What are possible solutions regarding treatment/enhancement of poor RELEX SMILE surgery results?Eye & LASIK
I did the RELEX SMILE proceduce for my eyes in JAN 2016. I had relatively low myopia (~100 degrees) but relatively high astigmatism (~175-200 degrees) before sugery. Unfortunately, even after 1.5 years since surgery, my resulting vision is not good, because of leftover astigmastism, some long-sightedness and probably High Order Abbrevations, which has caused night vision problems and side effects like halo and starburst. With more research, I probably should have just done LASIK instead of SMILE for the best possible vision.
Looking forward, I am wondering what are the most suitable retreatment/enhancement for SMILE. Enhancement for SMILE seems to be more complicated from my research, due to the cut made but the absent of the flap. Does this make some treatments unsuitable for enhancement to SMILE? Thank You!
I’m so sorry to hear about your unfortunate experience with SMILE surgery. In all forms of refractive laser surgery, appropriate patient selection is so important!
SMILE is a great platform for patients who are suitable for the surgery. Unfortunately patients with significant amounts of astigmatism (anything more than -1.25D, i.e. like you!) are not generally considered optimal for SMILE. This is due to the platform which cannot control automatically correct for cyclotorsion of the eye during the suction-applanation portion of the procedure.
Nonetheless, all is not lost, and adjustments can be made to try to optimise your visual outcome.
Patients having had SMILE performed previously may choose an epi-LASIK enhancement option, or conversion to LASIK (with the side-cut laser profile algorithm) for enhancement of your surgical outcome.
All is not lost and I hope that you are able to regain satisfactory spectacle free vision!