Comparison Of Visual And Refractive Results Of Toric Icl With Femto-Smile For High Myopia With Astigmatism
Published 2022 - 40th Congress of the ESCRS
Reference: PP27.05 | Type: ESCRS 2022 - Posters | DOI: 10.82333/r2ky-p080
Authors: Hisham Hasby* 1 , Osama Shalaby 1
1Ophthalmology Department,Tanta Faculty of Medicine,Tanta,Egypt
Purpose
To compare visual and refractive results of Toric ICL and Femto SMILE in high myopia with astigmatism.
Setting
Tanta University Eye Hospital, Tanta, Egypt.
Methods
19 eyes underwent T-ICL implantation and 25 eyes were treated with F-SMILE. UDVA, CDVA, refraction, adverse events, safety, and efficacy were evaluated 12 months postoperatively.
Results
1 year postoperatively, the mean SE was -0.15 ± 0.35 D in T-ICL group and -0.08 ± 0.26 D in F-SMILE group (P=0.099). Seventeen (89.47 %) and 23 (92.0 %) eyes were within ±0.50 D respectively. The mean UDVA was not statistically significant between procedures (p = 0.672); 18 (94.73%) and 25 (100%) eyes achieved 20/30 or better. No eye had lost any line of CDVA, and 31.58 % of eyes (6/19) in T-ICL group and 56.0 % of eyes (14/25) in F-SMILE group had better postoperative UDVA than preoperative CDVA (P< 0.05). Safety was not statistically different between groups (P=0.921) while efficacy was significantly higher in F-SMILE group (P<0.05). CS and HOAs were insignificantly better after T-ICL. Dry eye was least after T-ICL and improved over time.
Conclusions
Both F-SMILE and T-ICL are effective in treatment of high myopia and astigmatism. F-SMILE showed slightly better outcomes of UDVA, efficacy, and predictability. T-ICL implantation shows reliable results similar to F-SMILE with slightly better CS, HOAs and dry eye. Refractive outcome depends on accurate manifest refraction in both procedures and intraoperative accurate axis alignment for T-ICL.