EyeWorld India June 2019 Issue

EWAP JUNE 2019 Ó£ FEATURE accompanied by smaller induction of total HOAs, coma, and spherical aberrations. Both SMILE with triple centration and CWFG transPRK are effective and provide predictable outcomes for the correction of high-myopia astigmatism. Copyright 2019 APACRS. All rights reserved. The views expressed here do not necessarily reflect those of the editor, editorial board, or publisher, and in no way imply endorsement by EyeWorld, Asia-Pacific or APACRS. Figure 3. SMILE vs. transPRK Source: Tae-im Kim, MD Sponsored by Carl Zeiss Meditec Figure 2. Comparison of SMILE using two methods for centration showing more eyes gained 2+ lines (left) and achieved greater astigmatism correction (right) with the triple marking method. SMILE learning: Pearls for SMILE Ten leading experts from around the world offered their pearls for SMILE during the Rapid Fire “SMILE Learning” session. SMILE “ On Boarding Process ” with ZEISS Amir Hamid, FRCOphth , Opteg- ra Eye Hospital, London, UK, an experienced refractive surgeon who has performed several thousand LASIK and LASEK laser eye surgeries, described his experience with the ZEISS “SMILE onboarding process” training program and subsequently reviewed the results with his first 200 eyes. Dr. Hamid noted that there has been a slightly negative perception in the West concerning laser vision correction and its potential for com- plications, highlighting the impor- tance of mitigating complications even during the learning curve while still ensuring high-quality results and achieving high patient satisfaction. Dr. Hamid and his colleagues achieved this by working closely with ZEISS. ZEISS’s “SMILE On Boarding Process” begins with online training for the basics and flap creation with the VisuMax femtosecond laser; on- site training sessions with hands-on wet labs, requiring the satisfactory completion of flaps in six porcine eyes before continuing to the next phase; and continuous support and monitoring of flap creation through clinical apps, requiring satisfactory completion of 50 eyes before finally proceeding to SMILE training. User nomograms can be developed later in the training. Dr. Hamid highlighted the importance of working with clinical apps, as technique is not the sole determinant for outcomes. Laser op- timization is particularly important when performing SMILE, as using the least amount of energy that pro- duces the least amount of resistance when performing dissection will al- low more rapid visual recovery and better visual results. Another essen- tial part of the process was gaining (Continued on next page)