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Intraoperative complications of refractive small incision lenticule extraction in the early learning curve

Authors Hamed AM, Abdelwahab SM, Soliman TT

Received 17 November 2017

Accepted for publication 27 February 2018

Published 9 April 2018 Volume 2018:12 Pages 665—668


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Supplementary video of refractive small incision lenticule extraction push-up technique.

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Abdelmonem M Hamed,1,2 Shereef M Abdelwahab,1,2 Tarek T Soliman1,2

1Ebsar Eye Center, Benha, Qalyubia, Egypt; 2Ophthalmology Department, Benha University, Benha, Qalyubia, Egypt

Purpose: To study the intraoperative complications of refractive small incision lenticule extraction (ReSMILE push-up technique), and to record the mean intraoperative duration time of all surgeries for the refractive surgeon in his early learning curve.
Setting: Ebsar Eye Center, Benha, Egypt.
Design: A prospective, single-center, cohort clinical study.
Methods: This prospective, single-center, cohort clinical study was done on patients with myopia and myopic astigmatism, who were enrolled for SMILE surgeries. All the SMILE operations were performed by a single refractive surgeon (AMH), by using only the ReSMILE push-up technique.
Results: A total of 190 eyes were operated upon, using the (ReSMILE push-up technique), with a mean follow-up period of 2 months. The intraoperative complications have been recorded for all patients. The mean operative duration of all cases was 4.45±1.45 minutes.
Conclusion: The ReSMILE: push-up technique seems to facilitate visualization of the edge of the lenticule of the SMILE surgery, especially for the refractive surgeon in his early learning curve.

Keywords: ReLEX, SMILE, ReSMILE, refractive, SMILE complications

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