Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (2): 13-16.doi: 10.6040/j.issn.1673-3770.1.2020.007

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Surgical skills required for small incision lenticule extraction(SMILE), and the prevention and management of SMILE-related complications

SU Caipei, YANG Yabo   

  1. Ophthalmology Center, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China
  • Published:2020-04-07

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Abstract: The rising incidence of myopia is a major global public-health problem. Small incision lenticule extraction(SMILE)is widely accepted by refractive experts and patients, owing to its advantages, such as its flap-free nature, requirement for a small incision, good safety, effectiveness, and predictability. However, SMILE surgery requires corneal micro-surgical skills, and the learning curve is relatively steep. Thus, surgical skills required for SMILE as well as the prevention and management of complications associated with SMILE will be discussed in this article.

Key words: Small incision lenticule extraction, Surgical skills, Complications

CLC Number: 

  • R772.2
[1] Morgan IG, Ohno-Matsui K, Saw SM. Myopia[J]. Lancet, 2012, 379(9827): 1739-1748. doi:10.1016/s0140-6736(12)60272-4.
[2] Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J]. Ophthalmology, 2016, 123(5): 1036-1042. doi:10.1016/j.ophtha.2016.01.006.
[3] Lin FY, Xu YS, Yang YB. Comparison of the visual results after SMILE and femtosecond laser-assisted LASIK for myopia[J]. J Refract Surg, 2014, 30(4): 248-254. doi:10.3928/1081597X-20140320-03.
[4] Qin B, Zhao J, Li MY, et al. The comparison of visual outcomes, aberrations, and Bowman's layer micro-distortions after femtosecond laser small-incision lenticule extraction(SMILE)for the correction of high and moderate myopia and myopic astigmatism[J]. BMC Ophthalmol, 2019, 19(1): 138. doi:10.1186/s12886-019-1135-9.
[5] Xu YS, Yang YB. Dry eye after small incision lenticule extraction and LASIK for myopia[J]. J Refract Surg, 2014, 30(3): 186-190. doi:10.3928/1081597X-20140219-02.
[6] Jin Y, Wang Y, Xu LL, et al. Comparison of the optical quality between small incision lenticule extraction and femtosecond laser LASIK[J]. J Ophthalmol, 2016, 2016: 2507973. doi:10.1155/2016/2507973.
[7] Wu D, Wang Y, Zhang L, et al. Corneal biomechanical effects: small-incision lenticule extraction versus femtosecond laser-assisted laser in situ keratomileusis[J]. J Cataract Refract Surg, 2014, 40(6): 954-962. doi:10.1016/j.jcrs.2013.07.056.
[8] 中华医学会眼科学分会眼视光学组. 我国飞秒激光小切口角膜基质透镜取出手术规范专家共识(2018年)[J]. 中华眼科杂志, 2018,54(10): 729-736.
[9] Titiyal JS, Kaur M, Shaikh F, et al. Small incision lenticule extraction(SMILE)techniques: patient selection and perspectives[J]. Clin Ophthalmol, 2018, 12: 1685-1699. doi:10.2147/OPTH.S157172.
[10] Liu Q, Yang XN, Lin LM, et al. Review on centration, astigmatic Axis alignment, pupil size and optical zone in SMILE[J]. Asia Pac J Ophthalmol(Phila), 2019, 8(5): 385-390. doi:10.1097/01.APO.0000580144.22353.46.
[11] 吴雅楠. 近视人眼及角膜屈光手术后角膜上皮厚度变化特性的研究[D]. 天津:南开大学,2018.
[12] Chehaibou I, Sandali O, Ameline B, et al. Bilateral infectious keratitis after small-incision lenticule extraction[J]. J Cataract Refract Surg, 2016, 42(4): 626-630. doi: 10.1016/j.jcrs.2016.03.024.
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