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...

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Main Authors: Yusuf Yıldırım, Cengiz Alagöz, Abdülvahit Demir, Onur Ölçücü, Mehmet Özveren, Alper Ağca, Engin Bilge Özgürhan, Ahmet Demirok
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
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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.
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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
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