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Insights Cataract Refract Surg : Insights in Cataract and Refractive Surgery

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Original Article 한국인에서 시행한 근시교정을 위한 VISUMAX 800 (스마일 프로)을 이용한 각막굴절렌티큘적출술의 시력 및 굴절 결과: 3개월 추적 조사
이상목1,2, 박시훈1, 유태근1, 박재형1, 조범진1,2, 최기용1, 김종우1
Visual and refractive outcomes of keratorefractive lenticule extraction using VISUMAX 800 (SMILE Pro) to correct myopia in Koreans: a 3-month follow-up study
Sang-Mok Lee1,2, Si-Hoon Park1, Tae Keun Yoo1, Jae Hyoung Park1, Beom Jin Cho1,2, Kee Yong Choi1, Jong Woo Kim1
Insights in Cataract and Refractive Surgery [Epub ahead of print]
DOI: https://doi.org/10.1234/icrs.25.004
Published online: February 26, 2025

1Department of Ophthalmology, Hangil Eye Hospital, Incheon, Korea

2Department of Ophthalmology, Catholic Kwandong University College of Medicine, Incheon, Korea

Received: 5 January 2025   • Revised: 12 February 2025   • Accepted: 18 February 2025
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Purpose
The aim of this study was to report the clinical outcomes of SMILE Pro surgery in Korean myopia patients.
Methods
A retrospective analysis was conducted on the medical records of 90 patients (178 eyes) who underwent SMILE Pro surgery at our institution between October 2023 and June 2024 and were followed for 3 months postoperatively.
Results
Preoperative best corrected visual acuity was 0.009±0.020 (logarithm of the minimum angle of resolution). The average spherical equivalent was –5.13±2.16 diopters (range, –1.00 to –10.10 diopters), and the average astigmatism was –1.21±0.91 diopters (range, 0 to –4.0 diopters). Postoperatively, the uncorrected distance visual acuity at 1 day, 1 week, 1 month, and 3 months were 0.061±0.054, 0.013±0.027, 0.009±0.023, 0.005±0.021, respectively. At 3 months postsurgery, the predictive accuracy for spherical equivalent was 100% within ±0.5 diopters and 98.9% within ±0.25 diopters. For astigmatism, the predictive accuracy was 97.2% within ±0.25 diopters and 99.4% within ±0.5 diopters 97.2% and 99.4%. The scores for the efficacy and safety of refractive surgery at 3 months were both 1.01±0.05.
Conclusion
SMILE Pro surgery for myopia correction in Korean patients demonstrated excellent efficacy, safety, and predictive accuracy, with no significant difference compared to conventional SMILE surgery.

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Insights Cataract Refract Surg : Insights in Cataract and Refractive Surgery
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