Visual and refractive outcomes after SMILE versus FS-LASIK: a paired-eye study Resultados visuales y refractivos posterior a SMILE versus FS-LASIK: estudio de ojos pareados Academic Article in Scopus uri icon

abstract

  • Objective: To compare visual acuity, refraction, Schirmer test, tear break-up time (TBUT), esthesiometry, optical quality, higher order aberrations and posterior corneal elevation measurements before and after small-incision lenticule extraction (SMILE) and femtosecond laser-assisted in situ keratomileusis (FS-LASIK). Method: Paired eye, randomized, cohort study. Follow-up was performed at days 1 and 7, and at months 1, 3, 6 and 12. Results: Forty-two eyes were enrolled in the study. Over time, a difference in posterior corneal elevation was statistically significant (p < 0.01) with a greater change in patients treated with SMILE. There was no difference in corrected distance visual acuity and uncorrected distance visual acuity and cylinder between the two techniques; however, there was a statistical significant difference in spherical error and spherical equivalent (p < 0.01). There was no difference between the eyes with FS-LASIK and SMILE in the assessment regarding the TBUT, the Schirmer test and esthesiometry. Conclusions: SMILE showed more changes in the posterior elevation with a progressive backward shift throughout time during follow-up. SMILE and FS-LASIK provides similar results in myopic patients regarding visual acuity, refraction, Schirmer test, TBUT and esthesiometry. © 2024 Permanyer Publications. All rights reserved.

publication date

  • November 1, 2024