„Small incision lenticule extraction“ (SMILE): eine Standortbestimmung

Luft, Nikolaus; Siedlecki, Jakob; Schworm, Benedikt; Dirisamer, Martin und Priglinger, Siegfried G. (2019): „Small incision lenticule extraction“ (SMILE): eine Standortbestimmung. In: Spektrum der Augenheilkunde, Bd. 33, Nr. 6: S. 147-154

Abstract

With more that 2 million procedures performed globally, small incision lenticule extraction (SMILE) has become an integral component of modern keratorefractive surgery. This all femtosecond laser-based technique enables flap-free and minimally invasive surgical correction of myopia and myopic astigmatism with on par safety and efficacy compared with femtosecond laser in situ keratomileusis (fs-LASIK). Less iatrogenic detriment to corneal biomechanical stability and reduced postoperative dry eye symptoms constitute potential advantages of SMILE compared to flap or surface ablation-based keratorefractive techniques. Residual technical limitations of SMILE include the lack of automated cyclotorsion control and the unavailability of exclusively femtosecond laser-based retreatment. The present review sheds light on the historical background of SMILE, summarizes present recommendations regarding the surgical technique and the treatment range and discusses advantages and drawbacks of SMILE as well as future refinements.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0930-4282
• Sprache: Deutsch