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Centration in SMILE for Myopia

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Small Incision Lenticule Extraction (SMILE)

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Abstract

The centration of the treatment zone during corneal refractive procedures remains a topic of great dispute among refractive surgeons. Despite the benefits of a pupillary centration [1, 2], it is widely accepted that a centration in regard to the visual axis [3, 4] is the key to optimized visual outcomes while maintaining the functional corneal morphology after the treatment. The advent of eye trackers led to a significant reduction of extended decentrations and therefore to fewer functional deficits, such as reduced corrected distance visual acuity, irregular astigmatism, halos, glare [5], reduced contrast sensitivity [6], and monocular diplopia [7]. However, despite the efficacy of laser treatments based on eye-tracking systems, the problem of subclinical decentrations (<1.0 mm) and the induction of higher-order aberrations still remain [8].

Financial Disclosure 

The authors have no financial interest in any topics related to this study. Prof. Dr. med. Walter Sekundo is a member of the scientific board of Carl Zeiss Meditec AG

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Authors and Affiliations

  1. Department of Ophthalmology, Philipps University of Marburg, Marburg, Germany

    Apostolos Lazaridis

  2. Department of Ophthalmology, Philipps University of Marburg and Universitätsklinikum Giessen & Marburg GmbH, Marburg, Germany

    Walter Sekundo

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  1. Apostolos Lazaridis
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  2. Walter Sekundo
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Correspondence to Apostolos Lazaridis .

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Editors and Affiliations

  1. Department of Ophthalmology, Philipps University of Marburg, Marburg, Germany

    Walter Sekundo

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Lazaridis, A., Sekundo, W. (2015). Centration in SMILE for Myopia. In: Sekundo, W. (eds) Small Incision Lenticule Extraction (SMILE). Springer, Cham. https://doi.org/10.1007/978-3-319-18530-9_14

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  • DOI: https://doi.org/10.1007/978-3-319-18530-9_14

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18529-3

  • Online ISBN: 978-3-319-18530-9

  • eBook Packages: MedicineMedicine (R0)

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