Long-term Results of Small-incision Lenticule Extraction in High Myopia
Objectives: To evaluate two-year results of small-incision lenticule extraction (SMILE) for correction of high myopia. Materials and Methods: Forty-five eyes of 35 patients with mean spherical equivalent (SE) of -7.10±0.95 D who underwent routine SMILE by a single surgeon and were followed for at l...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Galenos Yayinevi
2016-10-01
|
Series: | Türk Oftalmoloji Dergisi |
Subjects: | |
Online Access: | http://www.oftalmoloji.org/article_11054/Long-term-Results-Of-Small-incision-Lenticule-Extraction-In-High-Myopia |
_version_ | 1828026154816110592 |
---|---|
author | Yusuf Yıldırım Cengiz Alagöz Abdülvahit Demir Onur Ölçücü Mehmet Özveren Alper Ağca Engin Bilge Özgürhan Ahmet Demirok |
author_facet | Yusuf Yıldırım Cengiz Alagöz Abdülvahit Demir Onur Ölçücü Mehmet Özveren Alper Ağca Engin Bilge Özgürhan Ahmet Demirok |
author_sort | Yusuf Yıldırım |
collection | DOAJ |
description | Objectives: To evaluate two-year results of small-incision lenticule extraction (SMILE) for correction of high myopia.
Materials and Methods: Forty-five eyes of 35 patients with mean spherical equivalent (SE) of -7.10±0.95 D who underwent routine SMILE by a single surgeon and were followed for at least 2 years were analyzed by retrospective chart review. SMILE was performed with a Visumax femtosecond laser (Carl Zeiss Meditec, Jena, Germany). Follow-up intervals were at 1, 6, 12, and 24 months after surgery. Uncorrected and best corrected distance visual acuity (CDVA), corneal wavefront measurements, and all complications were recorded.
Results: After 2 years, 86% of eyes with plano target had an uncorrected distant visual acuity (VA) of 20/20 or better. Two percent of eyes lost 1 line of CDVA, while 32% gained 1 line. The mean SE after 2 years was -0.30±0.50 D. Corneal total high-order aberrations (HOA) increased from 0.43 to 0.92 μm at postoperative 12 months. There were metallic foreign bodies at the corneal interface in 1 eye of 1 patient which caused no decrease in VA.
Conclusion: SMILE for high myopia seems safe and effective in light of two-year follow-up results. The procedure caused a moderate increase in HOA. |
first_indexed | 2024-04-10T13:14:32Z |
format | Article |
id | doaj.art-479c36d132fd4772a82c1e2ac54a9d61 |
institution | Directory Open Access Journal |
issn | 1300-0659 2147-2661 |
language | English |
last_indexed | 2024-04-10T13:14:32Z |
publishDate | 2016-10-01 |
publisher | Galenos Yayinevi |
record_format | Article |
series | Türk Oftalmoloji Dergisi |
spelling | doaj.art-479c36d132fd4772a82c1e2ac54a9d612023-02-15T16:12:27ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612016-10-0146520020410.4274/tjo.22605Long-term Results of Small-incision Lenticule Extraction in High MyopiaYusuf Yıldırım0Cengiz Alagöz1Abdülvahit Demir2Onur Ölçücü3Mehmet Özveren4Alper Ağca5Engin Bilge Özgürhan6Ahmet Demirok7Prof. Dr. N. Reşat Belger Beyoğlu Eye Training and Research Hospital, İstanbul, TurkeyProf. Dr. N. Reşat Belger Beyoğlu Eye Training and Research Hospital, İstanbul, TurkeyKağıthane State Hospital, Ophthalmology Clinic, İstanbul, TurkeyProf. Dr. N. Reşat Belger Beyoğlu Eye Training and Research Hospital, İstanbul, TurkeyProf. Dr. N. Reşat Belger Beyoğlu Eye Training and Research Hospital, İstanbul, TurkeyProf. Dr. N. Reşat Belger Beyoğlu Eye Training and Research Hospital, İstanbul, TurkeyProf. Dr. N. Reşat Belger Beyoğlu Eye Training and Research Hospital, İstanbul, TurkeyProf. Dr. N. Reşat Belger Beyoğlu Eye Training and Research Hospital, İstanbul, TurkeyObjectives: To evaluate two-year results of small-incision lenticule extraction (SMILE) for correction of high myopia. Materials and Methods: Forty-five eyes of 35 patients with mean spherical equivalent (SE) of -7.10±0.95 D who underwent routine SMILE by a single surgeon and were followed for at least 2 years were analyzed by retrospective chart review. SMILE was performed with a Visumax femtosecond laser (Carl Zeiss Meditec, Jena, Germany). Follow-up intervals were at 1, 6, 12, and 24 months after surgery. Uncorrected and best corrected distance visual acuity (CDVA), corneal wavefront measurements, and all complications were recorded. Results: After 2 years, 86% of eyes with plano target had an uncorrected distant visual acuity (VA) of 20/20 or better. Two percent of eyes lost 1 line of CDVA, while 32% gained 1 line. The mean SE after 2 years was -0.30±0.50 D. Corneal total high-order aberrations (HOA) increased from 0.43 to 0.92 μm at postoperative 12 months. There were metallic foreign bodies at the corneal interface in 1 eye of 1 patient which caused no decrease in VA. Conclusion: SMILE for high myopia seems safe and effective in light of two-year follow-up results. The procedure caused a moderate increase in HOA.http://www.oftalmoloji.org/article_11054/Long-term-Results-Of-Small-incision-Lenticule-Extraction-In-High-MyopiaSmall-incision lenticule extractionhigh myopiahigh-order aberrations |
spellingShingle | Yusuf Yıldırım Cengiz Alagöz Abdülvahit Demir Onur Ölçücü Mehmet Özveren Alper Ağca Engin Bilge Özgürhan Ahmet Demirok Long-term Results of Small-incision Lenticule Extraction in High Myopia Türk Oftalmoloji Dergisi Small-incision lenticule extraction high myopia high-order aberrations |
title | Long-term Results of Small-incision Lenticule Extraction in High Myopia |
title_full | Long-term Results of Small-incision Lenticule Extraction in High Myopia |
title_fullStr | Long-term Results of Small-incision Lenticule Extraction in High Myopia |
title_full_unstemmed | Long-term Results of Small-incision Lenticule Extraction in High Myopia |
title_short | Long-term Results of Small-incision Lenticule Extraction in High Myopia |
title_sort | long term results of small incision lenticule extraction in high myopia |
topic | Small-incision lenticule extraction high myopia high-order aberrations |
url | http://www.oftalmoloji.org/article_11054/Long-term-Results-Of-Small-incision-Lenticule-Extraction-In-High-Myopia |
work_keys_str_mv | AT yusufyıldırım longtermresultsofsmallincisionlenticuleextractioninhighmyopia AT cengizalagoz longtermresultsofsmallincisionlenticuleextractioninhighmyopia AT abdulvahitdemir longtermresultsofsmallincisionlenticuleextractioninhighmyopia AT onurolcucu longtermresultsofsmallincisionlenticuleextractioninhighmyopia AT mehmetozveren longtermresultsofsmallincisionlenticuleextractioninhighmyopia AT alperagca longtermresultsofsmallincisionlenticuleextractioninhighmyopia AT enginbilgeozgurhan longtermresultsofsmallincisionlenticuleextractioninhighmyopia AT ahmetdemirok longtermresultsofsmallincisionlenticuleextractioninhighmyopia |