Frequently Asked Questions

SMILE stands for Small Incision Lenticule Extraction and reduces or eliminates the need for eyeglasses or contact lenses. In 2016, the FDA-approved the SMILE laser vision correction procedure to treat patients with nearsightedness and in 2018, the FDA approved the VisuMax laser used for SMILE for the treatment of nearsightedness and astigmatism, enabling a larger number of patients to be treated with SMILE too

While the procedure was approved in the US in 2016, it has been available in other countries since at least 2006 with more than 5 million procedures performed worldwide. According to the American Refractive Surgery Council, over 600 clinical studies have shown that the SMILE is equally safe and effective as LASIK, with similar long term outcomes.

During your complimentary consultation, we will examine and measure your eyes. We will:

  • Check the overall health of your eyes.
  • Test your vision, measure your current glasses and measure your glass prescription to make sure that your vision is stable. We want to ensure that your vision has not changed as well as measure how high your nearsightedness is and the amount of your astigmatism. These must fall into certain parameters to be a good candidate.
  • Check for other eye problems that could affect your surgery and recovery or that aSMILE procedure could worsen.
  • We will also easure and take a topographic map of the front surface of your eye known as the cornea. We will check the thickness of your cornea and take precise measurements of the cornea's inner and outer surface. These measurements are necessary for the software programs that the laser uses during your surgery to reshape your cornea.
  • Measure your pupil size.

Additionally, we will discuss your general health, any chronic health issues, the health of your eyes, any history of eye surgery or issues, your lifestyle and your goals and expectations. Then we will determine if SMILE laser vision correction is the best procedure for you to achieve the best possible vision for your eyes and lifestyle.

Before beginning, the laser is programmed with the measurements taken during your comprehensive consultation.

Your eyes will be numbed with eye drops and you will be given a mild sedative..

Then Dr. Feldman will place an eyelid holder on your eye to keep you from blinking during the procedure.

Step 1: Create a thin disc of corneal tissue
The Visumax femtosecond laser uses small gas bubbles to create a thin disc of tissue within the layers of the cornea without disturbing the surface of the cornea. The shape of the disc is like the shape of a contact lens -- it is thicker in the center and thinner at the edge.  The disc is called a lenticule. 

Step 2: Remove the thin disc of tissue
The laser creates a small opening -- approximately 4 mm in the length in surface of the cornea.. whose purpose is to remove the lenticule.

Step 3: Vision correction is achieved
The disc removal allows for a change in the shape of the cornea to improve vision. 
The whole procedure takes about 15 minutes.

And the small opening heals within a few days without stitches. Sharper vision is achieved very quickly.

Get Started with LASIK

Schedule your free LASIK exam with Dr. Sandy T. Feldman and see how LASIK can change your life.

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LASIK is a medical procedure with risks involved and isn't right for everyone. Individual results may vary. Talk to your eye doctor and consider both the risks and benefits before having the procedure. Additional information can be found at our website or at the material contained on this site is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider.

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