ArticleEye (London, England)2021
Refractive and visual outcomes of small incision lenticule extraction (SMILE) in eyes with thin corneas.
Article in Eye (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 16 citations in OpenAlex.
- Risk of raised posterior corneal elevation associated with cornea and sublayer thicknesses 5 years post keratorefractive lenticule extraction.BMJ open ophthalmology · 2026Article
- Prediction of long-term uncorrected distance visual acuity in surgically SMILE corrected myopic eyes using machine learning.BMJ open ophthalmology · 2025Article
- Assessing the accuracy and usefulness of YouTube videos on small incision lenticule extraction (SMILE) surgery for patients and healthcare professionals.Lasers in medical science · 2025Article
- Early assessment of visual outcomes and corneal stability in eyes with a pre-planned residual stromal thickness of 280 to 300 µm following small incision lenticule extraction.International journal of ophthalmology · 2025Article
- Posterior corneal elevation changes after small incision lenticule extraction in patients with thin cornea.International journal of ophthalmology · 2025Article
- Review
- Prediction of SMILE surgical cutting formula based on back propagation neural network.International journal of ophthalmology · 2023Article
- Small incision lenticule extraction and femtosecond-assisted laserInternational journal of ophthalmology · 2023Article
- Visual Outcomes of Small-Incision Lenticule Extraction (SMILE) in Thin Corneas.Journal of clinical medicine · 2022Article
- Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes.Indian journal of ophthalmology · 2022Article
- Simple method of measuring ocular rotation in supine position during small incision lenticule extraction.International journal of ophthalmology · 2022Article
- Safety thresholds for removing and preserving corneal tissue in small-incision lenticule extraction: A PRISMA-Compliant study.Advances in ophthalmology practice and researchReview
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo report the refractive and visual outcomes of small incision lenticule extraction (SMILE) with the thinnest corneal thickness (CCT) of less than 500 µm and evaluate it in terms of safety and efficacy.
settingRefractive Surgery Clinic of University of Health Sciences Beyoglu Eye Training and Research Hospital, Istanbul, Turkey.
designRetrospective case series.
methodsThe pre-and-postoperative examinations of all patients with thin corneas (preoperative CCT <500 µm) who underwent the SMILE procedure and had a minimum of 24 months of follow-up records were reviewed from medical files. The main outcome measures of the refractive and visual outcomes and the effect on corneal high order aberrations (HOAs) were evaluated.
resultsThe study included 55 eyes of 39 patients. The mean preoperative uncorrected visual acuity (UDVA) was 1.3 ± 1.5 logMAR, and the mean postoperative UDVA was significantly improved to 0.05 ± 0.80 logMAR at the last visit (p < 0.001). At the last follow-up, 84% of the eyes were within ± 0.50D, and 96% of the eyes were within ±1.00D of attempted SE refraction. The HOAs of coma (p < 0.001), secondary astigmatism (p = 0.015), spherical aberration (p < 0.001), and RMS (p < 0.001) aberrations increased significantly from the baseline to the postoperative last visit. The increase in trefoil was not significant (p = 0.32). No sight threatening complications or ectasia were observed during the follow-up time.
conclusionSMILE is a safe and effective technique with long-term stability for treatment of myopia in eyes with a thin cornea, and satisfactory results can be obtained if candidates for surgery are selected carefully with particular emphasis on normal preoperative corneal topography.
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