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Prof. Dr. Efekan Coşkunseven

laser refractive

SMILE Laser Eye Surgery

SMILE (Small Incision Lenticule Extraction) is a modern, flapless laser eye surgery based on removing a thin piece of tissue (lenticule) created inside the cornea through a small incision, in order to correct myopia and astigmatism.

laser refractive
Prof. Dr. Efekan Coşkunseven

Prof. Dr. Efekan Coşkunseven

Ophthalmology · Istanbul

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In SMILE, no wide corneal flap is created; a thin layer of tissue prepared with a laser inside the cornea is removed through a small 2–4 mm incision. It may correct myopia and astigmatism and can be completed within a few minutes; with drop anesthesia, pain is not expected, though pressure or brief discomfort may occur.

Contents5 sections
  1. 01 What Is SMILE Laser Eye Surgery?
  2. 02 Key Features
  3. 03 Eligibility Criteria
  4. 04 Recovery Process
  5. 05 The Difference Between SMILE and LASIK

What Is SMILE Laser Eye Surgery?

SMILE (Small Incision Lenticule Extraction) is a modern laser eye surgery based on the principle of removing a small piece of tissue created inside the cornea, in order to correct myopia and astigmatism.

Key Features

  • Technique: No wide flap is created in the cornea. Instead, a thin layer of tissue (lenticule) is prepared inside the cornea with the help of a laser.
  • Incision size: Tissue is removed through a small 2–4 mm incision.
  • Anesthesia: Drop anesthesia is used, so pain is not expected, although pressure, touch, or brief discomfort may be felt.
  • Duration: Completed within a few minutes.

Eligibility Criteria

Suitable candidates:

  • Those with myopia/astigmatism
  • Individuals over 18 years of age
  • People with a stable eye prescription
  • Patients with a suitable corneal structure

Not suitable: Keratoconus, advanced dry eye, pregnancy, incompatible corneal structure.

Recovery Process

  • First day: Mild blurring and sensitivity may be seen
  • First week: Vision begins to improve
  • First month: Significant improvement is achieved
  • Full stabilization: Completed within a few weeks

The Difference Between SMILE and LASIK

In SMILE, a small piece of tissue created inside the cornea is removed, whereas in LASIK, a thin flap is created in the cornea and the laser is applied beneath the flap.

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Frequently Asked Questions

Short answers to the questions patients ask most about this treatment. Your personal situation is assessed during the examination.

  1. 01 Who is SMILE suitable for?

    It is suitable for individuals over 18 years of age with myopia/astigmatism, a stable eye prescription, and a suitable corneal structure. It is not suitable in cases of keratoconus, advanced dry eye, pregnancy, and incompatible corneal structure.

  2. 02 What is the difference between SMILE and LASIK?

    In SMILE, a small piece of tissue created inside the cornea is removed; in LASIK, a thin flap is created in the cornea and the laser is applied beneath the flap.

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