SmartSight is an advanced method of correcting visual defects based on lenticular extraction.
This procedure, also known as lenticular extraction or LE, enables the precise and minimally invasive removal of a tiny lens segment (lenticule) from the cornea.
The refractive power of the eye is altered in order to correct vision defects such as short-sightedness and astigmatism.
SmartSight is characterized by its high accuracy and gentle approach, which allows for faster healing and less post-operative discomfort compared to traditional methods such as LASIK or PRK.
This technique offers patients a safe and effective alternative to achieve a lasting improvement in their quality of vision.
Specific diopter limits apply to SmartSight Laser Eye Surgery lenticule extraction to ensure optimal results:
In addition to the diopter limits, there are other important criteria that must be met in order to be considered as a suitable candidate for SmartSight:
Farsightedness, also known as hyperopia, cannot be corrected with SmartSight technology because this method was developed specifically for the treatment of short-sightedness and astigmatism.
When correcting long-sightedness, deeper layers of the cornea need to be worked on, which is not possible with the lenticule extraction technique.
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During a free initial consultation, we will thoroughly examine your eyes and take the time to listen to your needs and expectations. Once we’ve found the best treatment for you, you will feel confident and reassured about your next steps.
Once we’ve treated you at our state-of-the-art clinic, you’ll admire our handy work as you experience exceptional natural vision – free from the limitations of glasses and contact lenses.
At the heart of SmartSight laser technology is the Schwind ATOS femtosecond laser, which is equipped with the latest technology to make treatment as safe and precise as possible.
This laser offers a range of outstanding features that make it a first-class choice for laser eye surgery:
Find out everything you need to know about SmartSight laser eye surgery here
SmartSight is a modern laser eye procedure for the refractive correction of myopia and astigmatism without creating a corneal flap.
FLAP.
This further development of lenticule extraction is characterized by intelligent eye tracking with pupil recognition and cyclotorsion compensation.
The SCHWIND ATOS femtosecond laser enables minimally invasive lenticule extraction and flap creation with a single device.
The smart system enables precise centering of the patient’s eye along the visual axis with pupil detection and cyclotorsion compensation.
Thanks to the quick system test, the laser is ready for use within a short time.
The compact device design is consistently geared towards flexibility and efficiency in clinical use.
The Lentilelextraktion SmartSight laser eye surgery method is only used for short-sighted patients.
Lentile extraction has been on the market since 2011 (application: short-sightedness -0.5 to -10.0 diopters and a corneal curvature of up to -5.0 diopters) However, if these criteria are not met, the same results are generally achieved with femto-LASIK surgery. With the “keyhole method”, a flap (corneal cover) is no longer created and folded away – the procedure is performed through a tiny incision in the cornea and is therefore minimally invasive. This means that the cornea is interfered with as little as possible and the healing process is therefore very short. The femtosecond laser marks the tissue that is to be removed to improve vision.
Only the femtosecond laser is used.
This method is relatively new and is only used in a few laser eye clinics worldwide.
With the “keyhole method”, a flap (corneal cover) is no longer created and folded away – the procedure is performed through a tiny incision in the cornea and is therefore minimally invasive. This means that the cornea is interfered with as little as possible and the healing process is therefore very short. The femtosecond laser marks the tissue that is to be removed to improve vision.
Only the femtosecond laser is used.
This method is relatively new and is only used in a few laser eye clinics worldwide.
With SmartSight, the SCHWIND ATOS femtosecond laser forms a pre-calculated lenticule in the intrastromal tissue of the cornea and prepares small, peripheral incisions in the uppermost corneal layer as a lenticule access.
After the laser procedure, the lenticule is detached through the small access points.
The incisions allow the eye surgeon to remove the lenticule easily and with a view through the microscope integrated in the SCHWIND ATOS.
SmartSight completely dispenses with a corneal flap and there is no laser ablation as with the excimer laser.
The first scientific publications are in the pipeline.
The lenticule extraction method has been on the market since 2011, hence the scientifically confirmed clinical results.
This method was developed by the Carl Zeiss company. Relex smile laser eye surgery belongs to the lenticule extraction group. SMARTSIGHT 1: Pradhan KR, Arba Mosquera S. Twelve-month outcomes of a new refractive lenticular extraction procedure.
J Optom.
2021 Dec 20:S1888-4296(21)00085-6. doi: 10.1016/j.optom.2021.11.001.
Epub ahead of print.
PMID: 34949535.
2: Pradhan KR, Arba-Mosquera S. Three-Month Outcomes of Myopic Astigmatism Correction With Small Incision Guided Human Cornea Treatment.
J Refract Surg. 2021 May;37(5):304-311.
doi: 10.3928/1081597X-20210210-02.
Epub 2021 May 1. PMID: 34044692.
3: Fuest M, Mehta JS.
Advances in refractive corneal lenticule extraction.
Taiwan J Ophthalmol.
2021 Apr 24;11(2):113-121.
doi: 10.4103/tjo.tjo_12_21.
PMID: 34295616; PMCID: PMC8259523. RELEX SMILE 1: Klokova OA, Sakhnov SN, Geydenrikh MS, Damashauskas RO.
Quality of life after refractive surgery: ReLEx SMILE vs Femto-LASIK.
Clin Ophthalmol.
2019 Mar 26;13:561-570.
doi: 10.2147/OPTH.S170277.
PMID: 30988598; PMCID: PMC6440445.
2: Pavkova Z, Kacerovska J, Kacerovsky M. Comparison of the efficiency of femtoLASIK and ReLEx SMILE in terms of dioptric error reduction.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub.
2018 Jun 7. doi: 10.5507/bp.2018.027.
Epub ahead of print.
PMID: 29936526.
3: Ağca A, Demirok A, Yıldırım Y, Demircan A, Yaşa D, Yeşilkaya C, Perente İ, Taşkapılı M. Refractive lenticule extraction (ReLEx) through a small incision (SMILE) for correction of myopia and myopic astigmatism: current perspectives.
Clin Ophthalmol.
2016 Oct 3;10:1905-1912.
doi: 10.2147/OPTH.S80412.
PMID: 27757010; PMCID: PMC5055042.
4: Ganesh S, Brar S, Patel U. Comparison of ReLEx SMILE and PRK in terms of visual and refractive outcomes for the correction of low myopia.
Int Ophthalmol.
2018 Jun;38(3):1147-1154.
doi: 10.1007/s10792-017-0575-6. Epub 2017 May 27. PMID: 28551832.
5: Breyer DRH, Beckers L, Hagen P, Kaymak H, Klabe K, Auffarth GU, Kretz FTA.
Vergleich der Langzeitergebnisse bei Small Incision Refractive Lenticule Extraction (ReLEx SMILE) und Femto-LASIK [Comparison of Long-term Results with Small Incision Refractive Lenticule Extraction (ReLEX SMILE) vs. Femto-LASIK].
Klin Monbl Augenheilkd.
2019 Oct;236(10):1201-1207.
German.
doi: 10.1055/a-0914-3152.
Epub 2019 Jul 30. PMID: 31362315.
6: Blum M, Täubig K, Gruhn C, Sekundo W, Kunert KS.
Five-year results of Small Incision Lenticule Extraction (ReLEx SMILE).
Br J Ophthalmol. 2016 Sep;100(9):1192-5. doi: 10.1136/bjophthalmol-2015-306822.
Epub 2016 Jan 8. PMID: 26746577.
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