Know What That SMILE

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Small Incision Lenticule Extraction

Small Incision Lenticule Extraction (SMILE) is a method of eye surgery laser by using a minus. SMILE did by reshapes the cornea using a laser so the light can be refracted by the retina.


On the conditions of good visibility, the light will pass through the cornea and lens to refracted in order to focus on the retina. But in people with low vision far, cornea misbehaving, so refraction of light does not focus on the retina and cause haze.

SMILE is done to improve vision in people with low vision considerably and reduce the use of glasses or contact lenses.

Indication Of SMILE
For patients with the hectic activity, the doctor will suggest doing SMILE than LASIK. This is because the procedure requires incisions that SMILE smaller than LASIK surgery, so patients do not have to worry about the cornea which has slashed will be separated from the eyeball.

In addition to the reasons above, the doctor will also recommend procedures SMILE on a number of the following conditions:

  • Patients aged 22 or over.
  • The size of the glasses does not change during the last 1 year.
  • Eye condition very good overall, especially on the cornea.
  • The level of low vision far between-1 to 8, with astigmatism may be minimal.
Warning SMILE
Patients are advised to consult the doctor before deciding to undergo surgery SMILE. The doctor will tell patients what conditions can pose a risk to undergo this procedure.

The following conditions need to be careful before undergoing the operation SMILE:

  • Age less than 18 years old.
  • Pregnant and nursing mothers.
  • The size of the glasses which is unstable in the last year.
  • A history of eye disease.
  • Corneal abrasion.
  • The cornea is not thick enough.
  • Glaucoma.
  • Never underwent eye surgery.
  • Cataracts.
  • Diabetes is uncontrolled.

Preparation For Operation SMILE
Before undergoing the procedure, the doctor will ask the SMILE patients undergo a number of checks to ensure proper procedure was performed on patients, such as:

  • The inspection function of the patient's vision. This is done to ensure the condition of the patient's vision has not changed. This inspection at the same time to measure the level of low vision patients away.
  • Examination of the eye as a whole. The doctor will make sure there is no disruption in the eyes of the patient. This is done to avoid the risk that appears when and after the operation.
  • Examination of the size of the pupil.
  • Inspection and measurement of the thickness of the cornea in patients. The results of measurements of the cornea will be used to align the laser while operating.
  • Once the patient is ensured can have an operation SMILE, the doctor will tell a series of operations, as well as the benefits and risks that arise post-operation. Most patients who undergo the SMILE, the function of their sight would be better. However, patients are advised to continue using the glasses while undergoing a number of activities, such as reading or driving at night.


Operating Procedure SMILE
SMILE Procedure generally lasts for 10-15 minutes. The following stages of the procedure doctors carried out a SMILE:

  • Laser programmed at the right size, in accordance with the size of the patient's cornea.
  • The eyes of the patient will be dripped dope so numb.
  • After stunning work, the eye doctor will install tool buffer to prevent patient blink.
  • Suction ring mounted in the eyes to lift and flatten the cornea, as well as prevent the eyes move.
  • The laser will make the shape of the dish (lenticule) under the surface of the eye, then a small incision in the cornea will be made.
  • The doctor will lift the lenticule through the incision has been made. This stage while simultaneously reshapes the cornea's surface.
  • Procedures with the use of the laser will only last for 30 seconds.

After The Procedure SMILE
Doctors will advise patients to invite someone to deliver them home after the operation. An eye condition that has just been operated on does not allow for direct use to drive alone.

Patients are advised to rest until one-day post surgery. Don't forget to regularly use the medication the doctor prescribed eye drops. It is important to help the recovery process.

The view will be blurred after surgery but will be continuing to improve over time. You can return your activities 1-2 days after surgery, but try to let the eyes do not get wet for several days.

The Risk Of Side Effects Of SMILE
As in other operations, though rarely, the SMILE can also cause side effects to look out for, including:

  • The infection.
  • Inflammation of the former area of operations.
  • Visions of glare in the bright place.
  • The patient may also obtain results that don't match expectations, such as a vision still a little blurry. However, the condition can be overcome with the use of glasses, contact lenses, or laser surgery.

Generally, a number of complications that arose after the operation SMILE can be dealt with. However, there are also other more severe complications and more rarely the case, namely:

Eyesight became worse than before undergoing the procedure of SMILE. The condition does not change even though the patients wear glasses or contact lenses.
Blindness.

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