Relex Smile Laser surgery : is this the end of lasik ? Presentation at the Annual Meeting in Clinical Ophthalmology (AMICO) in Brussels, March 14 2015.

1. RELEX SMILE

2. IS THIS THE END OF LASIK ?

3. RK AK PRK LASEK LASIK FEMTOLASIK RELEX FLEX PSEUDOSMILE SMILE

5. FLEX PSEUDO-SMILE
SMILE

6. 100x
250x
500x

7. SMILE is better than Femtolasik because of :
1.1. Better biomechanics
2.2. Better accuracy
3.3. Corneal nerve density
4.4. Centration of laser treatment
5.5. Corneal sensation
6.6. Less higher order aberrations and less spherical aberration

8. SMILE is better than Femtolasik because of :
1.1. Better biomechanics
2.2. Better accuracy
3.3. Corneal nerve density
4.4. Centration of laser treatment
5.5. Corneal sensation
6.6. Less higher order aberrations and less spherical aberration

12. SMILE is better than Femtolasik because of :
1.1. Better biomechanics
2.2. Better accuracy
3.3. Corneal nerve density
4.4. Centration of laser treatment
5.5. Corneal sensation
6.6. Less higher order aberrations and less spherical aberration

14. WWW.GOES.BE
Figure 2. (Walter) Monthly comparison between outdoor humidity, procedure room
humidity, and outdoor temperature with the percentage of enhancement rates. J
Cataract Refract Surg 2004; 30:798–803  2004 ASCRS and ESCRS
RELEX SMILE CLINICAL RESULTS

15. RELEX SMILE
WWW.GOES.BE

16. SMILE is better than Femtolasik because of :
1.1. Better biomechanics
2.2. Better accuracy
3.3. Corneal nerve density
4.4. Centration of laser treatment
5.5. Corneal sensation
6.6. Less higher order aberrations and less spherical aberration

19. SMILE is better than Femtolasik because of :
1.1. Better biomechanics
2.2. Better accuracy
3.3. Corneal nerve density
4.4. Centration of laser treatment
5.5. Corneal sensation
6.6. Less higher order aberrations and less spherical aberration

22. RETREATMENT RATE !
WWW.GOES.BE

23. WWW.GOES.BE

24. WWW.GOES.BE
Difference mapPreop Postop

25. WWW.GOES.BE

26. WWW.GOES.BE
Difference mapPreop Postop

27. SMILE is better than Femtolasik because of :
1.1. Better biomechanics
2.2. Better accuracy
3.3. Corneal nerve density
4.4. Centration of laser treatment
5.5. Corneal sensation
6.6. Less higher order aberrations and less spherical aberration

29. FEMTOLASIK
SMILE

30. SMILE is better than Femtolasik because of :
1.1. Better biomechanics
2.2. Better accuracy
3.3. Corneal nerve density
4.4. Centration of laser treatment
5.5. Corneal sensation
6.6. Less higher order aberrations and less spherical aberration

34. WWW.GOES.BE
PRK
STABILITY
NO FLAP
+/- NO ECTASIA
PAIN
HAZE
LASIK
FAST RECOVERY
NO PAIN
NO HAZE
ECTASIA
FLAP
RELEX SMILE
FAST RECOVERY
NO FLAP
+/- NO ECTASIA
NO PAIN
NO HAZE

36. REFRACTIVE OUTCOME AT 1 M
WWW.GOES.BE
1%
4%
17%
26%
40%
9%
2%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
GoesEyeCentre
<
-2,00
-2,00
to
-1,51
-1,50
to
-1,01
-1,00
to
-0,51
-0,50
to
-0,126
+-0,125
+0,126
to
+
0,5
+0,51
to
+1,00
+1,01
to
+1,50
+1,51
to
+2,00
>
+2,00
± 0.50 D: 84%
± 1.00 D: 97%
D: Refractive outcome - Percentage within Attempted
1 m (228)
month
(eyes)

37. REFRACTIVE OUTCOME AT 1 M

40. RK AK PRK LASEK LASIK FEMTO RELEX SMILE