No LASIK flap
SMILE Pro removes a corneal lenticule through a small incision rather than lifting a conventional LASIK flap.
Clear vision. No LASIK flap. Less time under the laser.
SMILE Pro uses the next-generation ZEISS VISUMAX 800 platform to correct eligible nearsightedness and astigmatism through a small incision. Dr. Rajesh Khanna evaluates the whole eye—and your real life—before recommending it.
Built for real life—not just the exam room
Glasses fog at the gym. Contacts can dry out after long screen days, late nights, or hours outdoors. For eligible adults, SMILE Pro offers a flapless way to reduce dependence on both.
SMILE Pro removes a corneal lenticule through a small incision rather than lifting a conventional LASIK flap.
ZEISS reports lenticule creation in less than 10 seconds for myopia under specified treatment conditions.
A flapless approach may be attractive for active people. Recovery restrictions still apply, especially for water and contact sports, but are significantly reduced compared to LASIK.
SMILE Pro is one option. Corneal shape, prescription, age, dry eye, and goals decide whether it is your option.
The laser step can be extremely fast. The total procedure—including preparation, examination, treatment, and time at the center from start to finish—takes longer. “Fast” does not mean rushed.
SMILE vs. SMILE Pro
Regular SMILE and SMILE Pro are both small-incision lenticule extraction procedures. In each, a femtosecond laser creates a thin lenticule inside the cornea, and the surgeon removes it through a small opening. The “Pro” refers mainly to the newer VISUMAX 800 platform and its digitally assisted workflow.
| Feature | SMILE | SMILE Pro |
|---|---|---|
| Core method | Small-incision lenticule extraction | Small-incision lenticule extraction |
| LASIK flap | No conventional flap | No conventional flap |
| Laser platform | Earlier-generation ZEISS VisuMax | Next-generation ZEISS VISUMAX 800 platform |
| Laser delivery | Prior-generation treatment speed (~25s) | Lenticule creation in less than 10 seconds for myopia under ZEISS-specified conditions* |
| Alignment support | Earlier workflow and surgeon-guided alignment | CentraLign centration aid and OcuLign cyclotorsion adjustment |
| Digital workflow | Earlier data and planning workflow | Updated data workflow, including VISULYZE user nomograms |
| Patient experience | Flapless, small-incision treatment | Same flapless method with a potentially shorter laser/docking experience |
| What still matters | Diagnosis, candidacy, planning, surgeon technique, healing | Exactly the same—and no less important |
* ZEISS data on file for myopia with a 6.5 mm optical zone. Individual settings vary.
SMILE Pro is not a different category of eye surgery. It is the next-generation platform for performing SMILE. A newer laser can streamline the experience; it cannot make the wrong candidate right or guarantee a better result—nor can it turn a no into a yes.
Excellent refractive surgery is a chain. Every link has to hold: accurate diagnostics, careful candidate selection, a sound surgical plan, appropriate technology, precise technique, and disciplined aftercare.
The SMILE Pro process
The details are sophisticated. The patient journey is straightforward. Your exact treatment plan and recovery instructions are individualized by Dr. Khanna.
Corneal scans and eye-health testing.
Drops numb the eye; the laser docks.
Lenticule is made, then removed.
Drops, rest, and scheduled follow-up.
Detailed refraction, corneal topography or tomography, thickness measurements, ocular-surface testing, and an eye-health examination determine whether SMILE Pro is appropriate.
Anesthetic drops numb the eye. A contact interface stabilizes it under the laser. You remain awake and may notice pressure or a temporary change in what you see.
The femtosecond laser creates the lenticule and access opening. Dr. Khanna separates and removes the lenticule through that small opening, reshaping the cornea.
Your eye is checked, drops and restrictions are reviewed, and someone drives you home. Follow-up is part of the procedure—not an optional add-on.
ZEISS reports less than 10 seconds to create the lenticule for myopia under specified conditions.
The laser and lenticule-removal steps take minutes, not hours. Individual treatment time varies.
Preparation, verification, surgery, post-operative checks, and instructions mean your visit is much longer than the laser time.
Pressure, suction, dimming or unusual visual sensations can occur. Numbing drops are used; significant pain is not generally expected during treatment.
Arrange a driver. Do not drive immediately after treatment. Resume driving only when Dr. Khanna confirms your vision is adequate and you meet legal requirements.
Dr. Rajesh Khanna, MD | Beverly Hills
Choosing SMILE Pro means choosing more than a machine.
Dr. Khanna is a board-certified ophthalmologist and fellowship-trained corneal and refractive surgeon. He has performed more than 25,000 vision procedures. His role is not merely to operate—it is to decide whether operating is the right choice, which procedure fits the eye, and how to manage the result.
At Khanna Vision Institute, the consultation should answer a more useful question than “Can I have SMILE Pro?” The real question is: “Which vision-correction strategy best fits my cornea, prescription, ocular surface, age, work, sports, and visual goals?”
The goal is not to place every patient into the newest procedure. The goal is to identify the safest, most appropriate path to the vision that matters in that patient’s life.
Could SMILE Pro fit your eyes?
Current U.S. SMILE labeling is for the reduction or elimination of myopia with or without astigmatism in appropriately selected adults. A comprehensive evaluation is essential because a glasses prescription alone does not reveal whether the cornea is safe for laser correction.
Measures the prescription and confirms stability.
Maps the corneal surface and curvature.
Evaluates front and back corneal structure.
Measures corneal thickness and how that thickness is distributed.
Assesses guided / corrected visual acuity as part of surgical planning.
Assesses tear film, inflammation, and dry eye.
Reviews the cornea, lens, retina, optic nerve, and relevant medical history.
Correcting distance vision does not stop presbyopia—the natural age-related loss of near focus. Dr. Khanna should discuss your reading, computer, night-driving, and long-term lens needs before recommending corneal laser treatment. A distance-only fix can be the wrong answer to a distance-and-near problem.
Depending on the findings, Dr. Khanna may discuss LASIK or SuperLASIK, ASA/PRK, EVO ICL, a lens-based strategy, continued glasses or contacts, dry-eye treatment before reconsideration, or observation. The newest procedure is useful only when it is the right procedure.
Quick for many. Still surgery for everyone.
Many patients notice meaningful improvement quickly, sometimes by the next day. Healing speed, comfort, and activity clearance vary. Follow Dr. Khanna’s instructions rather than a generic social-media timeline.
Expect hazy or blurred vision, watering, light sensitivity, mild irritation, or a foreign-body sensation. Use prescribed drops, rest, do not rub the eyes, and have someone drive you home.
Vision often improves, but may fluctuate. Attend the scheduled follow-up. Return to desk work or screens only as comfort and your surgeon allow.
Use drops exactly as directed, take screen breaks, blink frequently, wear sunglasses outdoors, and protect the eyes from dust, smoke, and accidental rubbing.
Light activity may return sooner than strenuous or contact activity. Wait 2–3 weeks for swimming, hot tubs, or oceans. Martial arts, boxing, racquet sports, and other trauma-risk activities require explicit clearance.
Avoid eye makeup and products that could enter or contaminate the eye until cleared. Restart carefully and do not rub eyes.
Do not drive until you feel comfortable with the vision. Travel may be possible early, but keep drops with you, protect the eyes, and preserve follow-up access.
Phone and computer use does not undo the surgical correction. It can, however, make temporary dryness, fatigue, and blur more noticeable. Use short sessions, frequent blinking, regular breaks, and the drops Dr. Khanna recommends.
Significant or increasing pain, sudden vision loss, rapid deterioration, marked redness, discharge, severe light sensitivity, or any symptom that feels out of proportion to the recovery plan.
Why people consider SMILE Pro
No conventional LASIK corneal flap is created.
The lenticule is removed through a small access opening.
VISUMAX 800 creates the lenticule in less than 10 seconds for myopia under specified ZEISS conditions.
Many suitable patients experience meaningful improvement soon after treatment.
The goal is to reduce reliance on glasses or contact lenses.
SMILE affects corneal nerves differently from LASIK; dry eye can still occur, but much less.
Keep it honest
Possible side effects and complications include temporary blur or fluctuation, dryness, light sensitivity, glare, halos, starbursts, undercorrection, overcorrection, residual prescription, regression, inflammation, infection, reduced visual quality, corneal complications, and the possible need for glasses, contact lenses, observation, or additional treatment.
Healing is a process, not a switch.
Excellent outcomes are common; guarantees are not medicine.
A flapless procedure does not eliminate ocular-surface symptoms.
Additional surgery depends on stability, tissue, shape, and eye health.
Presbyopia, cataracts, and natural refractive changes can alter vision later.
Good vision on day one does not replace scheduled care of follow-up visits.
Not universally. SMILE Pro and LASIK use different surgical approaches and each has advantages, limitations, and approved indications. For an appropriate candidate, both can produce strong refractive outcomes. The better procedure is the one that best matches the patient’s anatomy, prescription, ocular surface, lifestyle, and visual goals.
Khanna Vision Institute can promise a careful evaluation and a clear recommendation. We cannot promise perfect vision, zero risk, permanent freedom from glasses, or the same recovery for everyone.
One option—not the only option
No. SMILE Pro removes a lenticule through a small incision. LASIK creates a corneal flap and uses an excimer laser to reshape tissue beneath it.
No flap is created.
It uses a newer, faster ZEISS platform with digital alignment and workflow aids. That can improve the treatment experience and workflow, but it does not automatically guarantee a better final visual result.
ZEISS reports lenticule creation in less than 10 seconds for myopia under specified conditions. The total procedure and appointment take longer.
It can treat eligible myopia with astigmatism within the applicable U.S. indication and the patient’s measured anatomy.
Not under the current FDA approval for VISUMAX 800 with SMILE Pro. International indications can differ.
Many office-based patients return quickly, but comfort, vision, job hazards, and Dr. Khanna’s instructions determine the timeline.
That cannot be guaranteed. Residual prescription, presbyopia, cataracts, and natural eye changes can create future needs.
In a nutshell
SMILE Pro is a next-generation way to perform small-incision lenticule extraction for eligible nearsightedness and astigmatism. Its speed and digital assistance are meaningful advances—but technology is only one part of a good outcome. A comprehensive evaluation with Dr. Khanna can determine whether SMILE Pro, another vision-correction procedure, or no surgery is the most appropriate choice for your eyes.
Medical information is educational and does not replace an examination. Eligibility, approved treatment range, risks, benefits, alternatives, recovery, and activity restrictions must be reviewed with the treating surgeon. Results vary.
Book a comprehensive evaluation with Dr. Rajesh Khanna in Beverly Hills. The goal is a clear recommendation based on your measurements, lifestyle, and visual priorities—not a one-size-fits-all sales pitch.
Book a Beverly Hills ConsultationKhanna Vision Institute • 9100 Wilshire Boulevard, Suite 265E • Beverly Hills, CA 90212