Intraoperative Optical Coherence Tomography –Guided Management of Cap–Lenticule Adhesion During SMILE

Small incision lenticule extraction (SMILE) is a new keratomileusis technique for laser vision correction. In this technique, an intrastromal refractive lenticule is extracted through a small peripheral incision (2 to 4 mm), obviating the need for creation of a flap.1 The most crucial step in the SMILE procedure is dissecting the intrastromal lenticule from the anterior stromal cap. Inadvertent entry of the dissector posterior to the lenticule can result in cap –lenticule adhesion and difficult lenticule extraction.2 An inability to recognize cap–lenticule adhesion and repeated efforts to find

Source: Journal of Refractive Surgery - November 8, 2017 Category: Opthalmology Authors: Jayanand Urkude, MD Source Type: research