New Videos on SMILE
April 5, 2017
Soosan Jacob, FRCS, presents three videos on small incision lenticule extraction (SMILE), a minimally invasive, flapless procedure that some surgeons say may be superior to LASIK.
Visumax, the only laser that can perform SMILE, recently won FDA approval. SMILE is an established procedure in global markets such as Europe, China, Australia, Canada and India.
Dr. Jacob, of Dr. Agarwal's Eye Hospital in Chennai, India, serves as the ISRS Multimedia Library Editorial Board chair.
White Ring Sign for SMILE
Difficult lenticular extraction together with the possibility of cap tears, partial lenticular dissection, torn lenticule, etc., may occur in SMILE surgery, especially if the posterior lenticular plane is dissected before the anterior plane. This video shows the "white ring sign" that helps to clearly differentiate between anterior and posterior planes to allow anterior plane dissection prior to posterior plane, thus facilitating smooth lenticular extraction (Jacob S et al. White ring sign in SMILE. JCRS 2016;42(9):1251-4).
Sequential Segmental Terminal Lenticular Side Cut Dissection for SMILE
This video shows Dr. Soosan Jacob's technique of "Sequential segmental terminal lenticular side cut dissection" for SMILE (Jacob S et al. Sequential segmental terminal lenticular side cut dissection. JCRS 2017 -in press) and is a useful video for beginners to watch in order to make the transition to SMILE easier. Awareness about the White Ring Sign (see above), combined with this technique, helps to smoothen the learning curve.
Live Surgery of SMILE
This video shows a live surgery of SMILE performed by Dr. Soosan Jacob at the Refractive and Cornea CME conducted at Dr. Agarwal's Refractive and Cornea Foundation (DARCF), Dr. Agarwal's Eye Hospital, Chennai.