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Erschienen in: Spektrum der Augenheilkunde 1/2015

01.03.2015 | themenschwerpunkt

ReLEx SMILE – Refraktive Lentikel Extraktion über Kleinschnittinzision

verfasst von: Dr. Thomas C. Kreutzer, FEBO, Martin Dirisamer, Siegfried Priglinger

Erschienen in: Spektrum der Augenheilkunde | Ausgabe 1/2015

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Zusammenfassung

Die excimerlaserbasierte ablative Hornhautchirurgie – sei es die „Advanced Surface Ablation“ oder die „Laser in Situ Keratomileusis“ – dominiert seit Jahrzenten die refraktive Hornhautchirurgie. Inzisionale Verfahren konnten sich bislang nicht durchsetzen. Mit der Small Incision Lenticule Extraction (SMILE) gibt es nunmehr seit wenigen Jahren ein neues inzisionales Korrekturverfahren, welches das Potential hat, die bisherigen Verhältnisse zu verändern. Der Übersichtsartikel stellt die Vor- und Nachteile der SMILE dar.
Literatur
1.
Zurück zum Zitat Waring GO 3rd, Lynn MJ, McDonnell PJ. Results of the prospective evaluation of radial keratotomy (PERK) study 10 years after surgery. Arch Ophthalmol. 1994;112(10):1298–308.CrossRefPubMed Waring GO 3rd, Lynn MJ, McDonnell PJ. Results of the prospective evaluation of radial keratotomy (PERK) study 10 years after surgery. Arch Ophthalmol. 1994;112(10):1298–308.CrossRefPubMed
2.
Zurück zum Zitat Blum M, Kunert KS, Engelbrecht C, Dawczynski J, Sekundo W. Femtosecond lenticule extraction (FLEx) – Results after 12 months in myopic astigmatism. Klin Monbl Augenheilkd. 2010;227(12):961–5.CrossRefPubMed Blum M, Kunert KS, Engelbrecht C, Dawczynski J, Sekundo W. Femtosecond lenticule extraction (FLEx) – Results after 12 months in myopic astigmatism. Klin Monbl Augenheilkd. 2010;227(12):961–5.CrossRefPubMed
3.
Zurück zum Zitat Blum M, Kunert K, Schroder M, Sekundo W, Femtosecond lenticule extraction for the correction of myopia: preliminary 6-month results. Graefes Arch Clin Exp Ophthalmol. 2010;248(7):1019–27.CrossRefPubMed Blum M, Kunert K, Schroder M, Sekundo W, Femtosecond lenticule extraction for the correction of myopia: preliminary 6-month results. Graefes Arch Clin Exp Ophthalmol. 2010;248(7):1019–27.CrossRefPubMed
4.
Zurück zum Zitat Sekundo W, Kunert K, Russmann C, et al. First efficacy and safety study of femtosecond lenticule extraction for the correction of myopia: six-month results. J Cataract Refract Surg. 2008;34(9):1513–20.CrossRefPubMed Sekundo W, Kunert K, Russmann C, et al. First efficacy and safety study of femtosecond lenticule extraction for the correction of myopia: six-month results. J Cataract Refract Surg. 2008;34(9):1513–20.CrossRefPubMed
5.
Zurück zum Zitat Elsheikh A, Wang D, Brown M, et al. Assessment of corneal biomechanical properties and their variation with age. Curr Eye Res. 2007;32(1):11–9.CrossRefPubMed Elsheikh A, Wang D, Brown M, et al. Assessment of corneal biomechanical properties and their variation with age. Curr Eye Res. 2007;32(1):11–9.CrossRefPubMed
6.
Zurück zum Zitat Randleman JB, Dawson DG, Grossniklaus HE, McCarey BE, Edelhauser HF. Depth-dependent cohesive tensile strength in human donor corneas: implications for refractive surgery. J Refract Surg. 2008;24(1):85–9. Randleman JB, Dawson DG, Grossniklaus HE, McCarey BE, Edelhauser HF. Depth-dependent cohesive tensile strength in human donor corneas: implications for refractive surgery. J Refract Surg. 2008;24(1):85–9.
8.
Zurück zum Zitat Reinstein DZ, Archer TJ, Randleman JB. Mathematical model to compare the relative tensile strength of the cornea after PRK, LASIK, and small incision lenticule extraction. J Refract Surg. 2013;29(7):454–60.CrossRefPubMed Reinstein DZ, Archer TJ, Randleman JB. Mathematical model to compare the relative tensile strength of the cornea after PRK, LASIK, and small incision lenticule extraction. J Refract Surg. 2013;29(7):454–60.CrossRefPubMed
9.
Zurück zum Zitat Wang D, Liu M, Chen Y, et al. Differences in the corneal biomechanical changes after SMILE and LASIK. J Refract Surg. 2014;30(10):702–7.CrossRefPubMed Wang D, Liu M, Chen Y, et al. Differences in the corneal biomechanical changes after SMILE and LASIK. J Refract Surg. 2014;30(10):702–7.CrossRefPubMed
10.
Zurück zum Zitat Pedersen IB, Bak-Nielsen S, Vestergaard AH, Ivarsen A, Hjortdal J. Corneal biomechanical properties after LASIK, ReLEx flex, and ReLEx smile by Scheimpflug-based dynamic tonometry. Graefes Arch Clin Exp Ophthalmol. 2014;252(8):1329–35.CrossRefPubMed Pedersen IB, Bak-Nielsen S, Vestergaard AH, Ivarsen A, Hjortdal J. Corneal biomechanical properties after LASIK, ReLEx flex, and ReLEx smile by Scheimpflug-based dynamic tonometry. Graefes Arch Clin Exp Ophthalmol. 2014;252(8):1329–35.CrossRefPubMed
11.
Zurück zum Zitat Vestergaard AH, Grauslund J, Ivarsen AR, Hjortdal JO. Central corneal sublayer pachymetry and biomechanical properties after refractive femtosecond lenticule extraction. J Refract Surg. 2014;30(2):102–8.CrossRefPubMed Vestergaard AH, Grauslund J, Ivarsen AR, Hjortdal JO. Central corneal sublayer pachymetry and biomechanical properties after refractive femtosecond lenticule extraction. J Refract Surg. 2014;30(2):102–8.CrossRefPubMed
12.
Zurück zum Zitat Agca A, Ozgurhan EB, Demirok A, et al. Comparison of corneal hysteresis and corneal resistance factor after small incision lenticule extraction and femtosecond laser-assisted LASIK: a prospective fellow eye study. Cont Lens Anterior Eye. 2014;37(2):77–80.CrossRefPubMed Agca A, Ozgurhan EB, Demirok A, et al. Comparison of corneal hysteresis and corneal resistance factor after small incision lenticule extraction and femtosecond laser-assisted LASIK: a prospective fellow eye study. Cont Lens Anterior Eye. 2014;37(2):77–80.CrossRefPubMed
13.
Zurück zum Zitat Ivarsen A, Hjortdal J. Seven-year changes in corneal power and aberrations after PRK or LASIK. Invest Ophthalmol Vis Sci. 2012;53(10):6011–6.CrossRefPubMed Ivarsen A, Hjortdal J. Seven-year changes in corneal power and aberrations after PRK or LASIK. Invest Ophthalmol Vis Sci. 2012;53(10):6011–6.CrossRefPubMed
14.
Zurück zum Zitat Myung D, Schallhorn S, Manche EE. Pupil size and LASIK: a review. J Refract Surg. 2013;29(11):734–41.CrossRefPubMed Myung D, Schallhorn S, Manche EE. Pupil size and LASIK: a review. J Refract Surg. 2013;29(11):734–41.CrossRefPubMed
15.
Zurück zum Zitat Miao H, He L, Shen Y, et al. Optical quality and intraocular scattering after femtosecond laser small incision lenticule extraction. J Refract Surg. 2014;30(5):296–302.CrossRefPubMed Miao H, He L, Shen Y, et al. Optical quality and intraocular scattering after femtosecond laser small incision lenticule extraction. J Refract Surg. 2014;30(5):296–302.CrossRefPubMed
16.
Zurück zum Zitat Sekundo W, Gertnere J, Bertelmann T, Solomatin I. One-year refractive results, contrast sensitivity, high-order aberrations and complications after myopic small-incision lenticule extraction (ReLEx SMILE). Graefes Arch Clin Exp Ophthalmol. 2014;252(5):837–43.CrossRefPubMed Sekundo W, Gertnere J, Bertelmann T, Solomatin I. One-year refractive results, contrast sensitivity, high-order aberrations and complications after myopic small-incision lenticule extraction (ReLEx SMILE). Graefes Arch Clin Exp Ophthalmol. 2014;252(5):837–43.CrossRefPubMed
17.
Zurück zum Zitat Li M, Zhao J, Shen Y, et al. Comparison of dry eye and corneal sensitivity between small incision lenticule extraction and femtosecond LASIK for myopia. PLoS One. 2013;8(10):77797.CrossRef Li M, Zhao J, Shen Y, et al. Comparison of dry eye and corneal sensitivity between small incision lenticule extraction and femtosecond LASIK for myopia. PLoS One. 2013;8(10):77797.CrossRef
18.
Zurück zum Zitat Garcia-Zalisnak D, Nash D, Yeu E. Ocular surface diseases and corneal refractive surgery. Curr Opin Ophthalmol. 2014;25(4):264–9.CrossRefPubMed Garcia-Zalisnak D, Nash D, Yeu E. Ocular surface diseases and corneal refractive surgery. Curr Opin Ophthalmol. 2014;25(4):264–9.CrossRefPubMed
19.
20.
Zurück zum Zitat Sekundo W, Kunert KS, Blum M. Small incision corneal refractive surgery using the small incision lenticule extraction (SMILE) procedure for the correction of myopia and myopic astigmatism: results of a 6 month prospective study. Br J Ophthalmol. 2011;95(3):335–9.CrossRefPubMed Sekundo W, Kunert KS, Blum M. Small incision corneal refractive surgery using the small incision lenticule extraction (SMILE) procedure for the correction of myopia and myopic astigmatism: results of a 6 month prospective study. Br J Ophthalmol. 2011;95(3):335–9.CrossRefPubMed
21.
Zurück zum Zitat Kim JR, Hwang HB, Mun SJ, Chung YT, Kim HS. Efficacy, predictability, and safety of small incision lenticule extraction: 6-months prospective cohort study. BMC Ophthalmol. 2014;14:117.CrossRefPubMedCentralPubMed Kim JR, Hwang HB, Mun SJ, Chung YT, Kim HS. Efficacy, predictability, and safety of small incision lenticule extraction: 6-months prospective cohort study. BMC Ophthalmol. 2014;14:117.CrossRefPubMedCentralPubMed
22.
Zurück zum Zitat Vestergaard AH, Grauslund J, Ivarsen AR, Hjortdal JO. Efficacy, safety, predictability, contrast sensitivity, and aberrations after femtosecond laser lenticule extraction. J Cataract Refract Surg. 2014;40(3):403–11.CrossRefPubMed Vestergaard AH, Grauslund J, Ivarsen AR, Hjortdal JO. Efficacy, safety, predictability, contrast sensitivity, and aberrations after femtosecond laser lenticule extraction. J Cataract Refract Surg. 2014;40(3):403–11.CrossRefPubMed
23.
Zurück zum Zitat Vestergaard A, Ivarsen AR, Asp S, Hjortdal JO. Small-incision lenticule extraction for moderate to high myopia: predictability, safety, and patient satisfaction. J Cataract Refract Surg. 2012;38(11):2003–10.CrossRefPubMed Vestergaard A, Ivarsen AR, Asp S, Hjortdal JO. Small-incision lenticule extraction for moderate to high myopia: predictability, safety, and patient satisfaction. J Cataract Refract Surg. 2012;38(11):2003–10.CrossRefPubMed
24.
Zurück zum Zitat Vogel A, Freidank S, Linz N. Alternatives to femtosecond laser technology: subnanosecond UV pulse and ring foci for creation of LASIK flaps. Ophthalmologe. 2014;111(6):531–8.CrossRefPubMed Vogel A, Freidank S, Linz N. Alternatives to femtosecond laser technology: subnanosecond UV pulse and ring foci for creation of LASIK flaps. Ophthalmologe. 2014;111(6):531–8.CrossRefPubMed
25.
Zurück zum Zitat Trost A, Schrodl F, Strohmaier C, et al. A new nanosecond UV laser at 355 nm: early results of corneal flap cutting in a rabbit model. Invest Ophthalmol Vis Sci. 2013;54(13):7854–64.CrossRefPubMed Trost A, Schrodl F, Strohmaier C, et al. A new nanosecond UV laser at 355 nm: early results of corneal flap cutting in a rabbit model. Invest Ophthalmol Vis Sci. 2013;54(13):7854–64.CrossRefPubMed
Metadaten
Titel
ReLEx SMILE – Refraktive Lentikel Extraktion über Kleinschnittinzision
verfasst von
Dr. Thomas C. Kreutzer, FEBO
Martin Dirisamer
Siegfried Priglinger
Publikationsdatum
01.03.2015
Verlag
Springer Vienna
Erschienen in
Spektrum der Augenheilkunde / Ausgabe 1/2015
Print ISSN: 0930-4282
Elektronische ISSN: 1613-7523
DOI
https://doi.org/10.1007/s00717-015-0254-9

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