COMPARISON OF VISUAL ACUITY RESULTS AFTER FEMTOSECOND LASER-ASSISTED IN SITU KERATOMILEUSIS (FS-LASIK) AND SMALL INCISION LENTICULE EXTRACTION (SMILE)

Nafisa Mardhiyya (1) , Andrew M. H. Knoch (2) , Emmy D. Sugiarti (3) , Ludwig M. Tjokrovonco (4) , Budiman (5)
(1) Universitas Padjadjaran, Bandung , Indonesia
(2) Universitas Padjajaran, Bandung , Indonesia
(3) Universitas Padjajaran, Bandung , Indonesia
(4) Universitas Padjajaran, Bandung , Indonesia
(5) Universitas Padjajaran, Bandung , Indonesia

Abstract

Introduction: Two of the most popular refractive surgery methods currently used are Femtosecond Laser-Assisted In Situ Keratomileusis (FS-LASIK) which creates a flap using femtosecond laser and stromal ablation using excimer laser, and Small Incision Lenticule Extraction (SMILE), a flapless procedure in which a lenticule is extracted through a small incision. The aim of this study is to compare the visual acuity results of FS-LASIK and SMILE.


Methods: This is a descriptive cross-sectional study. Data were collected from the medical record of patients who underwent FS-LASIK or SMILE procedure at Cicendo Eye Hospital, the national eye centre, in 2022. Patients were followed up at 1 day, 1 week, and 1 month postoperatively and visual acuity outcomes between the two procedures were compared.


Results: A slightly higher percentage of eyes in FS-LASIK (46.6%) achieved a UCVA of 1.0 at 1 day postoperatively compared to SMILE (45.5%). At 1 week and 1 month, SMILE showed superior results with 83% and 94.6% of eyes achieving a UCVA of 1.0, meanwhile FS-LASIK had 72.2% and 86.2%. Residual refractive error at 1 month had a median of -0.6146 and -0.3125 in the FS-LASIK and SMILE groups.


Conclusion: This study found better UCVA results in the FS-LASIK group compared to the SMILE group at 1 day postoperatively. Meanwhile, UCVA at 1 week and 1 month postoperatively, showed superior results in the SMILE group. Residual refractive error at 1 month postoperatively also showed better results in SMILE than FS-LASIK.

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References

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Authors

Nafisa Mardhiyya
nafisa20001@mail.unpad.ac.id (Primary Contact)
Andrew M. H. Knoch
Emmy D. Sugiarti
Ludwig M. Tjokrovonco
Budiman
Mardhiyya, N., Andrew M. H. Knoch, Emmy D. Sugiarti, Ludwig M. Tjokrovonco, & Budiman. (2024). COMPARISON OF VISUAL ACUITY RESULTS AFTER FEMTOSECOND LASER-ASSISTED IN SITU KERATOMILEUSIS (FS-LASIK) AND SMALL INCISION LENTICULE EXTRACTION (SMILE). Ophthalmologica Indonesiana, 50(2). https://doi.org/10.35749/journal.v50i2.101500

Article Details

How to Cite

Mardhiyya, N., Andrew M. H. Knoch, Emmy D. Sugiarti, Ludwig M. Tjokrovonco, & Budiman. (2024). COMPARISON OF VISUAL ACUITY RESULTS AFTER FEMTOSECOND LASER-ASSISTED IN SITU KERATOMILEUSIS (FS-LASIK) AND SMALL INCISION LENTICULE EXTRACTION (SMILE). Ophthalmologica Indonesiana, 50(2). https://doi.org/10.35749/journal.v50i2.101500

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