EXPORT CITATION

Chapter-06 Stepwise Approach for Beginners: Navigating the Learning Curve

BOOK TITLE: Small Incision Lenticule Extraction (SMILE): Surgical Technique and Challenges (Comprehensive Text and Video Guide)

Author
1. Titiyal Jeewan S
2. Kaur Manpreet
3. Rathi Anubha
ISBN
9789352702145
DOI
10.5005/jp/books/14139_7
Edition
1/e
Publishing Year
2018
Pages
12
Author Affiliations
1. All India Institute of Medical Sciences, New Delhi India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, RP Center, New Delhi, India, RP Center for Ophthalmic Sciences, All India Institute for Medical Sciences, New Delhi, India, AIIMS, New Delhi, India, Dr RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences New Delhi, India, All India Institute of Medical Sciences, New Delhi, India
2. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India, Lady Hardinge Medical Collage, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India
3. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, The Cornea Institute, LV Prasad Eye Institute (LVPEI), Hyderabad, Telangana, India, Hyderabad, Telangana, India
Chapter keywords
Modern refractive surgery, small incision lenticule extraction, SMILE, lenticule edge identification, surgical technique, pseudo-small incision lenticule extraction, femtosecond lenticule extraction

Abstract

In the era of modern refractive surgery, small incision lenticule extraction (SMILE) is gaining popularity over corneal ablative procedures for its novelty and favorable outcomes. With spreading awareness and popularity of the procedure, an increasing number of refractive surgeons are transitioning from the conventional flap-based corneal ablative procedures to flap-less refractive lenticule extraction. This chapter covers the stepwise approach during the learning curve and small incision lenticule extraction. A stepwise approach is recommended for easing the transition from flap to cap. This includes observation, wet-lab training, beginning with femtosecond lenticule extraction (FLEx) and pseudo-SMILE, customizing treatment parameters and laser settings along with proper case selection.

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved