J Korean Ophthalmol Soc.  2015 Aug;56(8):1274-1277. 10.3341/jkos.2015.56.8.1274.

A Case of Suction Loss During SMILE and a Switch to LASIK

Affiliations
  • 1Onnuri Smile Eye Clinic, Seoul, Korea. ytchungc@daum.net

Abstract

PURPOSE
To report a case of suction loss during small incision lenticule extraction (SMILE) and a good visual outcome after switching to femtosecond laser-assisted in-situ keratomileusis (LASIK).
CASE SUMMARY
A 20-year-old female was admitted to receive refractive surgery. During SMILE in the left eye, suction loss occurred at 65% of posterior cut completion. We switched to LASIK and SMILE was performed in the right eye as planned. The uncorrected distance visual acuity was 1.2 with a manifest refraction of +0.25 Dsph with 0 Dcyl. The patient had no complications at 3 months postoperatively.
CONCLUSIONS
Suction loss during SMILE is a rare complication. Good visual outcome was achieved by switching to LASIK.

Keyword

Small incision lenticule extraction; SMILE; Suction loss

MeSH Terms

Female
Humans
Keratomileusis, Laser In Situ*
Refractive Surgical Procedures
Suction*
Visual Acuity
Young Adult

Figure

  • Figure 1. Locations of the various cuts made in small incision lenticule extraction.

  • Figure 2. (A) Beginning of posterior lenticule cut, sign of suction loss is seen at 6 o’clock direction. (B) Suction loss started after 65% of the posterior lenticule had been cut. (C) Suction loss is completed.


Cited by  1 articles

Clinical Outcome of Small Incision Lenticule Extraction including Visual Quality Analysis
Gi Sung Son, Su Chan Lee, Tae Hyung Lim
J Korean Ophthalmol Soc. 2016;57(4):562-567.    doi: 10.3341/jkos.2016.57.4.562.


Reference

References

1. Shah R, Shah S, Sengupta S. Results of small incision lenticule ex-traction: all-in-one femtosecond laser refractive surgery. J Cataract Refract Surg. 2011; 37:127–37.
Article
2. Gao S, Li S, Liu L. . Early changes in ocular surface and tear in-flammatory mediators after small-incision lenticule extraction and femtosecond laser-assisted laser in situ keratomileusis. PLoS One. 2014; 9:e107370.
Article
3. Kim JR, Hwang HB, Mun SJ. . Efficacy, predictability, and safety of small incision lenticule extraction: 6-months prospective cohort study. BMC Ophthalmol. 2014; 14:117.
Article
4. Lin F, Xu Y, Yang Y. Comparison of the visual results after SMILE and femtosecond laser-assisted LASIK for myopia. J Refract Surg. 2014; 30:248–54.
Article
5. Ganesh S, Gupta R. Comparison of visual and refractive outcomes following femtosecond laser- assisted lasik with smile in patients with myopia or myopic astigmatism. J Refract Surg. 2014; 30:590–6.
6. Sekundo W, Kunert KS, Blum M. Small incision corneal refractive surgery using the small incision lenticule extraction (SMILE) pro-cedure for the correction of myopia and myopic astigmatism: re-sults of a 6 month prospective study. Br J Ophthalmol. 2011; 95:335–9.
Article
7. Ivarsen A, Asp S, Hjortdal J. Safety and complications of more than 1500 small-incision lenticule extraction procedures. Ophthalmology. 2014; 121:822–8.
8. Wong CW, Chan C, Tan D, Mehta JS. Incidence and management of suction loss in refractive lenticule extraction. J Cataract Refract Surg. 2014; 40:2002–10.
Article
9. Ang M, Chaurasia SS, Angunawela RI. . Femtosecond lentic-ule extraction (FLEx): clinical results, interface evaluation, andintraocular pressure variation. Invest Ophthalmol Vis Sci. 2012; 53:1414–21.
10. Arevalo JF, Rodriguez FJ, Rosales-Meneses JL. . Vitreoretinal surgery for macular hole after laser assisted in situ keratomileusis for the correction of myopia. Br J Ophthalmol. 2005; 89:1423–6.
Article
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