Evidence map›Paper›PMID 31513041›Full record

SynthesisAsia-Pacific journal of ophthalmology (Philadelphia, Pa.)

Enhancement Options After Myopic Small-Incision Lenticule Extraction (SMILE): A Review.

Jakob Siedlecki, Nikolaus Luft, Siegfried G Priglinger, Martin Dirisamer

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Asia-Pacific journal of ophthalmology (Philadelphia, Pa.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Transepithelial Photorefractive Keratectomy-Review.Vision (Basel, Switzerland) · 2024
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. SmartSurfEye and vision (London, England) · 2021
    Article
  9. Article
  10. Review
  11. Will SMILE Become the New Benchmark of Corneal Laser Refractive Surgery?Asia-Pacific journal of ophthalmology (Philadelphia, Pa.)
    Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Jakob SiedleckiDepartment of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.
Nikolaus LuftDepartment of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.
Siegfried G PriglingerDepartment of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.
Martin DirisamerDepartment of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.
Ludwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide an overview of the currently available retreatment methods after myopic small-incision lenticule extraction (SMILE).

designSystematic literature review.

methodsThe PubMed library was searched for articles containing the terms "small-incision lenticule extraction" and "enhancement" or "retreatment". The last search was performed on May 1, 2019.

resultsIn contrast to laser in-situ keratomileusis (LASIK), which can be retreated by a flap relift, repeat SMILE retreatment is currently not approved and only seldomly performed. As substitutes, surface ablation, cap-to-flap conversion using the CIRCLE program in the VisuMax platform, and thin-flap LASIK have been recently established. While all options offer safety and efficacy comparable to LASIK retreatments, each has its patient-specific advantages and disadvantages. While surface ablation preserves the flap-free approach of the primary procedure, the aspect of pain and a slow visual recovery might render it less attractive as compared with CIRCLE and thin-flap LASIK which offer quick recovery, however at the price of flap creation. Besides, each retreatment method generates specific tissue responses and has a different impact on corneal biomechanics, which is strongly dependent on the previous SMILE parameters, especially the cap thickness.

conclusionsRefractive enhancement after SMILE is currently mostly performed by surface ablation, CIRCLE cap-to-flap conversion or thin-flap LASIK, which all offer safety and efficacy comparable to LASIK retreatments. In this review, a detailed overview over each method, its technical aspects, and specific advantages and disadvantages is given.

Indexed as

Visual AcuityCorneal StromaHumansKeratomileusis, Laser In SituLasers, ExcimerMyopiaRefraction, Ocular

Identifiers

PMID31513041
PMCPMC6784780
OpenAlexW2991441477

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.