In 146 eyes, measured corneal thinning differed from the surgical plan. The gap was associated with baseline corneal geometry and selected aberrations, but an effect on perceived visual quality was not established.
A meta-analysis of nine nonrandomized comparisons found no clear overall visual advantage for the newer platform, but cylinder correction was more accurate.
In a multicenter retrospective cohort of 919 patients, SMILE was associated with less residual myopia and greater refractive stability, but procedure selection was not randomized.
In an early nonrandomized series, ray-tracing LASIK more often achieved 20/20 and left less cylinder than SMILE Pro, but the comparison reflects one surgeon's initial experience.
A network meta-analysis of 50 studies and 5,141 eyes compared aberrations after laser procedures and phakic ICL implantation. ICL ranked best, but optical metrics are not equivalent to overall clinical effectiveness.
A retrospective comparison of 598 eyes found high refractive accuracy after FS-LASIK, SMILE and phakic ICL implantation, but different central and peripheral aberration profiles at six months.