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Should You Get SMILE, LASIK, or PRK Eye Surgery?
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SILK Eye Surgery: A Revolutionary Approach in Vision Correction
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SILK (Small Incision Lenticule Extraction) eye surgery represents a significant advancement in the field of refractive surgery, offering a flapless, minimally invasive alternative to traditional LASIK and PRK procedures. Developed by Johnson & Johnson Vision, this innovative technique has gained traction for its safety, effectiveness, and rapid recovery times.
 What is SILK Eye Surgery?
SILK is a type of refractive laser surgery that corrects myopia (nearsightedness) and astigmatism by reshaping the cornea. Unlike LASIK, which involves creating a corneal flap, SILK uses a femtosecond laser to create a small lenticule (a thin, disc-shaped piece of tissue) within the cornea. This lenticule is then removed through a tiny incision, altering the cornea's shape to improve vision. This flapless approach reduces the risk of complications and promotes faster healing
Benefits of SILK Eye Surgery
1. Rapid Recovery: Patients can typically resume normal activities within 24 hours, a significant advantage for those with busy lifestyles or active professions.
   2. Reduced Dry Eye Symptoms: By minimizing manipulation of the corneal surface, SILK causes less nerve damage, leading to fewer and less severe dry eye symptoms compared to LASIK.
3. Safety and Stability: The absence of a corneal flap eliminates the risk of flap-related complications. This makes SILK particularly suitable for individuals involved in contact sports or professions where eye injuries are a concern.
4. Superior Vision Quality: SILK often results in exceptionally sharp vision, with many patients achieving 6/5 vision, which is better than the standard 20/20 vision.
5. Less Discomfort: The procedure is generally pain-free, with minimal postoperative discomfort. Most patients report only a slight pressure sensation during the surgery.
Comparisons with Other Procedures
SILK vs. LASIK:
-Procedure: LASIK involves creating a corneal flap, while SILK does not, reducing the risk of flap complications.
-Recovery: SILK offers faster recovery times, with many patients returning to their routines within a day.
- Dry Eyes: SILK causes less dry eye syndrome compared to LASIK due to less disruption of corneal nerves【8†source】【9†source】.
SILK vs. Contoura Vision:
- Customization: Contoura Vision excels in correcting corneal irregularities and higher-order aberrations, making it suitable for patients with specific corneal issues.
- Recovery: Contoura Vision requires a longer recovery period compared to SILK.
- Procedure: Contoura Vision involves creating a flap, similar to LASIK, while SILK is flapless.
SILK vs. SMILE:
- Incision Size: Both SILK and SMILE are flapless procedures, but SILK involves a smaller incision, potentially offering even faster recovery and fewer complications.
- Technology: Both utilize advanced femtosecond laser technology, though the specifics of the equipment and technique can vary【8†source】.
Eligibility and Considerations
To be eligible for SILK eye surgery, candidates should be over 18 years of age with a stable eye prescription for at least a year. The procedure is not recommended for individuals with certain eye conditions, such as keratoconus or significant retinal issues, and those with autoimmune diseases. Pregnant or lactating women are also advised against undergoing the procedure.
Before the surgery, candidates undergo a thorough eye examination to assess corneal health and determine the best course of action. Postoperative care involves the use of prescribed eye drops and avoiding strenuous activities for a short period.
Cost and Investment
The cost of SILK eye surgery can be higher than traditional LASIK or PRK, typically around INR 1,20,000. However, this investment is often justified by the long-term benefits, including the potential elimination of ongoing costs for glasses, contact lenses, and related eye care products.
Conclusion
SILK eye surgery is a groundbreaking option in the field of vision correction, offering a safer, faster, and more comfortable alternative to traditional methods. Its advanced technology and precision promise enhanced visual outcomes and a swift return to daily activities, making it an attractive choice for many seeking to improve their vision. As with any medical procedure, consulting with a qualified ophthalmologist to discuss individual needs and suitability is crucial.
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smileforeyes · 2 years
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prk vs lasik vs smile
The term "laser vision correction" refers to a group of eye procedures that involve reshaping your cornea using a laser in order to achieve clear vision. Get a Complete guide on PRK, LASIK & SMILE laser eye procedures, their benefits & comparison.
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gokobald · 4 years
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Öncelikle herkese merhaba. Umarım bu yazıyı okuyan herkes kendince faydalı bilgiler bulur ve sağlığına kavuşur. Gözlük kullanmak, kontakt lens kullanmak hakikaten zor. Uzun seneler boyunca gözlük kullanmış ve bundan BIKMIŞ biri olarak uzun zaman önce yaptırmış olduğum lazer göz ameliyatı ile ilgili bilgiler paylaşmak istedim. Amacım herkes için kısa bir referans olabilmek. Yazıda 8 yıl önce yaptırdığım Lazer Göz Ameliyatı hakkında bir ön değerlendirme ve tavsiyeler yer alacak.
Yıllar boyunca düzgün bir güneş gözlüğü kullanamamış, yağmurda doyasıya yürüyememiş, istediği gibi özgürce ve performanslı bir şekilde spor yapamamış biri olarak lazer göz ameliyatını herkese tavsiye ediyorum. Lazer Göz Ameliyatı yada halk arasında daha çok kullanılan adıyla "Göz Çizdirme" ameliyatı olmadan önce bende çok fazla araştırma yaptım. İnternetten olsun, çevremde Lazer Göz Ameliyatı yaptırmış arkadaşlarım olsun birçok insana danıştım, bilgi aldım ve baya baya konu hakkında detayları öğrendim. Neticede göz, ihmale şakaya gelmez. Öncelikle şunu söylemeliyim araştırma, soruşturma aşamalarında bana bir sürü kişi "yaptırma kör olursun, neden doktorlar gözlük takıyor, neden göz doktorları lazer olmuyor…vs falan filan" bir sürü laf, söz söylediler. Korku ortamı yaratmak konusunda bizim insanımızdan daha iyisi yok. Yaklaşık 8 sene önce bu ameliyatı yaptırmış biri olarak söyleyebilirim ki, İYİ Kİ YAPTIRMIŞIM, İYİ Kİ YAPTIRMIŞIM, İYİ Kİ YAPTIRMIŞIM. Kesinlikle korkacak birşey yok. Bence "Felaket Tellallarına" (ki bu benim kişisel görüşüm ve bazı insanlar maalesef yapıları gereği böyle) fazla kulak asmayın derim. Tabi bu benim şahsi fikrim. Memnun olmayanlarda olabilir ancak işinin ehli bir doktor ve kurum tarafından uygulandığı taktirde lazer göz ameliyatı ile kişiler gözlük ve kontakt lensten kurtulabilir. Doktorunuz tecrübeli ve işini iyi biliyorsa, hastane iyi bir hastaneyse, kullanılan ekipmanlar ve lazer aleti günümüz teknolojisinin gerisinde değilse kesinlikle memnun kalmamanız gibi bir olasılık yok diyebilirim. Tüm bu özelliklere sahip doktorları ve hastaneyi nerede bulacağız derseniz; onuda yazının sonunda söyleyeyim.
Merak edenler için özetlemek gerekirse genel olarak kullanılan alet ve lazerden daha çok, kornea tabakasına uygulanan işlem bu lazer operasyonlarının adlarını ve farklarını oluşturuyor. Benim bildiğim teknikler Relex Smile, Lasik, Excimer Lazer, PRK NoTouch, WaveFront, Femto Lasik, Lazer Presbyond… Ben Araştırma yaparken ençok bu teknikler karşıma çıktı ve yaptıran birçok kişininde bu tekniklerle ameliyat olduğunu gördüm. Bazı teknikler uzak görüş kusurlarının düzeltilmesinde, bazıları yakın görüş kusurlarının düzeltilmesinde, bazıları da uzak, yakın ve astigmat tedavisinde kullanılıyor.
Biraz açıklama olması için size şöyle anlatayım. Mesela korneada kapak (Flep) kaldırılmadığında PRK, No Touch, korneada küçük bir kapak kaldırıldığında Excimer Lazer, Lasik (Bu teknik 2. nesil, ben bu teknikle tedavi oldum), korneada küçük kapakçık kaldırılmadan mikro bir kesi ile uygulandığında Relex Smile (Bu Teknik 3. nesil, Ben yaptırırken olsaydı Benim tercihim bu olurdu) olarak adlandırılıyorlar.
Kimi teknikte uzak, yakın ve astigmat düzeltilebilirken kimi teknikle presbiyopi, yakın görüş kusurları tedavi edilebilmekte. Sizin göz rahatsızlığınız, görüş kusurunuz ne ise ona göre bir teknik belirleniyor. Çok detaylı bir göz muayenesi ve yapılan ölçümlerin ardından ameliyatınız için gereken tüm veriler derleniyor ve doktor tarafından uygulanacak tekniğe karar veriliyor.
Tüm tekniklerin avantaj ve dezavantajları mevcut. Bazı teknikler ince kornealı bireylere uygulanamamakta, onun yerine Uzman göz Hekiminiz sizin için en uygun lazer göz ameliyatını seçmekte ve başka teknikler devreye girmekte. Bu konuda ben doktoruma güvendim ve bence de benim durumum ve göz yapım için en iyi teknik uygulandı (Lasik). Bu konuda çok memnunum. Ben ameliyatı olduğumun ertesi günü cam gibi görmeye başladım, doktorumun bana verdiği damlaları aksatmadan kullandım ve süper hızlı bir şekilde iyileştim diyebilirim. Ameliyatın ertesi günü uyanır uyanmaz balkona koşup uzaklara bakıyordum ve görebildiğim her şeyi ilk okuma öğrenen çocuklar gibi okumaya çalışıyordum. O gün ki mutluluğumu anlatamam. Artık mükemmel keskinlikte görüyorum. Aradan 8 sene geçti halen bir bozulma yada görüş kaybı yaşamadım. Bu konuda araştırdıkça gördüm ki en iyi hekimler, teknik ve uygulama yapılan yer bence İzmir'deki hastaneler. Lazer göz ameliyatları konusunda yurtdışından birçok hastanın da tercih ettiği hastaneler İzmir'de. Hatta ben ameliyat sonrası kontrol için gittiğim gün Londra'da bir kliniğe girdiğimi sandım. Bu turist kafilesi ne alaka derken öğrendim ki, o gün İngiltere'den gelen bir çok yabancı hastanın ameliyatı yapılacakmış.
Gelelim Lazer Göz Ameliyatı Olacaklara Tavsiyeler kısmına. Araştırın, sorun, soruşturun ve kendinize göre içinize en çok sinen yere karar verin ancak ben Lazer Göz Ameliyatı Olacaklara Bu Cerrahi Tıp Merkezini Öneriyorum : Net Göz Cerrahi Tıp Merkezi
Şimdi biraz reklam yapacağım ama inanın hak ediyorlar... Netgöz Cerrahi Tıp Merkezi için diyebilirim ki kesinlikle pişman olmayacağınızı düşünüyorum. Ameliyat öncesi bilgilendirmeler, yapılan ileri tetkikler, doktorların tecrübesi, her açıdan mükemmel. Benim gibi araştırmacı ve titiz birine o kadar güzel anlattılar, o kadar güzel ilgilendiler ve korkularımı bertaraf ettiler ki anlatamam. Kafamda tek bir şüphe kalmadan, doktoruma, hastaneye ve personele(ki bence çok önemli, yardımcı olan personel çok ilgiliydi ve insana rahatlık veren, işini iyi yapan elemanlardı) tamamen güven duyarak ameliyat masasına yattım.
Bu arada benim teknikleri araştırırken esas olarak faydalandığım site: Lazer Göz Ameliyatı. Lazer Göz Ameliyatı konusunda aklınıza takılanları ve tüm teknikleri tek bir sitede derlemişler girip incelemenizi tavsiye ederim : http://www.lazergozameliyati.com
Sağlıklı net bir görüş kazanmanız, gözlüklerinizden ve kontakt lenslerinizden kurtulmanız dileğiyle.
ENGLISH TEXT Hello everybody. I’d like to share my laser eye surgery experience which I had a long time ago and give some helpful insight for people who are fed up with using eyeglasses. I will write about my preliminary assessments and try to give some recommendations to people thinking about getting a Laser Eye Surgery as I had 8 years ago. I recommend laser eye surgery to anyone who can’t use normal sunglasses, to the ones who can’t take a walk on rainy days and I specifically recommend ReLEX SMILE laser eye surgery to people who cannot freely involve in sports activities because of their prescription glasses. Before having my Laser eye surgery, also called excimer laser operation, I did an extensive research on the internet and I talked to people who had laser eye surgery. I learned many details on the subject. The reason was simply it being my eye, it is no joke.
Some people told me not to have this surgery, they said: “you may go blind, look around and you will see most of the eye doctors use eyeglasses, they don’t get the operation themselves”. People are really good at scaring and discouraging others. As someone who had this surgery 8 years ago, I now think the good thing I didn’t listen to those discouraging people. There is no reason to be afraid of getting laser eye surgery. Don’t listen to those calamity howlers. This is my personal opinion. There might be people out there who are not happy with their laser eye surgeries. I personally think that if you have the surgery done by an experienced surgeon who uses state of the art technology you will happily say goodbye to your eyeglasses and contact lenses. For you who are asking where to find the right doctors and the right clinic to have your laser eye operation, I will tell this at the end.
There is a variety of methods of Laser Eye Surgery all named depending on the procedure performed on the cornea of the eye. As far as I know, these methods are named; ReLEX SMILE, Lasik, Femto-Lasik, Laser Presbyond, Excimer Laser, PRK No-Touch, Wavefront.. These are the names that I came across during my research. And I found out that people had either one of these methods. Some of these technics are for correcting myopia and some for presbyopia, and some for correcting farsightedness and astigmatism.
For example, if the surgeon finds it necessary he does the surgery without opening a flap on the cornea and this is called PRK, No Touch. If a flap is created on the cornea it is called Excimer Laser, LASIK. (They call this the second generation, and this was the procedure eye had) And if the surgeon does the operation through a very small opening which they call the keyhole it is called ReLEX SMILE (This is the third generation of laser eye surgery, I would have chosen this method if it were available at the time of my surgery, because it is a minimally invasive method of surgery which heal much quicker) Generally, the surgeon help determine the right method of the surgery depending on your personal needs. A good eye clinic takes you through a series of detailed tests and measurements. And you are offered a tailor-made treatment which is best for you.
All treatment methods have advantages and disadvantages. Some methods are not applicable to people with a thin cornea. It is best to let the surgeon make the decision to choose the best method for you. This was what I did, I trusted the surgeon and respected his choice of method. The very next day after the surgery I was able to see crisp clear. I used the eye drops which the doctor prescribed punctually. The healing was super-fast. The first morning after the surgery I rushed to the window of my apartment and looking at a distance I was able to see clearly without glasses and I was reading everything with the passion of a child who just learned to read. I cannot find the right words to describe how happy I was. After 8 years now I can still see perfectly without glasses. With all the research and my personal experience, I can say the eye surgery clinics in Izmir are the best with their experienced team of surgeons and the technology they use. Many patients from abroad choose Izmir eye surgery clinics. The day after my surgery I had a post-surgery examination and when I arrived at the clinic, I thought I was at a clinic in London. Everyone was speaking in English. To my surprise I found out that there was a group of people from the UK, visiting to have their laser eye surgeries.
My final recommendation to those thinking about getting laser eye surgery is that they should do extensive research, ask questions and then choose the right clinic to have the surgery. After my satisfying and successful experience, I would recommend eyesurgeryclinic.co and Net Göz Cerrahi Tıp Merkezi This will be a choice you won’t regret. The satisfactory explanations they make, the doctors’ experience make you feel comfortable. Even when I got down to the nitty and gritty of the matter, they were patiently answering all my questions which really helped me to relax and trust them. All the staff were very helpful, they all did a very good job.
One of the websites I used to do my research on the methods of laser eye surgery, which clearly explains all different methods of eye surgery was http://www.eyesurgeryclinic.co and https://www.netgoz.net I strongly recommend you visit this website and read for yourselves.
I wish you all a healthy and clear vision and say goodbye to your prescription glasses and contacts.
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SMILE VS LASIK
What is LASIK eye surgery?
LASIK eye surgery corrects vision by reshaping the cornea with a device called an excimer laser. LASIK stands for Laser Assisted In-Situ Keratomileusis. Keratomileusis is a greek term that means “corneal reshaping” and reshaping the cornea with the excimer laser is what enhances patients vision. In Situ means “on site” which just means that the procedure is performed on the eye without removing the eye to perform it. This procedure was originally FDA approved in 1995. LASIK can correct nearsightedness, farsightedness, and astigmatism. In the case of nearsighted treatments we create a flap in the cornea (only with a laser at Las Vegas Eye Institute), lift this flap, and then ablate (aka remove) tissue in the shape of a lens to decrease nearsightedness. The flap is put back into place and the vision is substantially improved immediately and continues to improve for one week to one month.
What is SMILE eye surgery?
SMILE stands for SMall Incision Lenticule Extraction. SMILE does not utilize an excimer laser which means that it does not remove tissue via ablation. SMILE instead uses a femtosecond laser that fires millions of pulses into the cornea in about 20 seconds. These very low energy pulses carve the shape of a lens into the cornea. This lens shape (or lenticule) is then removed by your surgeon through a very small incision (currently 4mm.) Because the excimer laser ablates the shape of a lens in LASIK and in SMILE a lens is carved and removed, both procedures really accomplish the same thing. They remove power from the cornea to treat nearsightedness. They both allow the correction of astigmatism as well. Since both procedures accomplish the same result some doctors actually refer to SMILE as SMILE LASIK, so that patients can realize that they are similar procedures. Most doctors that perform SMILE (Dr. Swanic included) also perform LASIK because LASIK still has an important role for many forms of refractive errors.
Brief video showing how the SMILE procedure is performed.
What are the advantages of SMILE eye correction Surgery?
The advantages of SMILE eye surgery are primarily derived from the fact that it has a much smaller incision compared to LASIK. The incision size in LASIK does have some variability based on the size that is planned by your surgeon but it generally extends for about 300 degrees (about 60 degrees remain for the hinge of the flap) and amounts to an incision length of approximately 22mm. In SMILE the incision length in the United States is currently 4mm due to FDA regulation but throughout most of the world it can be set as low as 2mm. This is an over 80% reduction in length of incision. This reduction is thought to be important to help preserve strength of the cornea and to help decrease cutting of corneal nerve fibers. Our cornea has some of its strongest fibers in the front of the cornea which is where the LASIK or SMILE incision is placed. So if we cut less of these fibers this should leave the cornea stronger after SMILE than LASIK. We also have the greatest percentage of cornea nerve fibers running in the front of the cornea, this would make sense since it is important to know if something is touching or is about to touch our delicate corneal tissue. By cutting less of these fibers studies have shown a much more rapid recovery of corneal sensation. Typically our corneal sensation takes approximately 12 months to fully recover after LASIK. This recovery time in SMILE was found to be about 3 months. This faster nerve recovery is thought to lead to a more comfortable post operative course compared to LASIK (which is already quite comfortable.) Some people refer to a period of dry eye after LASIK. This dry eye is not permanent or severe but can be irritating to the patient. Our experience at Las Vegas Eye Institute is that this temporary dryness recovers at a more rapid rate than with LASIK.
Brief Video Showing creation of LASIK incision.
Is SMILE laser eye surgery more expensive than LASIK?
This will depend on the practice that you see. At Las Vegas Eye Institute we feel that certain patients are better LASIK candidates, others are better SMILE candidates, and others should really be treated with PRK. Since this determination is complicated we do not want our patients to make their decision based on price. As such the price at Las Vegas Eye Institute is the same for all three procedures: LASIK, SMILE, or PRK. SMILE eye surgery can only be performed with Zeiss Visumax Laser which is one of the most advanced lasers in ophthalmology. The Visumax Laser is one of the most expensive in Laser Eye Surgery and is how we perform SMILE as well as how we create our LASIK flaps.
How long does SMILE eye surgery last? Does it last as long as LASIK?
SMILE laser eye correction is essentially permanent. Many myths exist regarding the permanence of LASIK eye surgery. Many people think that LASIK “fades” over time. Like all myths this one is based in some reality. The original LASIK lasers did not create the same ablation profiles as the modern lasers of today. The original laser profiles created in the 1990’s were much smaller and they did not take into account the body’s normal healing response. At Las Vegas Eye Institute we only used the most advanced LASIK ablations utilizing the Visx iDeisgn 2.0 platform that was released in 2018. Similarly, our SMILE technology is also based on the latest SMILE FDA approval in 2018 that allows for the correction of astigmatism as well as nearsightedness (or myopia.) These new technologies create larger optical zones that are also designed to resist the bodies natural desire to regress the treatment. Dr. Swanic had PRK laser eye surgery in 2010 and his correction has not changed over the last 10 years.
What procedures can be performed with SMILE vs LASIK?
SMILE is only FDA approved for the correction of Nearsightedness and Nearsightedness with Astigmatism. This approval allows us to treat approximately 80% of the refractive errors in the United States as most people are nearsighted. The other 20% of Americans have farsightedness or astigmatism without nearsightedness. Both of these conditions can be treated with LASIK but not with SMILE. We correct both of these with our advanced iDesign 2.0 excimer laser platform.
I was told my correction was too small for SMILE. What does this mean?
SMILE can correct nearsightedness down to 1 diopter and many surgeons do perform it for that level of correction. Dr. Swanic is currently limiting his correction to about 3 diopters of nearsightedness. As the correction goes down the thickness of the lens that is removed continues to get thinner. This could create issues with removing it. As such we are currently only removing the thicker lenticules created for higher corrections and for low corrections utilizing our femtosecond laser LASIK procedure.
Is the visual quality better with SMILE vs LASIK?
No. The visual quality with LASIK is excellent and we are finding similar visual acuities after SMILE as after LASIK.
IS SMILE eye surgery new? How many of these procedures have been performed?
SMILE eye surgery has been performed throughout the world since 2010. It has been performed in the United States since 2016. It has an excellent track record and over 2 million people have had SMILE performed worldwide.
Does SMILE eye surgery have a flap?
SMILE eye surgery does not have a flap. This can be important for people who are concerned about LASIK flap dislocation. Flap dislocation is extremely rare with LASIK even with very powerful injuries including car accidents, sports injuries, and even air big inflation. However, the absence of a flap with SMILE makes this an impossibility that may make some people more comfortable with this procedure.
I have very high astigmatism can I still get SMILE?
It depends on how high the astigmatism level is. SMILE is FDA approved for astigmatism correction up to 3 diopters. This is quite a high level and accommodates most patients that present to our clinic for refractive surgery evaluations. However we do have patients with even higher levels of astigmatism and we correct them with the iDesign 2.0 LASIK procedure that can correct up to 5 diopters of astigmatism.
I am over 40 and have presbyopia. Can I still get SMILE?
Yes. Over the age of 40 the lens inside of our eye naturally loses its ability to focus on near objects and this is called presbyopia. This condition is actually helped substantially by blended vision. people used to refer to blended vision as “monovision.” This is a misnomer as we can often make the distance vision much better while simultaneously aiding the near vision by a well planned undercorrection in our patient’s non dominant eye. This undercorrection can be performed with SMILE or LASIK and is an excellent option for nearsighted patients over the age of 40.
I have bad dry eye. Is SMILE a good option for me?
We do not feel people with severe dry eye are good candidates for any refractive surgery procedure (LASIK, SMILE, or PRK) if we cannot get the condition adequately controlled. Studies have never shown that LASIK causes dry eye, and in fact most patients report significant improvement in dry eye symptoms after refractive surgery because they are no longer wearing contact lenses. However, we are concerned that any form of refractive surgery can exacerbate this disease. That being said, if you have dry eye symptoms and are considering refractive surgery a consultation at Las Vegas Eye Institute can still be appropriate as we have many treatments for dry eye that may make SMILE an appropriate procedure for you.
Is the visual recovery faster for LASIK vs SMILE?
The recovery for some patients is faster with LASIK than it is with SMILE, but both procedures offer very fast visual recovery. Many LASIK patients can have vision even better than 20/20 on our eye chart the very next day after LASIK. This can also occur with SMILE but we generally find that it is less frequent. Most SMILE patients will have about the same vision as LASIK patients at the one week visit and nearly all have the same vision at the one month postoperative visit.
I am interested in a consultation for SMILE. What do I do next?
SMILE and LASIK are both amazing procedures. Call our office  or visit our scheduling page for a free consultation. We will inform you which procedure may be best for you.
Video with more information about the SMILE procedure.
SMILE EYE SURGERY
SMILE VS LASIK
LASIK SELF-TEST
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smileforeyes · 3 years
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lasik vs prk vs smile
Learn everything you need to know about laser eye surgery treatments such as PRK, Lasik, and reLEx Smile treatment, and Choose which eye surgery option is the best for you.
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