Zeiss VisuMax ReLEx SMILE | Small Incision Lenticule Extraction | Manila

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VisuMax ReLEx SMILE

We are proud to offer the latest generation premium minimally-invasive laser refractive surgery procedure for patients with nearsightedness and astigmatism, VisuMax ReLEx SMILE (Small Incision Lenticule Extraction). This is a flapless, bladeless form of laser eye surgery which effectively turns laser eye surgery into a keyhole or pocket procedure. Patients with very high prescriptions, drier eyes, contact lens intolerance and/or thinner corneas may now be qualified for surgery.

Laser refractive surgery procedures using the Excimer Laser such as PRK (Photorefractive Keratectomy) and LASIK (Laser Assisted in-situ Keratomileusis) and have been successfully performed on several millions of patients over the past two decades around the world. These procedures are very effective in restoring spectacle-free clear vision with a few associated issues such as delayed visual recovery and discomfort in PRK and corneal flap complications in LASIK.

Refractive Lenticule Extraction (ReLEx) in the form of SMILE was developed by Carl Zeiss Meditec to address Excimer issues with the VisuMax Femtosecond laser platform.

During the procedure, eye anaesthetic drops are used to completely numb the eye, and the state-of-the-art Carl Zeiss VisuMax laser places a series of pulses in the centre of the cornea with extraordinary 3D placement accuracy. These pulses form bubbles that are less than 1/100th the width of a human hair, and which outline the tissue that needs to be removed to effectively change the shape of the cornea. The laser then creates a tiny connecting tunnel through which the surgeon draws out this tissue.

With ReLEx SMILE, no flap is created, so the healing time is faster than conventional LASIK. The procedure takes a matter of minutes, and the vision is 80% better instantly and reaches 100% within a few days. No other laser platform has been able to match the accuracy of the Carl Zeiss VisuMax (which is accurate enough to inscribe a word on a grain of sand) in producing this keyhole type of laser eye surgery.

Animation | SMILE

eMedicine SMILE teaser

eMedicine Medscape ReLEx SMILE

Dr. Manolette Roque published a manuscript on VisuMax ReLEx SMILE at Medscape Emedicine. Click on the image or this link to view the entire manuscript.

COMPARISON OF LASER REFRACTIVE SURGERIES

RELEX SMILE FEMTOLASIK PRK
LASER REFRACTIVE SURGERY Refractive Lenticule Extraction - Small Incision Lenticule Extraction Femtosecond Laser Assisted In Situ Keratomileusis Photorefractive Keratectomy
A.K.A. SMILE, bladeless flapless laser refractive surgery; pocket laser refractive surgery; beyond LASIK; MILE FS-LASIK, bladeless LASIK, all laser LASIK LASEK, ASA, advanced surface ablation, advanced surface treatment
GENERATION 3rd Generation (bladeless, flapless) 2nd Generation (bladeless) 1st Generation (surface)
REFRACTIVE SUITE VisuMax VisuMax + MEL80 MEL80
LOCATION St Luke's BGC St Luke's BGC St Luke's BGC
CONSULT DR. MANOLETTE ROQUE Book now Book now Book now
Soft Contact Lens Holiday 1 week 1 week 1 week
SUITABILITY SCREENING 4,624.96 4,624.96 4,624.96
SAME DAY SCREENING/SURGERY Possible Possible Possible
COST (in Philippine Pesos) 127,435.50 75,000.00 (from 98,000) 67,193.10
INCLUDED POST-OP VISITS Day 1, Week 1, Month 1, 3, 6, 9, 12 Day 1, Week 1, Month 1, 3, 6, 9, 12 Day 1, Week 1, Month 1, 3, 6, 9, 12
REQUIRED POST-OP VISITS Day 1 Day 1 Day 1, Week 1
LIMITED WARRANTY Included Included Included
BLADELESS Yes Yes Yes
FLAPLESS Yes --- Yes
INDICATION: up to -10.0D myopia (nearsightedness) Yes Yes Yes
INDICATION: up to -5.0 D astigmatism Yes Yes Yes
INDICATION: up to +3.0 D hyperopia (farsightedness) --- Yes Yes
EPITHELIAL ABRASION --- --- 8-10 mm
BANDAGE CONTACT LENS --- --- Yes
DISCOMFORT 2-4 hours 4-6 hours 3-4 days
HAZE 1-7 days --- 3-4 weeks
DOWNTIME at least 1 day at least 1 day at least 1 week
POST-OP MEDICATIONS at least 1 week at least 1 week at least 1 month
SPORTS SAFETY Yes --- Yes
UCVA 20/40 almost 100% almost 100% almost 100%
UCVA 20/20 at least 90% at least 90% at least 90%
DRY EYE SYMPTOMS Mild, transient Mild, transient Mild, transient

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