The traditional method of lenticule extraction in small-incision lenticule extraction (SMILE) is associated with several intraoperative complications. We therefore evaluated the refractive outcomes of a new technique for lenticule dissection technique, Ye’s swing technique, during SMILE.

The cap cut was opened using a hook, and an anterior dissection was performed with a counterclockwise swing, from 8 to 12 o’clock. A posterior dissection was then performed by swinging counterclockwise, leaving a thin band of the peripheral rim undissected, from 8 to 4 o’clock. The counterclockwise swing was continued to separate the edges of the rim from 4 to 12 o’clock, after which microforceps were used to extract the lenticules.

Postoperatively, the lenticule was completely and successfully extracted in all cases. There was no incisional edge tearing during lenticule separation.

Ye’s swing technique is efficient for lenticule separation and extraction. We have now adopted this technique as our routine method for performing the SMILE procedure.