The accuracy of SMILE lenticule thickness was found to be higher than actual measured stromal thickness change; however, predictability for SMILE lenticule thickness appeared higher than predictability for excimer laser ablation depth. The VisuMax readout lenticule depth was found to be 8 μm thicker than the achieved stromal change. This can be partly explained by alignment errors between preoperative and postoperative scans. However, this appears to show some biomechanical changes occur after SMILE.