Background: This report describes a case in which hyperopic femtosecond laser-assisted in situ keratomileusis (FS-LASIK) was performed following small incision lenticule extraction (SMILE) lenticule in situ implantation. Case presentation: The hyperopic left eye of a 46-year-old patient with refraction of +7.75 diopters sphere (DS)/-1.25 diopters cylinder (DC) 5° and corrected distance visual acuity (CDVA) of 20/50 mistakenly underwent the SMILE procedure for myopic astigmatism (-8.50 DS/-1.50 DC 175°) due to medical negligence. The extracted lenticule was subsequently re-implanted in situ. After 8 months, the left eye underwent FS-LASIK to correct hyperopia and astigmatism (+5.0 DS/-0.75 DC × 100°). Two years after FS-LASIK, corneal tomography showed no ectasia and microscopy revealed transparent cornea. The left eye exhibited CDVA of 20/50 with refraction of -0.75 DS/-0.25 DC × 165°. Conclusions: SMILE lenticule in situ implantation offers a solution for corneal volume and thickness restoration. FS-LASIK provides feasible correction of refractive error following lenticule re-implantation. Future studies are needed for determining the effectiveness of the treatment.

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Posted 13 Aug, 2019
On 07 Nov, 2019
On 31 Jul, 2019
On 19 Jul, 2019
On 13 Jul, 2019
Received 13 Jul, 2019
Invitations sent on 12 Jul, 2019
On 04 Jul, 2019
On 03 Jul, 2019
On 03 Jul, 2019
On 10 Jun, 2019
Received 06 Mar, 2019
On 24 Feb, 2019
Received 23 Feb, 2019
On 18 Feb, 2019
Invitations sent on 18 Feb, 2019
On 08 Jan, 2019
On 08 Jan, 2019
On 04 Jan, 2019
On 24 Dec, 2018
Posted 13 Aug, 2019
On 07 Nov, 2019
On 31 Jul, 2019
On 19 Jul, 2019
On 13 Jul, 2019
Received 13 Jul, 2019
Invitations sent on 12 Jul, 2019
On 04 Jul, 2019
On 03 Jul, 2019
On 03 Jul, 2019
On 10 Jun, 2019
Received 06 Mar, 2019
On 24 Feb, 2019
Received 23 Feb, 2019
On 18 Feb, 2019
Invitations sent on 18 Feb, 2019
On 08 Jan, 2019
On 08 Jan, 2019
On 04 Jan, 2019
On 24 Dec, 2018
Background: This report describes a case in which hyperopic femtosecond laser-assisted in situ keratomileusis (FS-LASIK) was performed following small incision lenticule extraction (SMILE) lenticule in situ implantation. Case presentation: The hyperopic left eye of a 46-year-old patient with refraction of +7.75 diopters sphere (DS)/-1.25 diopters cylinder (DC) 5° and corrected distance visual acuity (CDVA) of 20/50 mistakenly underwent the SMILE procedure for myopic astigmatism (-8.50 DS/-1.50 DC 175°) due to medical negligence. The extracted lenticule was subsequently re-implanted in situ. After 8 months, the left eye underwent FS-LASIK to correct hyperopia and astigmatism (+5.0 DS/-0.75 DC × 100°). Two years after FS-LASIK, corneal tomography showed no ectasia and microscopy revealed transparent cornea. The left eye exhibited CDVA of 20/50 with refraction of -0.75 DS/-0.25 DC × 165°. Conclusions: SMILE lenticule in situ implantation offers a solution for corneal volume and thickness restoration. FS-LASIK provides feasible correction of refractive error following lenticule re-implantation. Future studies are needed for determining the effectiveness of the treatment.

Figure 1

Figure 2

Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
Loading...