|Articles|June 1, 2017

Intrastromal procedure favored for myopic treatment

A review of 800 cases of small incision lenticule extraction for treatment of myopia and myopic astigmatism shows an evolution in surgical indications and technique with consistently positive outcomes.

Reviewed by Jean-François Faure, MD

Small-incision lenticule extraction (SMILE) performed using a proprietary femtosecond laser (VisuMax, Carl Zeiss Meditec) to create an intrastromal lenticule deserves consideration as the new “gold standard” for surgical treatment of myopia and myopic astigmatism, according to Jean-François Faure, MD.

Dr. Faure, in private practice, Espace Nouvelle Vision Refractive Surgery Center, Paris, formed his opinion based on a review of his experience with SMILE in 800 eyes operated on over a period of 4 years.

“My technique has evolved over time, and I have expanded my indications so that I am performing SMILE for lower amounts of myopia and higher levels of astigmatism,” he said. “Considering the advantages of this flapless, minimally invasive technique and my successful outcomes, SMILE is now my preferred refractive surgery procedure for treating myopia and myopic astigmatism.”

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