SMILE BEYOND VIRGIN EYES Dr. Moones Abdalla, MD, Cornea Center, - - PowerPoint PPT Presentation

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SMILE BEYOND VIRGIN EYES Dr. Moones Abdalla, MD, Cornea Center, - - PowerPoint PPT Presentation

Nov 19, 2023 31 likes •211 views

SMILE BEYOND VIRGIN EYES Dr. Moones Abdalla, MD, Cornea Center, Alexandria, Egypt My speech is based on the my own professional opinion or on our study results. It is not necessarily a reflection of the point of view of Carl Zeiss Meditec AG

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SMILE BEYOND VIRGIN EYES

  • Dr. Moones Abdalla, MD, Cornea Center, Alexandria, Egypt
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My speech is based on the my own professional opinion or on our study results. It is not necessarily a reflection of the point of view of Carl Zeiss Meditec AG and may not be in line with the clinical evaluation or the intended use of their medical devices. ZEISS therefore recommends that you carefully assess suitability for everyday use in your practice.

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SMILEs special characteristics gave us the

  • pportunity to
  • explore a whole new world of cutting-edge

technology and

  • contributing to the evolution of refractive

surgery. Biomechanical advantages, tailored optical zone, cap diameter and the concept of being flapless encouraged us to use SMILE as a tool not only

  • to enhance residual refractive errors but also
  • in other challenging situations.
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  • 1. SMILE for post-keratoplasty myopia and

astigmatism

  • Centered within the graft,

preserving graft biomechanics

  • Within the graft no flap

creation  no changing of refraction

  • Preserving the biomechanic of

recipient tissue

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  • 2. SMILE & Refractive Lenticule Implantation (Re-L-

Imp) For Unilateral Aphakia

Lenticule implantation as an options for

  • hyperopic,
  • keratoconus and
  • presbyopic

corrections

Video

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  • 3. SMILE within an old thick flap – LASIK

enhancement

Video

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  • 4. SMILE for Post-ICRs & CXL Residual Myopia &

Astigmatism

Video

  • Repeatable

centration

  • precise optical

zone measurement s

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  • 4. SMILE for Post-ICRs & CXL Residual Myopia &

Astigmatism - RESULTS

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  • 5. Sub-SMILE (Small-Incision Lenticule Extraction)

Enhancement: A New Retreatment Option

„Retreatment strategies following Small Incision Lenticule Extraction (SMILE): In vivo tissue responses.“ Riau AK, Mehta JS et all PLoS One 2017 Jul 14; 12 (7)

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Conclusion:

  • Different methods

resulted in unique tissue response

  • S+SE offers

minimal inflammation and cell death as well as maintaining flapless minimally invasive characteristics

  • 5. Sub-SMILE (Small-Incision Lenticule Extraction)

Enhancement: A New Retreatment Option

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SMILE FOR MANAGEMENT OF LASIK COMPLICATIONS

CASE REPORT

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  • A case of microkeratome suction loss

was referred.

  • There was thin, irregular, buttonholed

flap.

  • There was also free cap .
  • She presented to me with epithelial

Ingrowth

  • A month later she developed partial

melting of the flap and scarring

Patient History/Background

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  • PTK “100 µ” for removal
  • f the superficial corneal

scar was performed.

  • There was circumferential

scar.

  • With intense steroid

treatment the scar decreased significantly.

Surgical intervention and course

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3 months post PTK results

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SMILE surgery 3 months post PTK

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  • UCVA: 1.0
  • Cornea is more or less

clear.

  • Refraction is almost

plano.

Results 1 week post SMILE surgery and conclusion

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  • SMILE has not reached the

limits yet – a lot more options to explore  driving and contributing to the evolution

  • f the refractive surgery
  • New treatment
  • ptions/therapeutic

treatments for “hopeless eyes”

Take home message/conclusion

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THANK YOU!