After SMILE, will I obtain zero degrees of myopia or astigmatism?
Many people think that zero myopia or astigmatism will be achieved after vision correction, or the vision will be even clearer vision than wearing glasses or contact lenses, but this is a wrong concept.
Successful criteria for vision correction: If the outcome is within +/- 75 degrees of the target, this is a successful outcome. When the refraction is less than +/- 75 degrees, the vision is usually within the normal range.
According to evidence, a refraction of +/- 100 degrees at 3 months after surgery is seen in nearly 100%; if over +/- 100 degrees is noted after surgery, enhancement treatment would be an option.
Any fluctuation after SMILE?
Ophthalmologists suggest that it’s better to undergo SMILE with at least 6 months of stable refraction. Generally, a smaller incision is made during SMILE, and the structure of the cornea remains more stable with lower chances of fluctuation postoperatively. Please consult your ophthalmologist as early as possible if you have a sudden visual change that might be caused by other issues.
If I am a good candidate for SMILE, can I get the correction done immediately?
Our clinic suggests that since we need at least 2 days to conduct comprehensive eye examinations so that we can obtain correct data and design a personalized vision correction plan for you, please make your appointment early.
Please stop wearing contact lenses before eye checkup:
Soft contact lenses (excluding astigmatism): Stop wearing them for at least one week
Soft contact lenses (including astigmatism): Stop wearing them for at least two weeks
Rigid contact lenses: Stop wearing them for at least one month
Ortho-K lenses: Stop wearing them for at least three months
*after the first eye check-up, the pre-operation examination and vision correction could be conducted on the same following day.
What are the differences between SMILE and LASIK?
SMILE is an advanced laser correction technology that improves the limitations of LASIK. For example, LASIK requires the creation of a corneal flap, so the incision is larger than SMILE. SMILE only has a small incision of 2-4mm, without creating a corneal flap, so the incision area is reduced by nearly 80% as compared to LASIK. Therefore, it lowers the chances of getting dry eye, infection, and corneal flap displacement. At the same time, recovery time is shortened.
Will it be painful during the SMILE surgery?
Anesthetic eye drops are placed into your eye to numb the eyeball, so there is usually no pain experienced during the procedure. The surgery in both eyes is usually completed in less than 15 minutes.
How long does SMILE take?
Usually, the procedure itself only takes about 15 minutes. However, you will need to stay for around 2 hours for pre-operative preparations and examinations on the day of surgery.
Compared to LASIK, SMILE is a relatively new technology. What is the clinical evidence on SMILE?
More than 2 million successful SMILE surgeries have been done worldwide. It is an advanced technology from Zeiss in Germany. It was approved by the European Union in 2011 and approved by the US FDA in 2016. The clinical results of the FDA data found that SMILE is safe, stable, and highly effective. Meanwhile, 88% of guests had unaided eyesight above 1.0 at 6 months after surgery.
Will I have presbyopia earlier if I had SMILE done?
Presbyopia happens when the crystalline lens hardens and loses its elasticity at the age around 40-50. It is an unavoidable age-related condition and has nothing to do with SMILE.
Who is not suitable for SMILE?
People who:
-have unstable refraction
-have thin cornea, or severely nearsighted / farsighted
-are suffering from severe dry eye
-have a history of glaucoma or retinal problems
-have infection on cornea, such as inflammation or previous trauma
-have immune system disease, such as rheumatoid arthritis or lupus
-are in need of long-term steroid intake
-are pregnant
Is it a better idea to receive SMILE in a hospital?
SMILE is a minimally invasive technology, which does not require general anesthesia. Only anesthetic eye drops are placed into your eye and you don’t need to stay after surgery. Our clinic is equipped with aseptic operation rooms with surgical instruments and advanced examination machines that meet international standards. The whole process is safe and reliable.
Are there any risks in SMILE?
Risks come with all surgeries and they are relatively low with vision correction. The common risks are under-correction or over-correction, night vision worsens, dry eyes, halos, and dry eyes, etc. Complications after vision correction are uncommon. Under rare circumstances, complications like corneal infection or bacterial infection may occur.
Why are there still many ophthalmologists wearing glasses given that advanced and mature vision correction surgeries are available nowadays?
According to a survey from the Journal of Cataract and Refractive Surgery in 2016, ophthalmologists were nearly 5 times more likely to receive vision correction than the general public. Many ophthalmologists chose to get rid of glasses by getting vision correction done.
Can I still have other eye surgeries after SMILE if necessary?
Yes. SMILE only changes the curvature of your cornea and other parts of the eyes are not involved and will not be affected.
What type of patients need SMILE Xtra or collagen cross-linking surgery?
SMILE Xtra is a type of corneal cross-linking surgery. It is suitable for patients: whose cornea is too thin, who have severe myopia, hyperopia, and astigmatism, or who are suspected of being at risk of keratoconus. Your surgeon will evaluate your conditions and decide if you need Xtra cross-linking surgery together with your vision correction surgery or not. Usually, riboflavin eye drops will be applied to your eyes and your eyes will be exposed to UVA light to strengthen your cornea. Cross-linking surgery can be simultaneously completed with SMILE.