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- W2970757746 abstract "Aim. To modify the calculated parameters of the lenticle extraction refractive surgery through a small access (SMILE), evaluate its safety and clinical efficacy in correcting high myopia. Materials and methods. 34 patients (68 eyes) underwent surgery by a modified SMILE technology under local anesthesia. In all cases, the patients had a high degree of myopia, in 37 % in combination with astigmatism. Uncorrected visual acuity before surgery averaged 0.05 ± 0.11, best corrected visual acuity of 0.94 ± 0.1, the pre-operative spherical refraction component was –7.23 ± 0.75, the cylindrical component was –0.48 ± 0.59. During the operation, to obtain the maximum possible refraction result using the proposed method, the standard operation parameters were changed: the corneal flap thickness was reduced to 100 μ m, the neural optical layer by 5 μ m, the diameter of the optical zone depended on the residual cornea thickness, which should exceed 280–290 μ m. Corneal access was increased by 15–20 degrees. Results. The next day after surgery, monocular uncorrected visual acuity in distance in 73 % of patients was 0.8 or higher, and in 41 % of cases it was equal to or exceeded 1.0. The spherical equivalent on the first day after surgery had a slight hypermetropic shift, which was completely leveled by the year of follow-up. During the surgical intervention and in the postoperative period, no complications were noted. Conclusion. Using the proposed algorithm for calculating the refractive effect of the operation SMILE with a high degree of myopia allows obtaining a high refractive effect and avoiding possible complications." @default.
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- W2970757746 date "2019-08-25" @default.
- W2970757746 modified "2023-10-17" @default.
- W2970757746 title "Features of Femtosecond Correction of High Myopia through Small Access" @default.
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- W2970757746 doi "https://doi.org/10.29413/abs.2019-4.4.15" @default.
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