Refraction outcomes after suction loss during small-incision lenticule extraction (SMILE)

Refraction outcomes after suction loss during small-incision lenticule extraction (SMILE)

Amr A Gab-Alla Ophthalmology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt Purpose: To evaluate refractive outcomes of two management approaches after suction loss during the small-incision lenticule extraction (SMILE) technique.Patients and methods: This retrospective an...

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Autor principal: Gab-Alla AA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
Materias:
Diffuse lamellar keratitis
LASIK
interface fluid syndrome
myopia.
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/e8378a5bb7a04c04bd34c17ca6aeb305
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spelling oai:doaj.org-article:e8378a5bb7a04c04bd34c17ca6aeb3052021-12-02T06:38:29ZRefraction outcomes after suction loss during small-incision lenticule extraction (SMILE)1177-5483https://doaj.org/article/e8378a5bb7a04c04bd34c17ca6aeb3052017-03-01T00:00:00Zhttps://www.dovepress.com/refraction-outcomes-after-suction-loss-during-small-incision-lenticule-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Amr A Gab-Alla Ophthalmology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt Purpose: To evaluate refractive outcomes of two management approaches after suction loss during the small-incision lenticule extraction (SMILE) technique.Patients and methods: This retrospective and comparative study was conducted at the El-Gowhara Private Eye Center. It included 26 consecutive eyes of patients who experienced suction loss during the SMILE technique. Patients were divided into two groups by the technical difficulties in redocking: in group A (12 eyes) suction loss occurred after the posterior lenticular cut and the creation of side-cuts, then suction was reapplied, and the procedure was completed; in group B (14 eyes) suction loss occurred after the posterior lenticular cut and the creation of side-cuts, then the procedure was postponed for 24 hours and completed with the same parameters. Manifest refraction outcomes were measured and compared 6 months postoperatively.Results: This study included 26 eyes with suction loss during the SMILE technique: five patients with suction loss in both eyes, nine patients with suction loss in the right eye and seven patients with suction loss in the left eye. The incidence of suction loss in this study was 2.7%. At the postoperative 6-month follow-up time, there were statistically significant differences in refraction outcomes between the two groups, with a hyperopic shift in group A compared with group B.Conclusion: A good refraction outcome can be achieved with appropriate management of suction loss during the SMILE technique, and it is recommended to postpone the treatment if this happens. Keywords: diffuse lamellar keratitis, LASIK, interface fluid syndrome, myopiaGab-Alla AADove Medical PressarticleDiffuse lamellar keratitisLASIKinterface fluid syndromemyopia.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 511-515 (2017)
institution DOAJ
collection DOAJ
language EN
topic Diffuse lamellar keratitis
LASIK
interface fluid syndrome
myopia.
Ophthalmology
RE1-994
spellingShingle Diffuse lamellar keratitis
LASIK
interface fluid syndrome
myopia.
Ophthalmology
RE1-994
Gab-Alla AA
Refraction outcomes after suction loss during small-incision lenticule extraction (SMILE)
description Amr A Gab-Alla Ophthalmology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt Purpose: To evaluate refractive outcomes of two management approaches after suction loss during the small-incision lenticule extraction (SMILE) technique.Patients and methods: This retrospective and comparative study was conducted at the El-Gowhara Private Eye Center. It included 26 consecutive eyes of patients who experienced suction loss during the SMILE technique. Patients were divided into two groups by the technical difficulties in redocking: in group A (12 eyes) suction loss occurred after the posterior lenticular cut and the creation of side-cuts, then suction was reapplied, and the procedure was completed; in group B (14 eyes) suction loss occurred after the posterior lenticular cut and the creation of side-cuts, then the procedure was postponed for 24 hours and completed with the same parameters. Manifest refraction outcomes were measured and compared 6 months postoperatively.Results: This study included 26 eyes with suction loss during the SMILE technique: five patients with suction loss in both eyes, nine patients with suction loss in the right eye and seven patients with suction loss in the left eye. The incidence of suction loss in this study was 2.7%. At the postoperative 6-month follow-up time, there were statistically significant differences in refraction outcomes between the two groups, with a hyperopic shift in group A compared with group B.Conclusion: A good refraction outcome can be achieved with appropriate management of suction loss during the SMILE technique, and it is recommended to postpone the treatment if this happens. Keywords: diffuse lamellar keratitis, LASIK, interface fluid syndrome, myopia
format article
author Gab-Alla AA
author_facet Gab-Alla AA
author_sort Gab-Alla AA
title Refraction outcomes after suction loss during small-incision lenticule extraction (SMILE)
title_short Refraction outcomes after suction loss during small-incision lenticule extraction (SMILE)
title_full Refraction outcomes after suction loss during small-incision lenticule extraction (SMILE)
title_fullStr Refraction outcomes after suction loss during small-incision lenticule extraction (SMILE)
title_full_unstemmed Refraction outcomes after suction loss during small-incision lenticule extraction (SMILE)
title_sort refraction outcomes after suction loss during small-incision lenticule extraction (smile)
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/e8378a5bb7a04c04bd34c17ca6aeb305
work_keys_str_mv AT gaballaaa refractionoutcomesaftersuctionlossduringsmallincisionlenticuleextractionsmile
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