Accommodative changes after SMILE for moderate to high myopia correction.
BACKGROUND
To investigate accommodative response and accommodative lag changes after femtosecond laser small incision lenticule extraction (SMILE) for moderate to high myopia correction.


METHODS
A total of 32 eyes of 32 patients with no strabismus who underwent SMILE were enrolled in this prospective clinical study. The accommodative response was obtained viewing monocularly with spherical equivalent refractive error corrected, using an open-field autorefractor at different stimulus levels (2.00D, 2.50D, 3.00D, 4.00D and 5.00D) for the right eye before a standard SMILE surgery and at 1-month follow-up after surgery.


RESULTS
The mean age of the patients were 23.34 ± 2.90 years and the mean preoperative manifest refraction spherical equivalent was -5.74 ± 1.98 diopters. Significant differences were detected in both preoperative and postoperative accommodative responses to different stimulus levels (P < 0.001). Multiple linear regression model analysis revealed preoperative manifest refractive spherical equivalent (P = 0.006) and preoperative accommodative lag (P = 0.04) showed a significant impact on postoperative accommodative lag.


CONCLUSIONS
This is the first report of accommodative changes after SMILE. Our preliminary results showed that a decrease in postoperative accommodative lag that might be related to the relief of the visual discomfort symptom.
['Zheng|Ke|K|', 'Han|Tian|T|', 'Zhou|Xingtao|X|http://orcid.org/0000-0002-3465-1579']
D000065:Accommodation, Ocular D000328:Adult D003319:Corneal Stroma D048988:Corneal Surgery, Laser D005260:Female D006801:Humans D054018:Lasers, Excimer D008297:Male D009216:Myopia D011446:Prospective Studies D012029:Refraction, Ocular D054140:Refractive Surgical Procedures D012044:Regression Analysis D014792:Visual Acuity D055815:Young Adult
Accommodative response Accommodative lag Small incision lenticule extraction (SMILE) Visual discomfort symptom