SMILE rescue: delayed lenticule removal in a patient with high myopia

Jessica Y. Tong, Svetlana Cherepanoff, John J. Males*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


Purpose: To report successful stromal lenticule extraction, 18 weeks after an aborted small incision lenticule extraction (SMILE) procedure.

Methods: Case report.

Results: SMILE was planned in both eyes in another center to correct high myopia. The right eye was treated uneventfully with immediate lenticule extraction and normal postoperative corneal and topographic appearance. Femtosecond laser treatment was applied to the left eye, but the lenticule could not be removed and the procedure was aborted. Eighteen weeks later, lenticule extraction was attempted again with success. Uncorrected distance visual acuity improved from counting fngers to 20/15, with a successful refractive outcome as planned.

Conclusions: Delayed lenticule extraction was successful in achieving the target refractive outcome. To the authors' knowledge, this is the first case ofsuccessful delayed lenticule extraction following an incomplete SMILE procedure. Target refractive outcomes were achieved and there were no postoperative complications.

Original languageEnglish
Pages (from-to)199-202
Number of pages4
JournalJournal of Refractive Surgery
Issue number3
Publication statusPublished - 7 Mar 2017


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