Full Description
In this book an international panel of authors offer a clear, step-by-step approach to Small Incision Lenticule Extraction (SMILE), a new refractive procedure approved for the treatment of myopia and astigmatism that is a truly minimally invasive key-hole type surgery. The book opens by discussing important fundamentals of the technology, followed by a close look at the healing response. The current surgical techniques are then described in detail with the aim of providing easy-to-understand guidance for all who wish to perform SMILE surgery or to identify solutions to pitfalls that may arise during the learning curve. Further sections cover the clinical science relating to SMILE (explaining underlying principles), discuss ongoing investigations to further expand the spectrum of SMILE surgery and offer suggestions on how to market the procedure and communicate it to the prospective patient. This guide is "a must" for everyone who wishes to enter the exciting world of SMILE.
Contents
Basic principles: Femtosecond Laser for Advanced Single-Step Corneal Refractive Surgery: Basic knowledge of Physics and Optics.- Wound Healing after Femtosecond Laser Corneal Refractive Surgery.- Corneal Nerve and Keratocyte Response to Relex Surgery. Clinical Development and Current Techniques: Brief Historical Overview of the Clinical Development of Relex Surgical Procedure.- Current Technique and Instrumentation for SMILE.- Refining Results with SMILE: Tips & Tricks.- Overview of Clinical Results for Low and Mid Myopia.- Astigmatism Correction.- Clinical Results in High Myopia.- Complications after SMILE and its Management Including Re-Treatment Techniques.- Management of Laser Settings for Better SMILE Surgery.- Advantages and Disadvantages of Different Cap Thicknesses. Clinical Science Related to SMILE: The Key Characteristics of Corneal Refractive Surgery: Biomechanics, Corneal Sensation, Spherical Aberration and Contrast Sensitivity after SMILE.- Centration in ReLEx Surgery.- How to Improve the Refractive Predictability.- Transmission and Scanning Electron Microscopy of the Extracted Lenticules.- Collagen Characteristics & Refractive Outcomes. Future Concepts: SMILE for Very High Myopia.- Hyperopic Correction by ReLEx.- Concept of Reversible Corneal Refractive Surgery (Lenticule Re-Implantation). Marketing & Patient Communication: Marketing of SMILE.
