Skip to main content

Complications After SMILE and Its Management Including Re-treatment Techniques

  • Chapter
Small Incision Lenticule Extraction (SMILE)

Abstract

Any surgery has some potential complications. Awareness of these can help to develop strategies to avoid them or – if they happen – to react appropriately. If the surgeon is aware of potential complications, and ways to mitigate them or recover from them, it is easy to react quickly during and after surgery. Moreover, relative to LASIK or Femto-LASIK, the SMILE procedure requires more surgical dexterity and more skill. This can lead to complications from which it is not easy to recover. In the present chapter we give a short overview of the hitherto known complications and our subjective opinion on their management. It is obvious that despite our best efforts, this chapter cannot raise a claim to cover all the complications or to give the best possible solutions. Rather, it should be treated as a useful guide and starting point.

Financial Disclosure 

The author is a consultant for Carl Zeiss Meditec AG and receives study and travel support from Carl Zeiss Meditec AG

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sharma R, Vadavalli PK (2013) Implications and management of suction loss during refractive lenticule extraction (ReLEx). J Refract Surg 29(7):502–503

    Article  PubMed  Google Scholar 

  2. Ivarsen A, Hjordtal J (2014) Topography-guided photorefractive keratectomy for irregular astigmatism after small incision lenticule extraction. J Refract Surg 30(6):429–432

    Article  PubMed  Google Scholar 

  3. Yao P, Zhou J, Meiyan L, Shen Y, Dong Z, Zhou X (2013) Microdistortions in Bowman’s layer following femtosecond laser small incision lenticule extraction observed by Fourier-Domain OCT. J Refract Surg 29(10):668–674

    Article  PubMed  Google Scholar 

  4. Reinstein DZ, Archer TJ, Gobbe M (2014) Small incision lenticule extraction (SMILE). History, fundamentals of a new refractive surgery technique and clinical outcomes. Eye Vis 1:3

    Article  Google Scholar 

  5. Riau AK, Ang HP, Lwin NC, Chaurasia SS, Tan DT, Mehta JS (2013) Comparison of four different VisuMax circle patterns for flap creation after small incision lenticule extraction. J Refract Surg 29(4):236–244

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rupal Shah MS .

Editor information

Editors and Affiliations

1 Electronic Supplementary Material

Video 10.1

Flap creation after suction loss during posterior lenticule pass (MPEG 1 kb)

Video 10.2

Repeat SMILE after suction loss during posterior lenticule pass (MPEG 1 kb)

Video 10.3

Suction loss during anterior lenticule pass (MPEG 1 kb)

Video 10.4

Suction loss just before final incision pass (MPEG 1 kb)

Video 10.5

SMILE rescue with atraumatic hook (MPEG 1 kb)

Video 10.6

SMILE rescue with atraumatic rake (MPEG 1 kb)

Video 10.7

SMILE rescue with atraumatic wedge (MPEG 1 kb)

Video 10.8

Opening a FLAP for “Circle” enhancements (MPEG 1 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Shah, R. (2015). Complications After SMILE and Its Management Including Re-treatment Techniques. In: Sekundo, W. (eds) Small Incision Lenticule Extraction (SMILE). Springer, Cham. https://doi.org/10.1007/978-3-319-18530-9_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-18530-9_10

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18529-3

  • Online ISBN: 978-3-319-18530-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics