Background: To compare the changes in the anterior segment after femtosecond laser in situ keratomileusis (FS-LASIK) and small incision lenticule extraction (SMILE) using a dual rotating Scheimpflug (DRS) analyzer (Galilei®; Ziemer Ophthalmology, Port, Switzerland).Methods: A total of 218 eyes of 109 patients who underwent FS-LASIK or SMILE for myopic correction were retrospectively studied. Ninety-eight eyes of 49 patients who underwent FS-LASIK were compared to 120 eyes of 60 patients treated with SMILE. A DRS analyzer was used for preoperative and 6-month postoperative anterior segment analyses. Measured variables included the central corneal thickness (CCT), anterior chamber depth (ACD), anterior and posterior keratometry (K), anterior and posterior best-fit sphere radius, and maximum posterior elevation (MPE).Results: After the procedure, the amount of CCT decrease was higher in the SMILE group than in the FS-LASIK group, but it was not statistically significant. The MPE was significantly increased after both procedures (p < 0.001 and p = 0.001 in the FS-LASIK and SMILE groups, respectively), with the amount of elevation being higher after FS-LASIK than after SMILE even though it was not statistically significant. And there was a significant change in the steep and average posterior K in the FS-LASIK group (p = 0.006 and 0.001, respectively), but not in the SMILE group.Conclusions: Regarding changes in the MPE and posterior K, changes in the posterior corneal surface were greater after FS-LASIK than after SMILE.

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On 22 Nov, 2019
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On 20 Nov, 2019
Posted 11 Oct, 2019
On 19 Nov, 2019
Received 06 Nov, 2019
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On 24 Oct, 2019
On 20 Aug, 2019
On 19 Aug, 2019
On 19 Aug, 2019
On 04 Aug, 2019
Received 10 Jul, 2019
On 03 Jul, 2019
Invitations sent on 30 Jun, 2019
On 30 May, 2019
On 30 May, 2019
On 30 May, 2019
On 22 May, 2019
Received 20 May, 2019
Received 15 May, 2019
On 09 May, 2019
On 06 May, 2019
On 17 Apr, 2019
Invitations sent on 17 Apr, 2019
On 10 Apr, 2019
On 10 Apr, 2019
On 19 Mar, 2019
On 22 Nov, 2019
On 21 Nov, 2019
On 20 Nov, 2019
On 20 Nov, 2019
Posted 11 Oct, 2019
On 19 Nov, 2019
Received 06 Nov, 2019
Invitations sent on 24 Oct, 2019
On 24 Oct, 2019
On 20 Aug, 2019
On 19 Aug, 2019
On 19 Aug, 2019
On 04 Aug, 2019
Received 10 Jul, 2019
On 03 Jul, 2019
Invitations sent on 30 Jun, 2019
On 30 May, 2019
On 30 May, 2019
On 30 May, 2019
On 22 May, 2019
Received 20 May, 2019
Received 15 May, 2019
On 09 May, 2019
On 06 May, 2019
On 17 Apr, 2019
Invitations sent on 17 Apr, 2019
On 10 Apr, 2019
On 10 Apr, 2019
On 19 Mar, 2019
Background: To compare the changes in the anterior segment after femtosecond laser in situ keratomileusis (FS-LASIK) and small incision lenticule extraction (SMILE) using a dual rotating Scheimpflug (DRS) analyzer (Galilei®; Ziemer Ophthalmology, Port, Switzerland).Methods: A total of 218 eyes of 109 patients who underwent FS-LASIK or SMILE for myopic correction were retrospectively studied. Ninety-eight eyes of 49 patients who underwent FS-LASIK were compared to 120 eyes of 60 patients treated with SMILE. A DRS analyzer was used for preoperative and 6-month postoperative anterior segment analyses. Measured variables included the central corneal thickness (CCT), anterior chamber depth (ACD), anterior and posterior keratometry (K), anterior and posterior best-fit sphere radius, and maximum posterior elevation (MPE).Results: After the procedure, the amount of CCT decrease was higher in the SMILE group than in the FS-LASIK group, but it was not statistically significant. The MPE was significantly increased after both procedures (p < 0.001 and p = 0.001 in the FS-LASIK and SMILE groups, respectively), with the amount of elevation being higher after FS-LASIK than after SMILE even though it was not statistically significant. And there was a significant change in the steep and average posterior K in the FS-LASIK group (p = 0.006 and 0.001, respectively), but not in the SMILE group.Conclusions: Regarding changes in the MPE and posterior K, changes in the posterior corneal surface were greater after FS-LASIK than after SMILE.

Figure 1

Figure 2
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