Purchase this article with an account.
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.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To compare visual acuity, refraction measurements and the quality of life in high myopic patients before and after SMILE and Implantable Collamer Lens (ICL).
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.
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.
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.
This PDF is available to Subscribers Only