In small incision lenticule extraction (SMILE) eye surgery, your surgeon uses a laser to reshape your cornea and treat astigmatism and nearsightedness.
SMILE is a minimally invasive surgery. Its name gives an idea of what happens. The laser creates a lenticule and a tiny incision — less than 4 millimeters long — into your eye to remove your lenticule. Lenticules are disc-shaped pieces carved into your cornea by the laser. (The shape of the tissue is like an M&M®.) Removing the piece of tissue is what changes the shape of your cornea.
In a pre-surgery appointment, your surgeon will examine your eyes to confirm you don’t have any other eye diseases or conditions that mean you shouldn’t have SMILE surgery. They’ll map out plans to remove the lenticule from your eye. For example, they’ll measure your cornea’s curvature and thickness.
Your provider will let you know how to prepare for surgery.
You should have an adult friend or family member with you to drive you home on the day of your surgery, too.
People have corrective surgeries because they want to get rid of their contact lenses or glasses. If you have SMILE eye surgery, you’ll be able to see better and be less dependent on glasses or contact lenses.
SMILE may be better than LASIK eye surgery for people who:
SMILE surgery offers a chance for less tissue and nerve damage, quicker healing and less inflammation than other types of corrective eye surgeries. SMILE surgery is painless, too.
Both SMILE eye surgery and LASIK eye surgery are very safe procedures. SMILE may have an advantage because it is less invasive than LASIK. There’s also less chance of nerve or tissue damage.
SMILE eye surgery only treats astigmatism and myopia (nearsightedness). Other corrective surgeries can treat other eye conditions, like presbyopia or farsightedness (hyperopia).
The SMILE procedure is a little newer than other eye surgeries. There may be fewer surgeons familiar with doing SMILE surgery than LASIK or photorefractive keratectomy (PRK). There may also be fewer research studies on SMILE surgery.
A Note From Divyadrashti Clinic
Many people who wear contact lenses or glasses decide they don’t want to wear them any longer. Your eye care provider is your partner in sight. Ask them if they would recommend any type of corrective surgery, like SMILE eye surgery. They’ll direct you to the safest option for you. If you have SMILE surgery, be sure to do what your surgeon tells you so you have the best results.
While both SILK and SMILE offer effective solutions for those seeking liberation from glasses and contact lenses, SILK's advanced features, including its ultra-low energy laser, bridgeless spot separation, biconvex lenticule design, cyclotorsion compensation, and rapid recovery, position it as the superior choice. Patients exploring refractive surgery options should consult with eye care professionals to determine the most suitable choice for their unique vision requirements.
Feature | SILK | SMILE |
---|---|---|
Manufacturer | Johnson & Johnson | Zeiss |
Laser Energy Level | Ultra-low, 60 nanojoules | Higher, 150 nanojoules |
Collateral Tissue Damage | Reduced due to lower energy | More due to higher energy |
Spot Separation | Bridgeless, ensuring smoother dissection | About 4 microns, leading to more tissue manipulation |
Lenticule Design | Biconvex, enhancing vision quality, faster nerve regeneration, reduced dry eye symptoms, better depth of focus, and lag-free transition | Flat, which may slow nerve regeneration and increase dry eye symptoms, less optimal depth of focus and transition |
Vision Quality | Superior, offering up to 6/5 vision | Standard, typically achieving 6/6 vision |
Cyclotorsion Compensation | Yes, corrects eye rotation changes | No, which can lead to residual astigmatism |
Visual Axis Treatment | Aligns with the visual axis for natural, effective correction | Focuses on the pupillary axis |
Recovery Time | Rapid, approximately 24 hours | Longer, around one week |