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Which is best between SMILE and Contoura Vision?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have to get a spectacles removal surgery but because of a thin cornea, I cannot have LASIK. So, the doctor suggested SMILE. But now I have read some disadvantages of SMILE. There is one more called Contoura Vision which is considered to be the best. Can you please guide me that with a thin cornea, what should I opt? SMILE or Contoura Vision? I do not want ICL.

Answered by Dr. Priyanka

Hello,

Welcome to icliniq.com.

Each procedure has its own pros and cons. SMILE (Small Incision Lenticule Extraction) is a good technique with good results. I did in many patients and the result was very nice. It does not correct any imperfections of the cornea which can be done by the Contoura vision. So first it has to be clear whether your cornea apart from thin has any other issues? From my side, you can opt any one.

Patient's Query

Thank you doctor,

I do not think that I have any cornea imperfection. I have attached my pen cam report. Can you please have a look and guide me further?

Answered by Dr. Priyanka

Hello,

Welcome back to icliniq.com.

I have seen your report (attachment removed to protect patient identity). Your corneal depth is around 450. No other thing is seen apart from it. So, I suggest you can better go for a SMILE (Small Incision Lenticule Extraction) technique. Your astigmatism is also not so high. So just do not worry.

Patient's Query

Thank you doctor,

I was afraid as I read on the internet that the SMILE results were not good.

Answered by Dr. Priyanka

Hello,

Welcome back to icliniq.com.

You are most welcome. You can come back to us anytime in the future.

Answered byDr. Priyanka

Medically reviewed byiCliniq medical review team

Published At December 21, 2017
Reviewed AtJuly 9, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Priyanka
Dr. Priyanka

Ophthalmology (Eye Care)

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