Cap-preserving SMILE Enhancement Surgery
Abstract Background Different enhancement procedures have been suggested for reduction of residual refractive errors after SMILE. The aim of this study is to evaluate an improved cap-preserving technique for enhancement after SMILE (Re-SMILE). Methods A retrospective case series was conducted at Eye...
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| Format: | Article |
| Language: | English |
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BMC
2018-02-01
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| Series: | BMC Ophthalmology |
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| Online Access: | http://link.springer.com/article/10.1186/s12886-018-0712-7 |
| _version_ | 1819110773987737600 |
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| author | Ahmed N. Sedky Sherine S. Wahba Maged M. Roshdy Nermeen R. Ayaad |
| author_facet | Ahmed N. Sedky Sherine S. Wahba Maged M. Roshdy Nermeen R. Ayaad |
| author_sort | Ahmed N. Sedky |
| collection | DOAJ |
| description | Abstract Background Different enhancement procedures have been suggested for reduction of residual refractive errors after SMILE. The aim of this study is to evaluate an improved cap-preserving technique for enhancement after SMILE (Re-SMILE). Methods A retrospective case series was conducted at Eye subspecialty center, Cairo, Egypt on 9 eyes with myopia or myopic astigmatism (spherical equivalent – 8.0 and − 12.0D). undergoing SMILE procedure and needed second interference. This was either because the more myopic meridian was more than − 10.0 D and therefore planned to have two-steps procedure (six eyes) or because of under correction needing enhancement (three eyes). Assessment after the primary SMILE procedure was conducted at 1 day, 1 week, 1 month and 3 months postoperatively. Assessment after Re-SMILE was conducted at 1 day, 1 week, 1 month, 3 months, 6 months and 1 year postoperatively. The assessments included full ophthalmic examination, objective and subjective refraction, and rotating Scheimpflug camera imaging. Results Preoperatively, the mean refractive spherical equivalent (MRSE) values were: − 9.36 ± 0. 89. After primary SMILE it was − 2.18 ± 0.71. After Re-SMILE it was − 0.13 ± 0.68. MRSE was significantly improved after both procedures (P < 0.01). The safety index of primary SMILE cases was 1.65 ± 0.62 and for Re-SMILE 1.13 ± 0.34 and the efficacy index was 1.14 ± 0.24 after primary SMILE and 1.11 ± 0.26 after Re-SMILE. Conclusion Centered cap-preserving Re-SMILE is an effective procedure in reducing residual refractive errors after primary SMILE in high myopes. |
| first_indexed | 2024-12-22T03:47:03Z |
| format | Article |
| id | doaj.art-e91167efb18c4e168338baf9a2b7217f |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-22T03:47:03Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-e91167efb18c4e168338baf9a2b7217f2022-12-21T18:40:07ZengBMCBMC Ophthalmology1471-24152018-02-0118111010.1186/s12886-018-0712-7Cap-preserving SMILE Enhancement SurgeryAhmed N. Sedky0Sherine S. Wahba1Maged M. Roshdy2Nermeen R. Ayaad3Eye Subspecialty Center, CairoAin Shams University, Al Watany Eye Hospital and Watany Research and Development Center (WRDC)Ain Shams University, Al Watany Eye Hospital and Watany Research and Development Center (WRDC)Eye Subspecialty CenterAbstract Background Different enhancement procedures have been suggested for reduction of residual refractive errors after SMILE. The aim of this study is to evaluate an improved cap-preserving technique for enhancement after SMILE (Re-SMILE). Methods A retrospective case series was conducted at Eye subspecialty center, Cairo, Egypt on 9 eyes with myopia or myopic astigmatism (spherical equivalent – 8.0 and − 12.0D). undergoing SMILE procedure and needed second interference. This was either because the more myopic meridian was more than − 10.0 D and therefore planned to have two-steps procedure (six eyes) or because of under correction needing enhancement (three eyes). Assessment after the primary SMILE procedure was conducted at 1 day, 1 week, 1 month and 3 months postoperatively. Assessment after Re-SMILE was conducted at 1 day, 1 week, 1 month, 3 months, 6 months and 1 year postoperatively. The assessments included full ophthalmic examination, objective and subjective refraction, and rotating Scheimpflug camera imaging. Results Preoperatively, the mean refractive spherical equivalent (MRSE) values were: − 9.36 ± 0. 89. After primary SMILE it was − 2.18 ± 0.71. After Re-SMILE it was − 0.13 ± 0.68. MRSE was significantly improved after both procedures (P < 0.01). The safety index of primary SMILE cases was 1.65 ± 0.62 and for Re-SMILE 1.13 ± 0.34 and the efficacy index was 1.14 ± 0.24 after primary SMILE and 1.11 ± 0.26 after Re-SMILE. Conclusion Centered cap-preserving Re-SMILE is an effective procedure in reducing residual refractive errors after primary SMILE in high myopes.http://link.springer.com/article/10.1186/s12886-018-0712-7SMILESMILE enhancementCap-preserving SMILE enhancementRe-SMILE |
| spellingShingle | Ahmed N. Sedky Sherine S. Wahba Maged M. Roshdy Nermeen R. Ayaad Cap-preserving SMILE Enhancement Surgery BMC Ophthalmology SMILE SMILE enhancement Cap-preserving SMILE enhancement Re-SMILE |
| title | Cap-preserving SMILE Enhancement Surgery |
| title_full | Cap-preserving SMILE Enhancement Surgery |
| title_fullStr | Cap-preserving SMILE Enhancement Surgery |
| title_full_unstemmed | Cap-preserving SMILE Enhancement Surgery |
| title_short | Cap-preserving SMILE Enhancement Surgery |
| title_sort | cap preserving smile enhancement surgery |
| topic | SMILE SMILE enhancement Cap-preserving SMILE enhancement Re-SMILE |
| url | http://link.springer.com/article/10.1186/s12886-018-0712-7 |
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