ArticleBMC ophthalmology2019
Decentration following femtosecond laser small incision lenticule extraction (SMILE) in eyes with high astigmatism and its impact on visual quality.
Article in BMC ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Corneal stability comparison between prophylactic cross-linking with laser refractive surgery technique versus laser refractive surgery technique alone for myopia: a meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025Pooled it
- Refractive and Visual Outcomes of SmartSight NOVA Refractive Lenticule Extraction for Myopia and Myopic Astigmatism at 3 Months: a Retrospective Case Series.Ophthalmology and therapy · 2026Article
- Early Clinical Outcome of Hyperopic Small Incision Lenticule Extraction (SMILE) Using the VisuMax 800 in South Korea: A Pilot Study.Korean journal of ophthalmology : KJO · 2026Article
- Orthokeratology Decentration: Topography Alignment, Tear Profile Symmetry and Induced HOAs.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Article
- Association of Treatment Decentration with Early Outcomes Following SMILE Pro: A Secondary Analysis.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Analysis of Factors Affecting the Astigmatic Correction Outcomes of Keratorefractive Lenticule Extraction Surgery.Journal of clinical medicine · 2025Article
- Distance of Corneal Vertex and Effective Optical Zone Margin Following Keratorefractive Lenticule Extraction in Myopic Astigmatism.Translational vision science & technology · 2025Article
- Effects of effective optical zone and decentration on visual quality after smile for different astigmatism types.BMC ophthalmology · 2025Article
- Factors Influencing Astigmatic Correction Using Small-Incision Lenticule Extraction: A Systematic Review and Meta-Analysis.Journal of ophthalmology · 2025Article
- Corneal higher-order aberrations following small incision lenticule extraction for high myopic astigmatism correction.International journal of ophthalmology · 2025Article
- Comparison of visual outcomes and optical aberrations after SMILE with intraoperative Kappa angle adjustments between small and large Kappa angles.Scientific reports · 2024Article
- Association of myopia and astigmatism with postoperative ocular high order aberration after small incision lenticule extraction.BMC ophthalmology · 2024Article
- Article
- Comparison of Scheimpflug tomography, Placido disc, and combined Placido Scheimpflug in the measurement of pupil offset in myopic population.Frontiers in medicine · 2024Article
- Subjective patient-reported visual quality after small-incision lenticule extraction and its correlation to the objective one.International ophthalmology · 2023Observational
- Changes in aberrations and biomechanics after femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK) in eyes with high astigmatism: a retrospective case control study.BMC ophthalmology · 2023Article
- Evaluation value of subjective visual quality examination on surgical indications of the early cataracts based on objective scatter index values.Frontiers in medicine · 2022Article
- Effect of keratometric astigmatism on visual outcomes following small incision lenticule extraction.Frontiers in medicine · 2022Article
- Simple method of measuring ocular rotation in supine position during small incision lenticule extraction.International journal of ophthalmology · 2022Article
- Complications of small incision lenticule extraction.Indian journal of ophthalmology · 2020Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundTo measure the decentration following SMILE in eyes with high myopic astigmatism and investigate its impact on visual quality.
methodsThe prospective study was conducted to analyze patients who underwent SMILE for correction of myopia and myopic astigmatism ≥2.5D (high astigmatism group, HA) at the ophthalmology department, Eye and ENT hospital, Shanghai, China.. Patients with myopic astigmatism < 1.5D served as controls (low astigmatism group, LA). Decentration was measured using a Scheimpflug camera with a difference map of the tangential curvature at 12 months postoperatively. Also the associations between decentration from the coaxial sighted corneal light reflex (CSCLR) and the visual outcomes, correction efficacy of astigmatism, wavefront aberrations and objective scatter index (OSI) were analyzed.
resultsNo significant differences were observed in the decentered distance between HA and LA in either eyes (OD: HA: 0.18 ± 0.10 mm, LA: 0.20 ± 0.14 mm, P = 0.659; OS: HA: 0.22 ± 0.11 mm, LA: 0.20 ± 0.11 mm, P = 0.637). The analysis across the three levels of decentration (< 0.1 mm, 0.1-0.2 mm, and > 0.2 mm) showed no significant association between decentration and visual outcomes of predictability, efficiency, safety, MTF cutoff, OSI, SR and OVs in both groups. Also no significant association was observed between decentration and postoperative astigmatism in either group. A significant relationship between the magnitude of decentration and induced coma and spherical aberration was observed in HA.
conclusionsThe amount of decentration between HA and LA groups showed no differences. Decentration > 0.20 mm from CSCLR resulted in greater induction of coma and SA after SMILE in eyes with HA.
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