Relex Smile laser surgery

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RELEX SMILE

Transcript of Relex Smile laser surgery

RELEX SMILE

IS THIS THE END OF LASIK ?

RK AK PRK LASEK LASIK FEMTOLASIK RELEX FLEX PSEUDOSMILE SMILE

FLEX PSEUDO-SMILE SMILE

100x

250x

500x

SMILE is better than Femtolasik because of :

1.1. Better biomechanics

2.2. Better accuracy

3.3. Corneal nerve density

4.4. Centration of laser treatment

5.5. Corneal sensation

6.6. Less higher order aberrations and less spherical aberration

SMILE is better than Femtolasik because of :

1.1. Better biomechanics

2.2. Better accuracy

3.3. Corneal nerve density

4.4. Centration of laser treatment

5.5. Corneal sensation

6.6. Less higher order aberrations and less spherical aberration

SMILE is better than Femtolasik because of :

1.1. Better biomechanics

2.2. Better accuracy

3.3. Corneal nerve density

4.4. Centration of laser treatment

5.5. Corneal sensation

6.6. Less higher order aberrations and less spherical aberration

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Figure 2. (Walter) Monthly comparison between outdoor humidity, procedure room humidity, and outdoor temperature with the percentage of enhancement rates. J Cataract Refract Surg 2004; 30:798–803 2004 ASCRS and ESCRS

RELEX SMILE CLINICAL RESULTS

RELEX SMILE

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SMILE is better than Femtolasik because of :

1.1. Better biomechanics

2.2. Better accuracy

3.3. Corneal nerve density

4.4. Centration of laser treatment

5.5. Corneal sensation

6.6. Less higher order aberrations and less spherical aberration

SMILE is better than Femtolasik because of :

1.1. Better biomechanics

2.2. Better accuracy

3.3. Corneal nerve density

4.4. Centration of laser treatment

5.5. Corneal sensation

6.6. Less higher order aberrations and less spherical aberration

RETREATMENT RATE !

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Difference mapPreop Postop

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Difference mapPreop Postop

SMILE is better than Femtolasik because of :

1.1. Better biomechanics

2.2. Better accuracy

3.3. Corneal nerve density

4.4. Centration of laser treatment

5.5. Corneal sensation

6.6. Less higher order aberrations and less spherical aberration

FEMTOLASIK

SMILE

SMILE is better than Femtolasik because of :

1.1. Better biomechanics

2.2. Better accuracy

3.3. Corneal nerve density

4.4. Centration of laser treatment

5.5. Corneal sensation

6.6. Less higher order aberrations and less spherical aberration

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PRK

STABILITYNO FLAP

+/- NO ECTASIAPAINHAZE

LASIK

FAST RECOVERYNO PAINNO HAZEECTASIA

FLAP

RELEX SMILEFAST RECOVERY

NO FLAP+/- NO ECTASIA

NO PAINNO HAZE

REFRACTIVE OUTCOME AT 1 M

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1%

4%

17%

26%

40%

9%

2%0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

Go

es

Eye

Ce

ntr

e

< -2,0

0

-2,00

to -1

,51

-1,50

to -1

,01

-1,00

to -0

,51

-0,50

to -0

,126

+- 0,1

25

+0,126

to +

0,5

+0,51

to +

1,00

+1,01

to +

1,50

+1,51

to +

2,00

> +2,

00

± 0.50 D: 84%± 1.00 D: 97%

D: Refractive outcome - Percentage within Attempted

1 m (228)

month (eyes)

REFRACTIVE OUTCOME AT 1 M

RK AK PRK LASEK LASIK FEMTO RELEX SMILE