Management of incision failure during small incision lenticule extraction because of conjunctivochalasis

We report a case of incision failure during small incision lenticule extraction (SMILE) and its management. The incision could not be made using the femtosecond laser because of a redundant conjunctiva, so it was instead done manually using a diamond knife. The lenticule was successfully separated a...

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Bibliographic Details
Published inAmerican journal of ophthalmology case reports Vol. 7; no. C; pp. 134 - 137
Main Authors Kim, Bu Ki, Mun, Su Joung, Lee, Dae Gyu, Choi, Hyun Tae, Chung, Young Taek
Format Journal Article
LanguageEnglish
Published United States Elsevier 01.09.2017
Subjects
Case report
Complication
Conjunctivochalasis
Small incision lenticule extraction
SMILE
Complication
Conjunctivochalasis
SMILE
Small incision lenticule extraction
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Summary:We report a case of incision failure during small incision lenticule extraction (SMILE) and its management. The incision could not be made using the femtosecond laser because of a redundant conjunctiva, so it was instead done manually using a diamond knife. The lenticule was successfully separated and extracted. Three months after the procedure, the uncorrected distance visual acuity was 20/20 and no complication was observed. This case demonstrates that the conjunctiva should be carefully examined before SMILE. If a complication occurs because of conjunctivochalasis, it can be resolved with proper management without compromising the patient's visual acuity.
ISSN:2451-9936
2451-9936
DOI:10.1016/j.ajoc.2017.06.020