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    Touch-up techniques following SMILE

    Surgeons need to be aware of the options for enhancement

     

    LASIK

    To perform LASIK after SMILE, the surgeon should have an accurate measurement of the corneal thickness. During a routine LASIK procedure, there might be a flap thickness of 90 to 120 microns. During LASIK after SMILE, the flap should be approximately between 10 and 30 microns thinner than the cap, which is more difficult to handle.

    Many laser devices do not provide a measurement that is accurate enough to cut a very thin flap, so the surgeon needs a powerful anterior-segment OCT or ultra-sound based machines (Artemis, Eigen) to ensure that after the excimer laser application, the origin interface is not disturbed.

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