Posters

Intraoperative suction loss in SMILE - rescue techniques

Poster Details

First Author: J.Titiyal INDIA

Co Author(s):    M. Kaur                    

Abstract Details

Purpose:

To describe management of suction loss during small incision lenticule extraction (SMILE) and their outcomes.

Setting:

Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

Methods:

Prospective case series of three eyes with intraoperative suction loss during SMILE. In case 1, suction loss was observed after 10% of lenticule cut. SMILE was abandoned and flap-based ablative procedure was performed. In case 2, lenticule cut and lenticule side-cut were completed uneventfully and suction loss was observed during cap cut. Eye was re-docked and laser application continued from point of suction loss in rescue mode. Case 3 had double partial peripheral suction loss beyond the treatment zone during lenticule side cut and cap side-cut, leading to eccentric lenticule and cap side-cuts.

Results:

Lenticule could be successfully extracted in all cases. Increased micro-adhesions were present in case 2 due to repeat docking. All cases achieved 20/20 visual acuity.

Conclusions:

Intraoperative suction loss during SMILE may be frequently encountered due to uncooperative patients or an inexperienced surgeon. The management depends on the stage of suction loss and optimal visual and anatomical outcomes can be achieved.

Financial Disclosure:

None