Management of incision failure during small incision lenticule extraction because of conjunctivochalasis

Bu Ki Kim; Su Joung Mun; Dae Gyu Lee; Hyun Tae Choi; Young Taek Chung

doi:10.1016/j.ajoc.2017.06.020

Management of incision failure during small incision lenticule extraction because of conjunctivochalasis

Am J Ophthalmol Case Rep. 2017 Jun 24:7:134-137. doi: 10.1016/j.ajoc.2017.06.020. eCollection 2017 Sep.

Authors

Bu Ki Kim¹, Su Joung Mun¹, Dae Gyu Lee¹, Hyun Tae Choi¹, Young Taek Chung¹

Affiliation

¹ Onnuri Smile Eye Clinic, Hyobong Building 9F 1, Gangnam-daero 65 gil, Seocho-gu, Seoul, South Korea.

Abstract

Purpose: We report a case of incision failure during small incision lenticule extraction (SMILE) and its management.

Observations: The incision could not be made using the femtosecond laser because of a redundant conjunctiva, so it was instead done manually using a diamond knife. The lenticule was successfully separated and extracted. Three months after the procedure, the uncorrected distance visual acuity was 20/20 and no complication was observed.

Conclusions and importance: This case demonstrates that the conjunctiva should be carefully examined before SMILE. If a complication occurs because of conjunctivochalasis, it can be resolved with proper management without compromising the patient's visual acuity.

Keywords: Complication; Conjunctivochalasis; SMILE; Small incision lenticule extraction.

Publication types

Case Reports