A comprehensive guide to SMILE Refractive Procedure

SMILE Refractive Procedure

Summary:

SMILE is a flapless, minimally invasive laser procedure offering fast recovery, reduced dryness, and stable vision correction for suitable candidates, making it a modern alternative to traditional refractive surgeries like LASIK.

Key Takeaways:

  • SMILE preserves corneal strength better due to its micro-incision, flap-free laser approach.
  • Patients typically resume daily activities faster because healing demands minimal post-surgery restrictions.
  • SMILE significantly reduces dry-eye risk by maintaining more natural corneal nerve function.
  • Not suitable for all; candidates need stable prescriptions and healthy corneal thickness.
  • Cost varies widely, influenced by technology, surgeon expertise, and clinic infrastructure.

When it comes to modern vision correction, the SMILE procedure for eyes has quickly become a preferred alternative to traditional LASIK. SMILE — Small Incision Lenticule Extraction — is an advanced femto laser-assisted technique that reshapes the cornea to correct refractive errors such as myopia and astigmatism. Its minimally invasive nature and high precision make it a reliable choice for patients seeking long-term visual clarity. 

What Exactly Is SMILE Surgery?

In the SMILE surgery procedure, a femtosecond laser creates a thin lenticule within the cornea. Through a micro-incision of just 2–4 mm, the surgeon gently removes this lenticule, altering the eye’s curvature to restore clear vision. This flap-free technique not only ensures structural stability of the cornea but also significantly reduces the chances of post-operative discomfort. Because no flap is created, the eyes tend to heal faster, and activities like rubbing your eyes or returning to daily routines pose fewer risks. 

Who Is a Good Candidate?

Ideal candidates are individuals aged 18 or older with a stable refractive prescription for at least 6-12 months. SMILE is particularly effective for those with myopia and mild to moderate astigmatism. Another major advantage is that the tiny incision helps preserve more corneal nerves, lowering the likelihood of post-surgery dry eye, a common concern with other laser procedures.

What is a SMILE refractive procedure?

SMILE refractive procedure, or Small Incision Lenticule Extraction surgery, is performed using a femtosecond laser to create a small lenticule in the cornea.

After the lenticule is created, a small incision is made using the laser, through which the doctors extract the lenticule. This lenticule extraction helps to change the shape of the cornea, which further helps to achieve the desired refractive changes in the eye.

Note that:

  • SMILE refractive procedure is a relatively new surgical procedure that has similar effects as LASIK surgery.
  • Myopia, hyperopia, and astigmatism are conditions that can be treated using the SMILE refractive procedure.
  • As it is a LASER surgery, a SMILE refractive procedure is a minimally invasive procedure, and the surgical site heals in a short period.
  • Before going for a SMILE refractive procedure, your eye doctor will probably suggest switching to glasses before the surgery if you have been using lenses. The corrective glasses you use should be stable for at least a year before the planned surgery.
  • SMILE refractive procedure is a relatively safer surgery and has fewer complications.

SMILE Refractive Procedure Advantages

  • SMILE refractive procedure is a minimally invasive procedure as the incision made is minute, up to 3 mm. Hence, the treatment and healing are faster, with very few SMILE refractive surgery complications.
  • Chances of dryness of the eye and dehydration are less following the SMILE refractive procedure as compared to other laser surgeries.
  • As the incision made during the SMILE refractive procedure is small, it also affects only a few corneal nerves. As a result, it causes fewer disturbances to the nerves and provides more stability to the cornea.

Cost of SMILE Surgery in India

One of the most common questions people have is about the SMILE procedure cost. At Centre for Sight, the cost typically starts from around ₹1,30,000 for both eyes. The final SMILE procedure cost may vary depending on factors such as the clinic location, the surgeon’s experience, the technology used, and the level of post-operative care required.

SMILE Refractive Procedure Complications

Just like every other surgery, the SMILE refractive procedure also has some complications. Following are a few of the common complications seen following SMILE refractive procedure-

  • SMILE refractive procedure may leave your vision overcorrected or undercorrected. However, these defects can be cleared by additional surgery or the use of glasses or contact lenses.
  • Inflammation and/or infection to the treated area following the SMILE refractive procedure can be seen, but these usually go away naturally or with minimal treatment.
  • Some patients also complain of seeing glare and halos around light, particularly at night.

Why choose Centre For Sight?

Now that we have had an overview of SMILE refractive surgery, you must be wondering how to find the best SMILE refractive surgery hospital. You need not worry! Centre for Sight got you covered. We have a well-qualified and verified team of doctors and healthcare professionals to provide you with the best service possible. With more than 45 eye care centres around the country, we aim at providing you with the best specialized and professional eye care. Our doctors and staff will assist you throughout the procedure.

So, if you plan to go for SMILE refractive surgery or any other laser corrective eye surgeries or just want information about any eye-related procedures, visit your nearest CFS centre. Our team will make sure to guide you through the entire process.

FAQs

What is the SMILE procedure for eyes?
The SMILE procedure for eyes is a flap-free laser technique correcting refractive errors.

Is the SMILE refractive procedure better than LASIK?
The SMILE refractive procedure offers faster recovery and less dryness than LASIK.

How much does the SMILE procedure cost in India?
The SMILE procedure cost in India usually starts around ₹1,30,000 for both eyes.

Who can undergo the SMILE surgery procedure?
The SMILE surgery procedure suits adults with stable prescriptions and moderate myopia or astigmatism.

How safe is the SMILE refractive procedure?
The SMILE refractive procedure is highly safe with minimal complications and quick healing.

When can I use my phone or laptop after SMILE?
Light screen use is usually possible within 24 hours, but frequent breaks and lubricating drops are advised initially.

Does SMILE surgery affect future eye treatments?
SMILE does not prevent future eye treatments such as cataract surgery if needed later in life.

Can SMILE be repeated if my power changes later?
In rare cases where enhancement is required, your surgeon will suggest the safest option based on corneal health.

Is SMILE suitable for people with active lifestyles or sports habits?
Yes, since there is no flap, SMILE is often preferred for people involved in sports or physically active routines.

Will I need glasses immediately after SMILE surgery?
Most patients do not need glasses for distance vision after recovery, though temporary use may be advised during healing.

SMILE Refractive Procedure

A comprehensive guide to SMILE Refractive Procedure