ORLANDO —The need for enhancement procedures after SMILE is rare, but surgeons need to consider the advantages and disadvantages of each option, according to a speaker here.
In the literature, enhancement rates after SMILE (Zeiss) are under 4%, Nandini Venkateswaran, MD, said at Refractive Surgery Subspecialty Day at the American Academy of Ophthalmology meeting. Risk factors for higher rates of enhancement include older age and higher preoperative manifest refraction. Most enhancements occur in the first year after the initial SMILE procedure and typically occur for undercorrection of