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and a well-defined LASIK flap. A disadvantage of the
femtosecond laser in this application is expense. The two
approaches are comparable overall in terms of endothelial
cell density, dry eye events, corneal aberrations, efficacy,
predictability, and contrast sensitivity, Dr. Hjortdal said.
SMILE is a unique femtosecond laser keyhole treat-
ment. Dr. Hjortdal's own data comparing SMILE to
femto-LASIK in more than 3,000 cases show that SMILE
achieves good predictability with 95% of eyes within
±1 D. This non-flap procedure avoids the risk of epithelial
ingrowth associated with LASIK and has a lower risk of
ectasia.
"In higher myopes (>7 D), SMILE efficacy is approx-
imately the same as with LASIK and surface PRK. Safety
is similar, too, as different studies show. We followed our
SMILE patients between 3 and 7 years and saw stable eyes
for 3 years after surgery, with a regression tendency in later
years in myopia over –8 D," he said.
Femtosecond LASIK has fewer safety issues than manual.
Source (all): Jesper Hjortdal, MD
SMILE is a predictable non-flap procedure for the treatment of
myopia and myopic astigmatism.
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