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Eyes were classified into two groups based on the ablation ratio (AR, lenticule thickness from SMILE machine\/thinnest corneal thickness): group A (&lt;\u200925%, 40 eyes) and group B (\u2265\u200925%, 40 eyes). Pentacam was used to measure the posterior corneal elevation at the central point, thinnest point, and posterior maximum elevation (PME) and the mean posterior elevation in the central 2-mm area (MPE-2\u00a0mm), 4-mm area, and 6-mm area at the 3-year follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>More than 85% of the eyes had an AR of less than 27%, and no cases of iatrogenic keratectasia developed. In both groups, for central region, posterior elevation decreased implying backward displacement; for peripheral region, it increased indicating forward trend. There was no significant difference in changes in all determined parameters between the two groups (<jats:italic>P<\/jats:italic>\u2009\u2265\u20090.07). Moreover, no significant correlation was noted between AR and posterior elevation changes. In group A, decreasing changes in PME (<jats:italic>r<\/jats:italic>\u2009=\u2009\u2009\u2212\u20090.42, <jats:italic>P<\/jats:italic>\u2009=\u20090.01) and MPE-2\u00a0mm (<jats:italic>r<\/jats:italic>\u2009=\u20090.40, <jats:italic>P<\/jats:italic>\u2009=\u20090.01) demonstrated negative correlations with residual bed thickness.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Region-dependent changes were demonstrated in the eyes that underwent SMILE. The central area showed a subtly declining posterior elevation, and the peripheral area showed a slightly increasing elevation. The limited ablation ratio had no impact on the changes in posterior corneal elevation.<\/jats:p>\n                \n              <\/jats:sec>","DOI":"10.1007\/s00417-023-05979-5","type":"journal-article","created":{"date-parts":[[2023,1,20]],"date-time":"2023-01-20T08:58:40Z","timestamp":1674205120000},"page":"2061-2069","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Correlation between the ablation ratio and posterior corneal stability after small incision lenticule extraction for high myopia"],"prefix":"10.1007","volume":"261","author":[{"given":"Liyuan","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengtao","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingtao","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,1,20]]},"reference":[{"key":"5979_CR1","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1136\/bjo.2009.174284","volume":"95","author":"W Sekundo","year":"2011","unstructured":"Sekundo W, Kunert KS, Blum M (2011) Small incision corneal refractive surgery using the small incision lenticule extraction (SMILE) procedure for the correction of myopia and myopic astigmatism: results of a 6 month prospective study. 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All subjects gave written informed consent in accordance with the Declaration of Helsinki. The Ethics Committee of Fudan University Eye and the ENT Hospital Review Board (Shanghai, China) approved the study protocol. The registration number is KJ2008-10.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}