r/SMILEeyesurgery

26years old man and am a bit scared and sometimes confused. I think of doing this surgery asap and then I just postpone it. My eyesight is -5.25 on the left eye and -5.75 on the right. Sometimes I feel like my eyes are tired and especially my right eye. I did the procedures and the controls they need before doing a surgery and they suggested me SMILE procedure. I am not sure what would be some side effects of this in long-term.. even though they were pretty posivite that eyesight will be perfect afterwards.

Please, any info to share or experience would be really helpful for me.

Planning to get ICL surgery, complications are that I have had retina Detachment surgery in my right eye in year 2013 and a laser to remove lattice in my left eye. After Retina detachment my eye power became -9.50 in my right eye and -6.50 in my left eye. I also have minor cylindrical eye power in my right eye. I am 37 years old and have high screen time due to my job. I want lead an active life without spectacles, swimming, underwater diving etc..which I couldnt do because of my specs. Tell me if ICL is good option, what about cataract and short sightedness after 40 years.

I had smile pro a little less than 2 months ago. Had -3 CYL and -1.5 SPH on both eyes. My vision was quite unstable in the first weeks following the surgery but it got eventually better. However, I still deal with a reflection-like artifact beneath the actual object in high-contrast settings such as white text on black or neon lights at dark. The amount of ghost/reflection change as my eyes (or lens?) try to auto-focus.

Things that give me hope that this can still resolve with time:

(1) Putting on drops seems to help a bit but that lasts only half a minute and even then the amount of ghosting only decreases, it doesn't completely disappears.

(2) The problem was more pronounced in the first week so that I'd see the effect also during the day. It got better.

Now my question: can this be due to the decentered treatment? If yes, do I have to live with this or can it be corrected with topo-guided PRK or sth similar? I have about 430 microns of cornea left.

I must also mention that my contrast perception have changed ever since I had the surgery. I notice my floaters more even though I don't see any new ones. I suspect the two issues might be related because I have the ghosting problem as mentioned only at high-contrast situations. Otherwise, I don't see any ghost image in lower-contrast scenes.

Pre-condition:
TBUT left : >10 (50% meibomian loss)
TBUT right : \~2.8 (55% meibomian loss)
Oil quality wasn’t good

(did 2 laser sessions and hotmask + cequa + hyalo for about 30 days)

I did a SMILE surgery about a month and half ago,
and the very next day I worked on the screen for about 8 hours, and next day my right eye was swollen so doctor increased steroid drops, took off for 3-4 days and gave a rest to eyes, but i wasn’t able to see clearly, they checked and it was because of loose epithelium and microscopic wrinkles.
after around 10 days my left eye seemed to ve recovering fine, but right eye wasn’t (trapped fluid) so doctor performed medical wash on the right eye.

been about 1 month and 5 days after the medical wash on the right eye, I think my vision improved a bit comparatively but smaller text ata distance I cannot read, I always have this feeling of I am not able to see what I could have with glasses.

Given my condition of sever dry eyes and 50-50%
meibomian loss in eyes respectively , had loose epithelium and microscopic wrinkles post surgery (don’t know current conditions for them),

drops I use daily: (doctor recommended)

(2x Cequa, 3x Hyalo, 3x Sofi , 2x refresh optive mega-3)

**Will I ever achieve the same results as wearing glasses at the minimum? what sort of timeline am I looking at here?**

also I am a software engineer so 8 hours minimum on the screen! (do follow 20-20-20 rules post surgery almost everytime)

one more thing my vision is better in the morning comparative to evenings

I know this was a stupid decision on my end and regretted from Day 1, but at this stage can’t reverse it,

hi,
I'm 39,m and 11 days post-op after SMILE-PRO. The surgery itself was absolutely no problem for me personally, however, the surgeon apparently had some slight difficulties removing both lenticules. It was a bit more difficult on the left than on the right. On my left eye, after about a minute, I heard the following sentence: "Okay, and now I've got it and it's out. There are still two cells that I'll flush out... and yes, that was it."

Anyway, the next day I was far from seeing clearly, but it got better day by day, at least in my right eye. On day four, I had my first examination. The ophthalmologist (not the surgeon) said everything had gone well and the incision had already healed. I had 50% vision in my left eye and 75% in my right; it would still take some time. And you could see that there had been difficulties removing the lenticules. Therefore, I would have to be more patient.

Eleven days later, my right eye is at a point where I would say it's "okay." Not perfect, but fine for distance vision. But my left eye is far from it. My vision is very blurry, and I can't focus on any text at a distance. It's a different kind of blur, like when you don't use your eye drops proper. It's more like I just need glasses again in my left eye. It doesn't matter whether I use drops or not, my left eye just doesn't get properly sharp. For the past five days, I've also had the feeling that absolutely nothing is improving.

Is this normal? Do I really just need to be patient, or should I already be mentally preparing myself for TransPRK?