Safety and complications of more than 1500 small-incision lenticule extraction procedures

Ophthalmology
Anders IvarsenJesper Hjortdal

Abstract

To evaluate the safety and complications of small-incision lenticule extraction (SMILE). Clinical control cohort study. A total of 922 healthy patients (1800 eyes) who were treated for myopia or myopic astigmatism between January 2011 and March 2013 at the Department of Ophthalmology, Aarhus, Denmark. Patients received a full preoperative examination and were treated with SMILE in both eyes and followed for 3 months (1574 eyes). Patients with complications, including loss of corrected distance visual acuity (CDVA) or dissatisfaction, were offered a late reexamination. Surgical complications and CDVA. Mean preoperative spherical equivalent refraction was -7.25±1.84 diopters (D). Average postoperative refraction was -0.28±0.52 D, and mean error of treatment was -0.15±0.50 D. By 3 months, 86% (1346 eyes) had unchanged or improved CDVA. A loss of 2 or more lines was observed in 1.5% of eyes; however, at a late follow-up visit (average, 18 months), CDVA was within 1 line of the preoperative level in all eyes. Perioperative complications included epithelial abrasions (6%), small tears at the incision (1.8%), and difficult lenticule extraction (1.9%). The cap was perforated in 4 eyes, and a major tear occurred in 1 eye; however, none ...Continue Reading

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Citations

Mar 5, 2016·International Ophthalmology Clinics·Jordan A Margo, Wuqaas M Munir
Jun 28, 2014·Journal of Refractive Surgery·Anders Ivarsen, Jesper Ø Hjortdal
Dec 2, 2014·Journal of Refractive Surgery·Dan Z ReinsteinMarine Gobbe
Apr 8, 2014·Journal of Refractive Surgery·Anders Ivarsen, Jesper Hjortdal
Oct 8, 2015·Journal of Refractive Surgery·Iben Bach PedersenJesper Hjortdal
Dec 15, 2015·Journal of Refractive Surgery·Praneetha ThulasiJ Bradley Randleman
Mar 10, 2015·Journal of Refractive Surgery·Anders GyldenkerneJesper Ø Hjortdal
Sep 10, 2015·Journal of Refractive Surgery·Jose L GüellMercè Morral
Nov 29, 2015·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·T Kohnen, M Remy
Mar 31, 2016·Journal of Cataract and Refractive Surgery·Ihab M OsmanMohamed Abou Shousha
Feb 24, 2015·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Anders GyldenkerneJesper Ø Hjortdal
Aug 15, 2015·BioMed Research International·Yu-Chi LiuJodhbir S Mehta
Jun 10, 2015·Current Opinion in Ophthalmology·Jimmy K LeeChoul Yong Park
May 9, 2015·Journal of Cataract and Refractive Surgery·Yumeng WangGuoying Mu
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Apr 1, 2016·Current Opinion in Ophthalmology·Lisa Y Chen, Edward E Manche
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Oct 5, 2016·Journal of Cataract and Refractive Surgery·Soosan JacobAthiya Agarwal
Oct 8, 2016·BMC Ophthalmology·Ke ZhengXingtao Zhou
Oct 11, 2016·Journal of Refractive Surgery·Manli LiuQuan Liu
Oct 11, 2016·Journal of Refractive Surgery·Sara Catalan-LopezAdriana Rodriguez-Rodriguez
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Jan 11, 2017·Journal français d'ophtalmologie·J-C Gavrilov
Mar 7, 2017·Journal of Refractive Surgery·Jessica Y TongJohn J Males

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