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SMILE: a consecutive case series in an Australian population

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First Author: G.Sutton AUSTRALIA

Co Author(s):    M. Lawless   C. Chan   T. Huynh              

Abstract Details


Small incision lenticule extraction (SMILE) for myopia represents the most recent refractive technique introduced to practice. Literature appears to support a role in the treatment of moderate to extreme myopia and astigmatism however large case series outlining both safety and efficacy remain relatively rare. We present the largest local consecutive study of consecutive patients to further outline the role of SMILE in refractive practice.


Patients undergoing SMILE laser refractive surgery within a group of private ophthalmic refractive surgery centres in Australia


Retrospective analysis of consecutive patients undergoing SMILE laser refractive surgery across a group of practices. Refractive and safety parameters will be assessed and included in analysis.


2900 eyes were included in the analysis. The mean age was 32.8 years. The mean preop spherical equivalent was -5.49 ± 2.01D. The mean absolute difference from refractive target was 0.25 ± 0.28D. 92.4% of eyes reached 6/6 or better unaided distance visual acuity and 99.4% reached 6/9 or better. There was one reported case of ectasia following SMILE. No eyes lost >1 line of corrected distance visual acuity.


SMILE provides excellent refractive outcomes across a range of myopic and astigmatic errors. Patient selection remains essential to the safety and success of the surgical procedure.

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