Chung's swing technique: a new technique for small-incision lenticule extraction

BMC Ophthalmol. 2016 Sep 1;16(1):154. doi: 10.1186/s12886-016-0321-2.

Abstract

Background: To introduce the Chung's swing technique for small-incision lenticule extraction (SMILE).

Methods: A total of 112 eyes of 56 patients were included in this study. Patients were divided into two groups: 52 eyes of 26 patients were treated with SMILE using a traditional method (traditional group) and 60 eyes of 30 patients were treated with SMILE using the Chung's swing technique (swing group).

Results: At 1 month postoperatively, all eyes in both groups had an uncorrected distance visual acuity of 20/20 or better. The efficacy indices were 1.09 ± 0.17 and 1.02 ± 0.11 (p = 0.492), and the safety indices were 1.12 ± 0.14 and 1.09 ± 0.15 (p = 0.537), for the traditional and swing group, respectively. All eyes in both groups underwent successful lenticule extraction; all lenticules were intact and complete. The mean lenticule extraction times were 48.67 ± 4.9 and 39.8 ± 5.53 s, for the traditional and swing group, respectively (p < 0.001).

Conclusions: The Chung's swing technique is efficient for lenticule separation and extraction. Our study results showed good clinical outcomes.

Trial registration number: KCT0001978 . Registered 22 July 2016. Retrospectively registered.

Keywords: Chung’s swing technique; SMILE; Small incision lenticule extraction; Swing technique.

MeSH terms

  • Adult
  • Astigmatism / surgery
  • Corneal Stroma / surgery*
  • Corneal Surgery, Laser / methods*
  • Female
  • Humans
  • Lasers, Excimer / therapeutic use*
  • Male
  • Myopia / surgery*
  • Refraction, Ocular
  • Retrospective Studies
  • Visual Acuity
  • Young Adult