September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Visual, Refractive, Clinical Outcomes and Quality of Life Assessment After Small-Incision Lenticule Extraction (SMILE) vs. Implantable Collamer Lens for High Myopia
Author Affiliations & Notes
  • Arturo J Ramirez-Miranda
    Cornea and Refractive Surgery, Instituto de Oftalmologia Conde de Valenciana, Mexico City, Mexico
  • Jesus Cabral
    Cornea and Refractive Surgery, Instituto de Oftalmologia Conde de Valenciana, Mexico City, Mexico
  • Juan Carlos Serna-Ojeda
    Cornea and Refractive Surgery, Instituto de Oftalmologia Conde de Valenciana, Mexico City, Mexico
  • Alejandro Navas
    Cornea and Refractive Surgery, Instituto de Oftalmologia Conde de Valenciana, Mexico City, Mexico
  • Aida Jimenez-Corona
    Biostatistics Department, Instituto de Oftalmologia Conde de Valenciana, Mexico City, Mexico
  • Enrique O Graue-Hernandez
    Cornea and Refractive Surgery, Instituto de Oftalmologia Conde de Valenciana, Mexico City, Mexico
  • Footnotes
    Commercial Relationships   Arturo Ramirez-Miranda, Carl Zeiss Meditec (R), Thea Laboratoires (R); Jesus Cabral, None; Juan Carlos Serna-Ojeda, None; Alejandro Navas, carl zeiss Meditec (C), staar (C); Aida Jimenez-Corona, None; Enrique Graue-Hernandez, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 4871. doi:
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      Arturo J Ramirez-Miranda, Jesus Cabral, Juan Carlos Serna-Ojeda, Alejandro Navas, Aida Jimenez-Corona, Enrique O Graue-Hernandez; Visual, Refractive, Clinical Outcomes and Quality of Life Assessment After Small-Incision Lenticule Extraction (SMILE) vs. Implantable Collamer Lens for High Myopia. Invest. Ophthalmol. Vis. Sci. 2016;57(12):4871.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To compare visual acuity, refraction measurements and the quality of life in high myopic patients before and after SMILE and Implantable Collamer Lens (ICL).

Methods : Retrospective case series. Patients who underwent bilateral high myopic treatments (-6.00 D to -10.00 D). UCVA and refraction follow-up was performed at day 1, 7, 30, 90 days. The Quality of life Impact of Refractive Correction (QIRC) questionnaire was applied; the outcome was the comparison of the overall QIRC score.

Results : 34 eyes for each group were analyzed. Preoperative mean spherical equivalent was -7.43 D (range -6.00D to -9.75D) in the SMILE group and -8.55 (range -6.00 to -10.00D) in ICL group (P>0.50). There was a statistical significant difference in spherical equivalent and visual acuity at day one towards the ICL group. At 3 months spherical equivalent and visual acuity values were similar in both groups. The QIRC median score of the patients with SMILE (51.58, 95%CI from 47.49 to 55.68) was not different from the median score of the ICLV4 group (52.59, 95%CI from 44.85 to 60.33) (p=0.053) after adjustment by spherical equivalent and baseline logMAR.

Conclusions : ICL group showed better visual acuity at day one than the SMILE group, after 1 week the values were similar for both groups and continued during follow-up. SMILE patients had similar QIRC scores than ICL patients

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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