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Small-incision lenticule extraction.
This review looks at the benefits, limitations, complications, and future applications of the small-incision lenticule extraction procedure. Using the search terms small incision lenticule extraction and femtosecond lenticule extraction, we obtained data from 56 articles (omitting German and Chinese articles) from the PubMed database. Small-incision lenticule extraction has shown efficacy, predictability, and safety that are proportionate to those of laser in situ keratomileusis (LASIK), with the additional benefit that it eliminates flap creation and the attendant risks. The potential advantages of the procedure related to improved biomechanical stability, postoperative inflammation, and dry-eye symptoms have not been fully established. Small-incision lenticule extraction-treated eyes have shown a reduced degree of postoperative corneal denervation and higher-order aberrations and an accelerated rate of corneal nerve convalescence relative to LASIK. Future possibilities related to long-term cryogenic storage of extracted lenticules with eventual reimplantation or donation have been investigated with encouraging preliminary results.
Authors : Moshirfar Majid , McCaughey Michael V , Reinstein Dan Z , Shah Rupal , Santiago-Caban Luis , Fenzl Carlton R ,
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Bibliography :
[30772990] [The effect of corneal biomechanical properties on opaque bubble layer in small incision lenticule extraction (SMILE)].
[30742223] Microdistortions in Bowman's Layer 3 Years After SMILE for Myopia.
[30732575] Comparison of visual quality after EVO-ICL implantation and SMILE to select the appropriate surgical method for high myopia.
[30721171] Comparison of Corneal Epithelial Remodeling Over 2 Years in LASIK Versus SMILE: A Contralateral Eye Study.
[30709628] Long-term (5 years) follow-up of small-incision lenticule extraction in mild-to-moderate myopia.
[30702573] Corneal aberrations after small-incision lenticule extraction versus Q value-guided laser-assisted in situ keratomileusis.
[30686703] Small-incision lenticule extraction in a patient with high astigmatism and nystagmus.
[30643965] Comparison of the posterior corneal elevation and biomechanics after SMILE and LASEK for myopia: a short- and long-term observation.
[30633789] CIRCLE Software for the Management of Retained Lenticule Tissue Following Complicated SMILE Surgery.
[30633786] Influence of Preoperative Astigmatism Type and Magnitude on the Effectiveness of SMILE Correction.
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