Zeiss SMILE (Small Incision Lenticule Extraction) is a type of laser vision correction procedure. It aims to correct refractive errors, such as nearsightedness (myopia) and astigmatism.
SMILE is an alternative to traditional LASIK surgery. It does not create a flap. Instead, the advanced Visumax femtosecond laser shapes a contact lens inside the cornea – the front clear part of the eye. This is removed by the surgeon.
The entire procedure is painless. It offers several advantages, including a minimally invasive approach and rapid recovery time.
What is Zeiss SMILE Laser Vision Correction?
Zeiss SMILE is a laser vision correction surgery that improves vision for individuals with nearsightedness and astigmatism. It is a popular choice for those seeking freedom from glasses or contact lenses.
The goal of the procedure is to reshape the cornea. The cornea is the structure at the front of your eye responsible for focus and sight. During the procedure, a laser reshapes the cornea, correcting the refractive errors. This allows the light to properly focus on the retina, resulting in clearer vision.
The Zeiss SMILE eye procedure received FDA approval in 2016. Currently, it is FDA approved for the treatment of -1.00 to -10.00 D of myopia (nearsightedness). It can also treat -0.75 to -3.00 D of astigmatism.
Is Zeiss SMILE Eye Surgery right for you?
SMILE is an effective, safe vision correction option for those who meet certain criteria. According to the American Refractive Eye Surgery Council, a strong candidate for SMILE is:
- At least 22 years of age at the time of the surgery
- Has had a consistent vision prescription for one year
- Has a prescription for nearsightedness that is between -1.00 to -10.00 diopters
- OR has a prescription for astigmatism between -0.75 to -3.00 diopters
- AND a combined nearsightedness and astigmatism prescription no larger than 10.00 diopters
Most healthy adults who meet the above criteria are candidates for the SMILE procedure. The only way to know for sure is to schedule a consultation. Your eye surgeon will perform a series of simple, painless tests to determine your candidacy.
Click here to schedule a free consultation for Zeiss SMILE in Los Angeles.
Special Tests:
It is very important to perform certain special tests to confirm it is safe to do this procedure.
Tests may include:
- OCT pachymetry maps of the cornea and epithelium
- Colored corneal topography testing
- Pentacam scans
- Macular Scans
- Optical nerve scans
- Dry eye assessment
It is also crucial to obtain a current manifest refraction (a fresh prescription) to confirm the stability of eyes. If a person is wearing soft contact lenses they should be out of them at least 3 – 5 days. Hard contact lens wearers and Orthokeratology lens users should omit wearing them for at least 2 weeks.
How is Zeiss SMILE Eye Surgery performed?
During the Zeiss SMILE procedure, a Visumax femtosecond laser is used. The purpose is to create a small, lens-shaped piece of tissue called a lenticule within the cornea. A small incision, typically less than 4 mm, is then made to remove the lenticule. The removal of the lenticule changes the shape of the cornea, thereby correcting the refractive error.
There is a 120 micron zone of cornea called the cap which is left intact. This area has strong fibers and most corneal nerves. The thickness of the lenticule correlates to the amount of correction desired.
For safety, a residual bed of 250 micron is desired. The Experienced SMILE surgeon takes all these factors into consideration to assess the safety of the procedure.
Risks:
While Zeiss SMILE is generally considered safe, there are potential risks and complications associated with the procedure. These can include:
- Dry eyes
- Glare or halos around lights
- Temporary visual disturbances
- Infection
- Under-correction or over-correction of the refractive error
It is essential to discuss these risks with your surgeon before undergoing the procedure.
Getting Prepared:
To prepare for Zeiss SMILE surgery, you will need to undergo a comprehensive eye examination. The exam will determine your eligibility and suitability for the procedure.
Your surgeon will evaluate the health of your eyes and measure your refractive error. They will also discuss any pre-existing conditions or medications that may affect the surgery.
The cornea has to be within normal limits. This is determined by measuring the thickness of the cornea over hundreds of points. This generates a thickness map of the cornea. The thickness profile should fall within a certain acceptable range.
The shape of the cornea should be good.
What to Expect During the Procedure:
During the Zeiss SMILE procedure, you will be positioned under the laser device. First, anesthetic eye drops will be administered to ensure your comfort. The surgeon will then use the femtosecond laser to create the lenticule within your cornea.
Once the lenticule is formed, a small incision will be made to remove it. The entire process is usually quick and painless and lasts a few minutes.
After Zeiss SMILE:
After the procedure, you will be provided with eye drops to promote healing and prevent infection. You may experience some discomfort or mild irritation in the first few days, but it should subside gradually. Most people can resume normal activities within a day or two. Still, it’s essential to follow your surgeon’s post-operative instructions carefully.
How Much Does Zeiss SMILE Cost?
The cost of Zeiss SMILE laser vision correction in Los Angeles, CA in 2023 varies. Both the surgeon and the clinic can impact the final cost. However, the average cost is between $2,500 and $3,500 per eye.
Some clinics offer financing options. Thus, it is important to ask about the cost and payment options when you schedule a consultation.
Here are some of the factors that can affect the cost of Zeiss SMILE laser vision correction:
- The experience and skill of the surgeon
- The location of the clinic
- The length of free postoperative care
- Lifetime warranty included
- Drops and dry eye treatment are included
- The type of insurance you have
It is important to do your research and focus on the surgeon and the clinic before you gravitate towards the price. You should also ask about the surgeon’s experience with Zeiss SMILE laser vision correction and the clinic’s success rates.
Results:
Zeiss SMILE typically provides excellent vision correction results, with many patients achieving 20/20 vision or better. In our experience more than 95 % are 20/20 within a few days.
Be aware it can take a few weeks for your vision to stabilize. Only then will you fully appreciate the outcome of the procedure. Your surgeon will schedule follow-up appointments to monitor your progress and address any concerns.
Reviews:
Reviews of Zeiss SMILE laser vision correction have generally been positive. Patients appreciate the minimally invasive nature of the procedure. They benefit from the rapid recovery time, and the high level of precision offered by the Zeiss laser technology.
However, it is essential to consult with a qualified eye care professional. It’s the only way to determine if Zeiss SMILE is the right option for you, as individual experiences may vary.
“…After one quick consultation, I was able to get a procedure date the following day!
Dr. Khanna and his staff were very reassuring and it helped me relax throughout my experience.
Within a day, I was able to see clearly with 20/20 vision. No more hassle of prescription glasses and contact lenses! It’s the best gift to give yourself!…”
Julie
FAQ or Frequently Asked Questions
Eligibility
Q1. Who is eligible for Zeiss SMILE laser vision correction?
Eligibility for Zeiss SMILE laser vision correction depends on various factors, including the severity of your refractive error, the stability of your prescription, the health of your eyes, and your overall health. It is best to consult with an eye care professional who can evaluate your specific case and determine if you are a suitable candidate for the procedure.
Q2. Where can I get Zeiss SMILE laser vision correction?
Zeiss SMILE laser vision correction is performed by qualified eye surgeons who have access to the necessary equipment, such as the Zeiss VisuMax femtosecond laser. You can inquire about Zeiss SMILE at eye care centers or clinics that offer laser vision correction procedures. It’s important to choose a reputable and experienced surgeon for the best results.
Benefits
Q1. What are the benefits of Zeiss SMILE laser vision correction?
Zeiss SMILE offers several benefits compared to other vision correction procedures. These include a minimally invasive approach with a smaller incision, which can result in faster recovery and reduced risk of dry eyes. Zeiss SMILE also preserves more of the corneal structure, making it potentially beneficial for individuals with thinner corneas or those engaged in contact sports or other activities that may increase the risk of eye injury.
Side Effects
Q1. What are the risks of Zeiss SMILE laser vision correction?
Like any surgical procedure, Zeiss SMILE carries some risks. Potential risks include dry eyes, glare or halos around lights, temporary visual disturbances, infection, and under-correction or over-correction of the refractive error. It’s crucial to discuss these risks with your eye surgeon before making a decision.
Q2. What are some of the side effects of Zeiss SMILE laser vision correction?
Side effects of Zeiss SMILE can include dry eyes, glare, halos around lights, mild discomfort or irritation, light sensitivity, and temporary fluctuations in vision. These side effects are usually temporary and tend to resolve on their own during the healing process.
Q3. What are some of the risks associated with ReLex SMILE laser procedure?
The risks associated with Zeiss SMILE laser vision correction include infection, corneal haze, induced astigmatism, under-correction or over-correction of the refractive error, and the need for additional procedures to fine-tune the results. It’s important to discuss these risks with your eye surgeon and follow post-operative instructions carefully to minimize the likelihood of complications.
Costs
Q1. How much does Zeiss SMILE laser vision correction cost?
The cost of Zeiss SMILE laser vision correction can vary depending on factors such as the clinic, the surgeon’s experience, your location, and any additional services or tests required. It is best to consult with eye care centers or clinics in your area to get specific pricing information.
Q2. How much does SMILE cost in Los Angeles in 2023?
The cost of SMILE varies depending on location and surgeon experience but typically ranges between $2,800 to $3,500 per eye.
Financing
Q1. Can SMILE Be financed
Yes. You can even get $0 down 0% APR for 24 months through Care Credit or Alpheon.
Q2. Can I get preapproved for financing without affecting my credit score?
Yes you can do it with Alpheon financing.
Insurance
Is SMILE covered by insurance?
Most insurance companies consider SMILE an elective procedure and do not cover the costs. However, some plans may offer partial coverage or discounts, so it’s essential to check with your insurance provider.
Before Zeiss Smile
- What are some of the things I need to do to prepare for Zeiss SMILE laser vision correction?Preparing for Zeiss SMILE laser vision correction: Some steps to prepare for the procedure include:
- Having a thorough eye examination
- Discontinuing contact lens wear for a period advised by your doctor
- Avoiding eye makeup, lotions, or creams on the day of the surgery
- Arranging for transportation after the procedure, as you will not be able to drive immediately
Q2. What are some of the questions I should ask my doctor about Zeiss SMILE laser vision correction? Questions to ask your doctor about Zeiss SMILE: Some questions you may want to ask include:
- Am I a good candidate for SMILE?
- What are the risks and benefits of the procedure?
- How experienced are you with the SMILE procedure?
- What can I expect in terms of recovery and long-term results?
Q3. What are some of the resources I can use to learn more about Zeiss SMILE laser vision correction?Resources to learn more about Zeiss SMILE laser vision correction: Some resources include:
- Zeiss official website (www.zeiss.com)
- American Society of Cataract and Refractive Surgery (www.ascrs.org)
- American Academy of Ophthalmology (www.aao.org)
Q4. Where can I get SMILE?
SMILE is available at many specialized eye centers and clinics. Consult with an experienced ophthalmologist or refractive surgeon to find a suitable facility.
Q5. What are the qualifications of a SMILE surgeon:
A qualified SMILE surgeon should be a licensed ophthalmologist with specialized training and experience in performing refractive surgery. The surgeon should be certified in the SMILE procedure.
During
Q1. What should I expect on the day of my Zeiss SMILE laser vision correction?
On the day of Zeiss SMILE laser vision correction: Expect to have a final consultation with your surgeon, where they will answer any remaining questions and review the procedure. You will be given numbing eye drops and may be offered a mild sedative to help you relax. The eye will be cleaned by iodine based antiseptic. The procedure itself takes about 5-10 minutes per eye.
Q2. How long does SMILE take?
The procedure typically takes about 5-10 minutes per eye.
Q1. What should I expect on the day of my Zeiss SMILE laser vision correction?
On the day of Zeiss SMILE laser vision correction: Expect to have a final consultation with your surgeon, where they will answer any remaining questions and review the procedure. You will be given numbing eye drops and may be offered a mild sedative to help you relax. The eye will be cleaned by iodine based antiseptic. The procedure itself takes about 5-10 minutes per eye.
Q2. How long does SMILE take?
The procedure typically takes about 5-10 minutes per eye.
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After
Q1. What is the recovery time for Zeiss SMILE laser vision correction?
Recovery time for Zeiss SMILE is generally faster compared to other procedures. Most people can resume their normal activities, including work and exercise, within a day or two after the procedure. However, it may take a few weeks for your vision to stabilize and for you to experience the full benefits of the surgery.
Q2. What is the success rate of Zeiss SMILE laser vision correction?
Success rate of Zeiss SMILE laser vision correction: Zeiss SMILE has a high success rate, with over 90% of patients achieving 20/20 vision or better. However, success rates may vary depending on individual factors and the surgeon’s experience. In our Clinic it is 20/20 in over 95%of patients.
Q3. What are some of the things I need to do to care for my eyes after Zeiss SMILE laser vision correction?
After Zeiss SMILE laser vision correction: You may experience mild discomfort, itching, or tearing, which should subside within a few days. Your vision may be blurry initially but should improve within a few hours to a couple of days.
Q4. What are some of the things I can do to help my eyes heal after Zeiss SMILE laser vision correction?
Caring for your eyes after Zeiss SMILE: Some post-operative care tips include:
- Using prescribed eye drops to prevent infection and inflammation
- Wearing protective eyewear while sleeping for the first few nights
- Avoiding rubbing or touching your eyes
- Avoiding water activities and contact sports for a few weeks
- Follow your doctor’s recommendations for post-operative care, attend all follow-up appointments, and report any unusual symptoms or concerns.
Q5. What are some of the things I should avoid after Zeiss SMILE laser vision correction?
Things to avoid after Zeiss SMILE: Some activities to avoid include:
- Swimming or using hot tubs for a few weeks
- Strenuous exercise for at least a week
- Exposure to dusty or dirty environments
- Wearing eye makeup for at least a week
Q6. When can I expect to see my full results from Zeiss SMILE laser vision correction?
Full results from Zeiss SMILE: Most patients experience significant improvements in vision within a few hours to a couple of days. Full results, however, can take a few weeks to a few months, as your eyes continue to heal and adjust.
Q7. What are some of the things I can do to maintain my vision after Zeiss SMILE laser vision correction?
Maintaining vision after Zeiss SMILE: To maintain good vision, have regular eye exams, follow a healthy lifestyle, protect your eyes from the sun with UV-blocking sunglasses, and maintain a balanced diet rich in eye-healthy nutrients.
Zeiss Smile and Lasik
Q1. What is the difference between SMILE and LASIK?
SMILE (Small Incision Lenticule Extraction) involves creating a small incision and removing a lenticule of corneal tissue, while LASIK (Laser-Assisted In Situ Keratomileusis) involves creating a corneal flap and reshaping the cornea with an excimer laser. Both procedures correct refractive errors, but their techniques differ. SMILE is a one step painless procedure. Lasik eye surgery is a 2 step procedure.
Q2. What are the Benefits of SMILE over LASIK: Some benefits include:
- Less disruption to corneal nerves, potentially reducing dry eye issues
- No need for a corneal flap, reducing the risk of flap-related complications
- May be suitable for patients with thinner corneas
Q3. How are the results of the two procedure in 2023?
Since its FDA approval in 2016 SMILE Vision correction has come a long way. The results of Lasik and SMILE are comparable. The improvement has come from advancement in technology and refinement in algorithms from millions of procedure having been accomplished. As surgical skill has improved the procedure time has decreased to a few seconds.
Q4. Which is safer?
SMILE is safer as there is no flap, which can be displaced or dislodged. In lasik the interface ( where laser is performed) and the flap are exposed to the atmosphere. Therefore they can pick up debris and even bugs. there is no such exposure in SMILE.
Q4. Is it true that SMILE can only correct simple forms of nearsightedness (myopia) and astigmatism?
No. SMILE can treat upto 10 D of nearsightedness and 3 D of astigmatism. Anything beyond this would not be safer for Lasik either. In such cases EVO ICL is preferred.
Q5. Which indus LESS dry eyes.
SMILE induces less dry eyes as it gentler to the corneal nerves.
Q6. My doctor quotes studies from 2016 saying SMILE makes 4 incisions and takes weeks to heal and leads to blurry vision. is this true?
It is not true in 2023. Like Lasik has evolved since its inception, SMILE has not only advanced but overtaken LASIK. That is why lot of lasik surgeons not skilled in SMILE are creating confusing names for lasik like Z lasik, eagle lasik, microlasik, thin lasik, and so on.
SMILE and PRK
Q1. Difference between SMILE and PRK:
SMILE involves creating a small incision and removing a lenticule of corneal tissue, while PRK involves removing the corneal epithelium and reshaping the cornea with an excimer laser.
Q2. Benefits of SMILE over PRK: Some benefits include:
- Faster recovery time compared to PRK
- Less postoperative pain and discomfort
Misc Questions:
- Expectations before, during, and after SMILE: Before SMILE, you’ll undergo a thorough eye examination and consultation. During the procedure, you’ll receive numbing eye drops and may be offered a mild sedative. After SMILE, you’ll need to follow post-operative care instructions and attend follow-up appointments.
- Risks of not having SMILE: If you choose not to have SMILE, you’ll continue to experience your refractive errors. This will necessitate the use of glasses or contact lenses.
- Benefits of not having SMILE: Not undergoing SMILE eliminates the risks associated with the procedure and the cost involved.
- Alternatives to SMILE: Other refractive surgery options include
- LASIK
- PRK (Photorefractive Keratectomy)
- LASEK (Laser-Assisted Subepithelial Keratectomy)
- ICL (Implantable Collamer Lens) surgery