Table 1. Factors that may determine the selection of a SMILE enhancement technique over the other.
SA+MMC | S+SE | S+C | SCLE | |
---|---|---|---|---|
Enhancement correction required | Any | ≥ -1.00D | Any | Any |
Depth of primary SMILE cap | Any | ≥140 μm | ≤120 μm | ≤130 μm |
Post-primary SMILE residual stromal bed thickness | Any | >250 μm | ≥300 μm | >250 μm |
Hyperopic or myopic enhancement | Both | Myopic only | Both | Myopic only |
Flap or maintain flap-less | Flap-less | Flap-less | Flap | Flap-less |
Wound recovery time | Slow | Fast | Intermediate | Fast |
SA = surface ablation
MMC = mitomycin C
S+SE = new SMILE anterior to previous SMILE procedure
S+C = flap creation by VisuMax Circle, followed by excimer stromal ablation
SCLE = sub-cap lenticule extraction (described by Donate et al. [33])