SMILE: Techniken und Ergebnisse von Nachoperationen

Zusammenfassung

Die Inzidenz für Nachkorrekturen nach erfolgter SMILE liegt unter 2 %. Zur Durchführung von Nachkorrekturen nach SMILE gibt es folgende OP-technische Optionen: Oberflächenablation (photorefraktive Keratektomie [PRK]/laserassistierte epitheliale Keratomileusis [LASEK]) mit Mitomycin C, Standard-Femto-LASIK mit gleichen Parametern, die CIRCLE-Software von ZEISS, mit welcher der Cap in einen Flap umgewandelt wird, sowie den innovativen, aber bislang nicht ausreichend untersuchten Ansatz einer 2. SMILE-Operation (sog. Capless SMILE; off-label), bei der die SMILE-Vorteile erhalten bleiben.

Abstract

With a rate of less than 2 %, retreatment after SMILE is rare. If a touch-up is required, there are different options to choose from: surface ablation (PRK/LASEK) with Mitomycin C, the standard femto-flap procedure with the same parameters, the CIRCLE procedure, which extends the previous SMILE interface into a flap, or the innovative but off-label capless SMILE procedure, which preserves all the advantages of SMILE.

Schlüsselwörter

SMILE - Nachkorrektur - CIRCLE-Prozedur - Capless SMILE

Key words

SMILE - CIRCLE - capless SMILE - retreatment

• Literatur

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