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Small incisionSmall incision lenticuleLenticule extraction (SMILESMILE) has become an established procedure for the correction of myopia. In this chapter, we describe the treatmentTreatment parameters, protocol for docking and centration, and the standardized surgical techniqueTechnique for lenticuleLenticule removal. The most relevant intraoperative and postoperative complicationsComplications are also discussed including the management of suction loss, femtosecond energy settings and black spots, difficulty in identifying the capCap and lenticuleLenticule interfaces, management of lenticuleLenticule remnants, sterile multifocal presentation of DLK unique to SMILESMILE, and epithelial implantation (as opposed to classical epithelial ingrowth). SMILESMILE can now be considered a mature procedure with over 6 million procedures having been performed, with a thorough understanding of surgical instruments, surgical techniqueTechnique and complicationComplications management.

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Small Incision Lenticule Extraction (SMILE): Standard Procedure, Intraoperative and Postoperative Complications

  • 章节

  • 发表日期：

    2025年

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  • Dan Z. Reinstein,
  • Timothy J. Archer

摘要

Small incisionSmall incision lenticuleLenticule extraction (SMILESMILE) has become an established procedure for the correction of myopia. In this chapter, we describe the treatmentTreatment parameters, protocol for docking and centration, and the standardized surgical techniqueTechnique for lenticuleLenticule removal. The most relevant intraoperative and postoperative complicationsComplications are also discussed including the management of suction loss, femtosecond energy settings and black spots, difficulty in identifying the capCap and lenticuleLenticule interfaces, management of lenticuleLenticule remnants, sterile multifocal presentation of DLK unique to SMILESMILE, and epithelial implantation (as opposed to classical epithelial ingrowth). SMILESMILE can now be considered a mature procedure with over 6 million procedures having been performed, with a thorough understanding of surgical instruments, surgical techniqueTechnique and complicationComplications management.