Laser Treatments.Translational vision science & technology · 2025Article
- Initial Visual and Refractive Outcomes of Keratorefractive Lenticule Extraction Using 2MHz Femtosecond Laser Platform.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Based on TransRes-Pix2Pix network to generate the OBL image during SMILE surgery.Frontiers in cell and developmental biology · 2025Article
- Evaluation of the Retinal Nerve Fiber Layer and Ganglion Cell Layer After Laser-Assisted in situ Keratomileusis, Femtosecond-Laser in-situ Keratomileusis, and Small Incision Lenticule Extraction Using Optical Coherence Tomography.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Posterior lenticule laser scan influence the ultra-early postoperative visual acuity and quality of SMILE.Scientific reports · 2024Article
- Assessing Changes in Corneal Densitometry in Patients After Small Incision Lenticule Extraction (SMILE).Cureus · 2024Article
- Comparison of risk factors for OBL in FS-LASIK and SMILE correction for myopia and myopia astigmatism.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024Article
- Comparison of early visual outcomes after SMILE using VISUMAX 800 and VISUMAX 500 for myopia: a retrospective matched case-control study.Scientific reports · 2024Article
- Three patterns for identifying the posterior plane of a lenticule during SMILE.International ophthalmology · 2023Article
- Correlation between the ablation ratio and posterior corneal stability after small incision lenticule extraction for high myopia.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023Article
- Comparative study of small incision refractive lenticule extraction with 5 mm versus 6.5 mm optic zone for myopia.Indian journal of ophthalmology · 2023Article
- Comparison of Vision Correction and Corneal Thickness at 180-Day Follow-Up After Femtosecond Laser-Assisted In-Situ Keratomileusis (FS-LASIK), Photorefractive Keratectomy (PRK), and Small Incision Lenticule Extraction (SMILE): A Study from a Single Center in Poland of 120 Patients with Myopia.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Refractive lenticule extraction is becoming the procedure of choice for the management of myopia and myopic astigmatism owing to its precision, biomechanical stability, and better ocular surface. It has similar safety, efficacy, and predictability as femtosecond laser-assisted in situ keratomileusis (FS-LASIK) and is associated with better patient satisfaction. The conventional technique of small incision lenticule extraction (SMILE) involves docking, femtosecond laser application, lenticule dissection from the surrounding stroma, and extraction. It has a steep learning curve compared to conventional flap-based corneal ablative procedures, and the surgical technique may be challenging especially for a novice surgeon. As SMILE is gaining worldwide acceptance among refractive surgeons, different modifications of the surgical technique have been described to ease the process of lenticule extraction and minimize complications. Good patient selection is essential to ensure optimal patient satisfaction, and novice surgeons should avoid cases with low myopia (thin refractive lenticules), difficult orbital anatomy, high astigmatism, or uncooperative, anxious patients to minimize complications. A comprehensive MEDLINE search was performed using "small incision lenticule extraction," "SMILE," and "refractive lenticule extraction" as keywords, and we herein review the patient selection for SMILE and various surgical techniques of SMILE with their pros and cons. With increasing surgeon experience, a standard technique is expected to evolve that may be performed in all types of cases with optimal outcomes and minimal adverse effects.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.