SMILE for the Treatment of Residual Refractive Error After Cataract Surgery

Faruk Semiz, Anita Syla Lokaj, Njomza Hima Musa, Ceren Ece Semiz, Zekeriya Alp Demirsoy, Olcay Semiz, Faruk Semiz, Anita Syla Lokaj, Njomza Hima Musa, Ceren Ece Semiz, Zekeriya Alp Demirsoy, Olcay Semiz

Abstract

Introduction: In the context of managing patients' expectations and satisfaction regarding visual acuity after cataract surgery, we aimed to investigate the improvement in visual acuity and patient satisfaction after small-incision lenticule extraction (SMILE) in pseudophakic (trifocal intraocular lens, IOL) patients with residual myopic refraction after cataract surgery.

Methods: Seventy-six patients (82 eyes) who underwent cataract surgery with ZEISS AT LISA tri 839MP IOL implantation were included in this retrospective study. The included patients were 56-79 years old, wanted spectacle independence, and had preoperative myopic refraction between - 1.0 and - 2.25 diopters (D) and astigmatism between - 0.75 and - 1.75 D. The treatment status of these patients was defined as trifocal IOL (n = 82). SMILE was performed in patients who were dissatisfied after cataract surgery, and these patients were followed up for 1 year on average. We evaluated visual acuity and satisfaction and further examined laser vision correction and satisfaction levels in patients who were dissatisfied after trifocal IOL implantation.

Results: The possible reasons for patient dissatisfaction were reading books, using a computer, and driving at night. After SMILE, the residual myopic refractive error (spherical) decreased significantly from - 2.08 ± 0.28 [- 2.25 to - 1.0] preoperatively to - 0.25 ± 0.20 - 0.5 to 0] 1 year postoperatively (p < 0.001). Additionally, the uncorrected distance visual acuity increased from 0.65 ± 0.08 [0.52-0.7] logMAR preoperatively to 0.09 ± 0.02 [0.05-0.1] logMAR at 1 month postoperatively (p < 0.001), 0.09 ± 0.02 [0.05-0.1] logMAR at 6 months postoperatively, and 0.06 ± 0.02 [0.05-0.1] logMAR at 12 months postoperatively (p < 0.001). Patient satisfaction measures after SMILE (reading, night driving, and using a computer) were significantly improved.

Conclusion: SMILE is a reliable method for treating residual refraction after cataract surgery, as it provides results in the shortest time without complications and increases patient satisfaction.

Trial registration: The protocol was registered on clinicaltrials.gov (NCT04693663).

Keywords: IOL; Pseudophakia; Refractive error; SMILE surgery; Trifocal; VisuMax.

© 2022. The Author(s).

Figures

Fig. 1
Fig. 1
Pre- and postoperative RMS and Q values. a Preoperative low, high, and total RMS. b Postoperative low, high, and total RMS. c Preoperative Q value. d Postoperative Q value
Fig. 2
Fig. 2
Q value before and 1 year postoperatively after SMILE
Fig. 3
Fig. 3
UDVA (logMAR) before and 1 year postoperatively after SMILE
Fig. 4
Fig. 4
Preoperative corrected distance visual acuity and postoperative uncorrected distance visual acuity
Fig. 5
Fig. 5
Preoperative and postoperative UNVA (35 cm) J2
Fig. 6
Fig. 6
Preoperative UNVA (70 cm) J5 and postoperative UNVA (70 cm) J3

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Source: PubMed

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