“…In SMILE technique, a different pattern of neural damage is induced, and the reduction of nerve fiber density is likely less severe than in other corneal refractive surgeries. 8 , 22 , 28 , 29 Denoyer et al, 28 found that the number of long fibers and its ramifications were greater in the SMILE group than in LASIK group at 1 month and 6 months after surgery, which is consistent with the results of Mohamed-Noriega y et al, 22 On the other hand, Liu et al, 29 found that subbasal nerve density after SMILE gradually recovered until preoperative values were found at 3 months.…”
“…In this technique, the femtosecond laser creates an intrastromal corneal lenticule, which is extracted through a 2–5 mm incision, usually in the upper peripheral cornea. 8 …”
“… 4 However, this might be also the consequence of biological events in corneal wound healing process and due to pre- or intraoperative technical errors. 5 , 6 , 7 , 8 , 9 Technical errors can be potentially avoided with an exhaustive selection of patients or with the development of new technologies. In fact, remarkable efforts are gone to refine and improve technology in laser refractive surgery.…”
mentioning
confidence: 99%
“…If the damage to corneal epithelium and stroma triggers an exaggerated wound healing response, it might culminate in undesirable consequences. 6 , 7 , 8 , 10 In this context, an early detection, accurate diagnosis and treatment of complications are extremely relevant.…”
Corneal refractive surgery procedures are widely performed to permanently correct refractive errors. Overall, refractive surgeries are safe, predictable and present high rates of satisfaction. Nevertheless, the induced epithelial, stromal and nerve damage alters corneal integrity and function, triggering a regenerative response. Complications that arise from corneal wound healing process might directly impact on visual outcomes of keratorefractive procedures. Most of these complications can be prevented or effectively treated with minimal consequences and minor impact on optical quality. Nevertheless, it is crucial to accurately and timely identify these corneal regeneration-related complications for successful counseling and management. Optometrists, as primary eye care providers, play an essential role in detecting anatomic and functional alterations in vision. It is therefore of great interest for optometrists to be familiar with the principal postoperative complications derived from alterations in regenerative process after corneal laser refractive surgeries. This review aims to provide a basis for optometrists to better understand, identify and manage the main wound healing-related complications after refractive surgery.
“…In SMILE technique, a different pattern of neural damage is induced, and the reduction of nerve fiber density is likely less severe than in other corneal refractive surgeries. 8 , 22 , 28 , 29 Denoyer et al, 28 found that the number of long fibers and its ramifications were greater in the SMILE group than in LASIK group at 1 month and 6 months after surgery, which is consistent with the results of Mohamed-Noriega y et al, 22 On the other hand, Liu et al, 29 found that subbasal nerve density after SMILE gradually recovered until preoperative values were found at 3 months.…”
“…In this technique, the femtosecond laser creates an intrastromal corneal lenticule, which is extracted through a 2–5 mm incision, usually in the upper peripheral cornea. 8 …”
“… 4 However, this might be also the consequence of biological events in corneal wound healing process and due to pre- or intraoperative technical errors. 5 , 6 , 7 , 8 , 9 Technical errors can be potentially avoided with an exhaustive selection of patients or with the development of new technologies. In fact, remarkable efforts are gone to refine and improve technology in laser refractive surgery.…”
mentioning
confidence: 99%
“…If the damage to corneal epithelium and stroma triggers an exaggerated wound healing response, it might culminate in undesirable consequences. 6 , 7 , 8 , 10 In this context, an early detection, accurate diagnosis and treatment of complications are extremely relevant.…”
Corneal refractive surgery procedures are widely performed to permanently correct refractive errors. Overall, refractive surgeries are safe, predictable and present high rates of satisfaction. Nevertheless, the induced epithelial, stromal and nerve damage alters corneal integrity and function, triggering a regenerative response. Complications that arise from corneal wound healing process might directly impact on visual outcomes of keratorefractive procedures. Most of these complications can be prevented or effectively treated with minimal consequences and minor impact on optical quality. Nevertheless, it is crucial to accurately and timely identify these corneal regeneration-related complications for successful counseling and management. Optometrists, as primary eye care providers, play an essential role in detecting anatomic and functional alterations in vision. It is therefore of great interest for optometrists to be familiar with the principal postoperative complications derived from alterations in regenerative process after corneal laser refractive surgeries. This review aims to provide a basis for optometrists to better understand, identify and manage the main wound healing-related complications after refractive surgery.
SMILE and WFG LASIK are efficacious and safe procedures for the correction of low and moderate myopia, but WFG LASIK allows a more predictable outcome and better aberrometric control. [J Refract Surg. 2017;33(5):298-304.].
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