SmartSight laser eye surgery without flap
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SmartSight: minimally invasive lenticule extraction

SmartSight is a modern laser eye procedure for the refractive correction of myopia and astigmatism without creating a corneal flap. FLAP. This further development of lenticule extraction is characterized by intelligent eye tracking with pupil recognition and cyclotorsion compensation.

The SCHWIND ATOS femtosecond laser enables minimally invasive lenticule extraction and flap creation with a single device. The smart system enables precise centering of the patient’s eye along the visual axis with pupil detection and cyclotorsion compensation. Thanks to the quick system test, the laser is ready for use within a short time.
The compact device design is consistently geared towards flexibility and efficiency in clinical use.

The Lentilelextraktion SmartSight laser eye surgery method is only used for short-sighted patients. Lentile extraction has been on the market since 2011 (application: short-sightedness -0.5 to -10.0 diopters and a corneal curvature of up to -5.0 diopters) However, if these criteria are not met, the same results are generally achieved with femto-LASIK surgery.

With the “keyhole method”, a flap (corneal cover) is no longer created and folded away – the procedure is performed through a tiny incision in the cornea and is therefore minimally invasive. This means that the cornea is interfered with as little as possible and the healing process is therefore very short.
The femtosecond laser marks the tissue that is to be removed to improve vision. Only the femtosecond laser is used. This method is relatively new and is only used in a few laser eye clinics worldwide.

With the “keyhole method”, a flap (corneal cover) is no longer created and folded away – the procedure is performed through a tiny incision in the cornea and is therefore minimally invasive. This means that as little as possible is interfered with the cornea and the healing process is therefore very short.

The femtosecond laser marks the tissue that is to be removed to improve vision. Only the femtosecond laser is used. This method is relatively new and is only used in a few laser eye clinics worldwide.

The advantages of SmartSight lenticel extraction:

• The procedure does not require the application of a flap, as is the case with other laser treatment methods.
• We can correct the view through a tiny keyhole opening
• We can perform the entire procedure in one step with a laser
• SmartSight can correct short-sightedness down to -10 diopters.
• The treatment only takes a few minutes.
• Recovery is very fast. You can resume your usual activities shortly after the treatment.

The disadvantages of lenticel extraction:

• Long-term studies only since 2011: (The procedure has only been on the market since 2011)
• Short-sighted patients only: Use is not possible for the correction of long-sightedness.
• No follow-up treatment possible with the same method: Correction of the result as a repeat lenticule extraction is not possible. Any follow-up treatment would be possible using other treatment methods.

Risks:

• With SmartSight there is no flap, so all flap-related complications are eliminated
• The risk of dry eye is lower compared to Femto-LASIK
• Thanks to modern laser eye profiles, the risk of halos/glare/starbursts is extremely low
• Full vision recovery can take up to 1 month.

• ICL: If the visual defect is too large or the cornea too thin, a phakic lens (ICL) can be inserted. This can correct myopia up to 18 dpt.
• Monovision: The optical method of monovision can be used to treat presbyopia.
• If a patient is farsighted, either Femto-LASIK, ICL or lens exchange is used.

Micro incision technology – minimally invasive and gentle

With SmartSight, the SCHWIND ATOS femtosecond laser forms a pre-calculated lenticule in the intrastromal tissue of the cornea and prepares small, peripheral incisions in the uppermost corneal layer as a lenticule access. After the laser procedure, the lenticule is detached through the small access points. The incisions enable the eye surgeon to remove the lenticule easily and with a view through the microscope integrated in the SCHWIND ATOS.

SmartSight completely dispenses with a corneal flap and there is no laser ablation as with the excimer laser.

The first scientific publications are in the pipeline. The lenticule extraction method has been on the market since 2011, hence the scientifically confirmed clinical results.