{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T17:24:41Z","timestamp":1787592281801,"version":"build-2736575974"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005187","name":"University of Athens","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005187","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Ophthalmol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Small incision lenticule extraction (SMILE) is a popular flapless refractive procedure for myopia and myopic astigmatism, although postoperative corneal biomechanical changes may affect intraocular pressure measurements and glaucoma assessment. This systematic review and meta-analysis aimed to quantify the postoperative underestimation of IOP and changes in corneal biomechanical parameters following SMILE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A comprehensive literature search of PubMed, Cochrane Library, ScienceDirect, and Scopus databases was performed up to April 30, 2026, according to PRISMA guidelines. Observational studies reporting preoperative and postoperative IOP measurements after SMILE using Goldmann applanation tonometry (GAT), Ocular Response Analyzer (ORA), or Corvis ST were included. Secondary outcomes included changes in corneal hysteresis (CH) and corneal resistance factor (CRF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventeen studies involving 1177 eyes were analyzed. Postoperative IOP was significantly reduced across all tonometric modalities. The pooled mean reduction was greatest with GAT (MD: 3.47\u00a0mmHg; 95% CI 2.85\u20134.10), followed by ORA (MD: 2.50\u00a0mmHg; 95% CI 2.06\u20132.94) and Corvis ST (MD: 1.52\u00a0mmHg; 95% CI 0.62\u20132.42) (all\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Significant postoperative reductions were observed in CH (MD: 1.84\u00a0mmHg) and CRF (MD: 3.01\u00a0mmHg), indicating decreased corneal biomechanical stability after SMILE.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SMILE leads to significant underestimation of IOP measurements and measurable biomechanical weakening of the cornea. Clinicians should interpret postoperative IOP values cautiously, even when using biomechanically corrected tonometric devices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10792-026-04194-5","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T04:06:03Z","timestamp":1787544363000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of SMILE on intraocular pressure and corneal biomechanics: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6481-0000","authenticated-orcid":false,"given":"Stamatios","family":"Lampsas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3830-1149","authenticated-orcid":false,"given":"Gerasimia-Marina","family":"Chardalia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4091-9236","authenticated-orcid":false,"given":"Efthymios","family":"Karmiris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1618-8047","authenticated-orcid":false,"given":"George D.","family":"Kymionis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8523-1024","authenticated-orcid":false,"given":"Irini","family":"Chatziralli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"issue":"3","key":"4194_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. Br J Ophthalmol 95(3):335\u2013339. https:\/\/doi.org\/10.1136\/bjo.2009.174284","journal-title":"Br J Ophthalmol"},{"issue":"4","key":"4194_CR2","doi-asserted-by":"publisher","first-page":"256","DOI":"10.3928\/1081597X-20151111-06","volume":"32","author":"Y Zhang","year":"2016","unstructured":"Zhang Y, Shen Q, Jia Y, Zhou D, Zhou J (2016) Clinical outcomes of SMILE and FS-LASIK used to treat myopia: a meta-analysis. J Refract Surg 32(4):256\u2013265. https:\/\/doi.org\/10.3928\/1081597X-20151111-06","journal-title":"J Refract Surg"},{"issue":"1","key":"4194_CR3","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1097\/ICO.0000000000000999","volume":"36","author":"H Kobashi","year":"2017","unstructured":"Kobashi H, Kamiya K, Shimizu K (2017) Dry eye after small incision lenticule extraction and femtosecond laser-assisted LASIK: meta-analysis. Cornea 36(1):85\u201391. https:\/\/doi.org\/10.1097\/ICO.0000000000000999","journal-title":"Cornea"},{"issue":"8","key":"4194_CR4","doi-asserted-by":"publisher","first-page":"e839","DOI":"10.3928\/1081597X-20250506-07","volume":"41","author":"KY Chen","year":"2025","unstructured":"Chen KY, Chan HC, Chan CM (2025) How effective is keratorefractive lenticule extraction surgery (KLEx) in reducing dry eye outcomes compared to LASIK?: a systematic review and meta-analysis. J Refract Surg 41(8):e839\u2013e854. https:\/\/doi.org\/10.3928\/1081597X-20250506-07","journal-title":"J Refract Surg"},{"issue":"2","key":"4194_CR5","doi-asserted-by":"publisher","first-page":"280","DOI":"10.18240\/ijo.2019.02.15","volume":"12","author":"AM Hamed","year":"2019","unstructured":"Hamed AM, Heikal MA, Soliman TT, Daifalla A, Said-Ahmed KE (2019) SMILE intraoperative complications: incidence and management. Int J Ophthalmol 12(2):280\u2013283. https:\/\/doi.org\/10.18240\/ijo.2019.02.15","journal-title":"Int J Ophthalmol"},{"issue":"8","key":"4194_CR6","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.43926","volume":"15","author":"M Moshirfar","year":"2023","unstructured":"Moshirfar M, Santos JM, Wang Q, Stoakes IM, Porter KB, Theis JS et al (2023) A literature review of the incidence, management, and prognosis of corneal epithelial-related complications after laser-assisted in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), and small incision lenticule extraction (SMILE). Cureus 15(8):e43926. https:\/\/doi.org\/10.7759\/cureus.43926","journal-title":"Cureus"},{"issue":"1","key":"4194_CR7","doi-asserted-by":"publisher","DOI":"10.1007\/s10103-024-04007-0","volume":"39","author":"J Liu","year":"2024","unstructured":"Liu J, Lu Y, Liu J, Wei C (2024) Meta-analysis of efficacy, safety, stability and predictability of small incision lenticule extraction (SMILE) for myopia. Lasers Med Sci 39(1):57. https:\/\/doi.org\/10.1007\/s10103-024-04007-0","journal-title":"Lasers Med Sci"},{"issue":"3","key":"4194_CR8","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1080\/08820538.2022.2107399","volume":"38","author":"L Yao","year":"2023","unstructured":"Yao L, Zhang M, Wang D, Zhao Q, Wang S, Bai H (2023) Small incision lenticule extraction (SMILE) and Laser in situ keratomileusis (LASIK) used to treat myopia and myopic astigmatism: a systematic review and meta-analysis of randomized clinical trials. Semin Ophthalmol 38(3):283\u2013293. https:\/\/doi.org\/10.1080\/08820538.2022.2107399","journal-title":"Semin Ophthalmol"},{"issue":"3","key":"4194_CR9","doi-asserted-by":"publisher","first-page":"202","DOI":"10.5935\/0004-2749.20170050","volume":"80","author":"R Gaspar","year":"2017","unstructured":"Gaspar R, Pinto LA, Sousa DC (2017) Corneal properties and glaucoma: a review of the literature and meta-analysis. Arq Bras Oftalmol 80(3):202\u2013206. https:\/\/doi.org\/10.5935\/0004-2749.20170050","journal-title":"Arq Bras Oftalmol"},{"key":"4194_CR10","doi-asserted-by":"publisher","first-page":"71","DOI":"10.2147\/OPTH.S37978","volume":"7","author":"SM Shousha","year":"2013","unstructured":"Shousha SM, Abo Steit MA, Hosny MH, Ewais WA, Shalaby AM (2013) Comparison of different intraocular pressure measurement techniques in normal eyes, post surface and post lamellar refractive surgery. Clin Ophthalmol 7:71\u201379. https:\/\/doi.org\/10.2147\/OPTH.S37978","journal-title":"Clin Ophthalmol"},{"issue":"7","key":"4194_CR11","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1097\/j.jcrs.0000000000000204","volume":"46","author":"S Chen","year":"2020","unstructured":"Chen S, Lopes BT, Huang W, Zheng X, Wang J, Zhu R et al (2020) Effectiveness of 4 tonometers in measuring IOP after femtosecond laser-assisted LASIK, SMILE, and transepithelial photorefractive keratectomy. J Cataract Refract Surg 46(7):967\u2013974. https:\/\/doi.org\/10.1097\/j.jcrs.0000000000000204","journal-title":"J Cataract Refract Surg"},{"key":"4194_CR12","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.2147\/OPTH.S132578","volume":"11","author":"M Hosny","year":"2017","unstructured":"Hosny M, Aboalazayem F, El Shiwy H, Salem M (2017) Comparison of different intraocular pressure measurement techniques in normal eyes and post small incision lenticule extraction. Clin Ophthalmol 11:1309\u20131314. https:\/\/doi.org\/10.2147\/OPTH.S132578","journal-title":"Clin Ophthalmol"},{"issue":"10","key":"4194_CR13","doi-asserted-by":"publisher","first-page":"4180","DOI":"10.1167\/iovs.16-19615","volume":"57","author":"H Li","year":"2016","unstructured":"Li H, Wang Y, Dou R, Wei P, Zhang J, Zhao W et al (2016) Intraocular pressure changes and relationship with corneal biomechanics after SMILE and FS-LASIK. Invest Ophthalmol Vis Sci 57(10):4180\u20134186. https:\/\/doi.org\/10.1167\/iovs.16-19615","journal-title":"Invest Ophthalmol Vis Sci"},{"issue":"10","key":"4194_CR14","doi-asserted-by":"publisher","first-page":"702","DOI":"10.3928\/1081597X-20140903-09","volume":"30","author":"D Wang","year":"2014","unstructured":"Wang D, Liu M, Chen Y, Zhang X, Xu Y, Wang J et al (2014) Differences in the corneal biomechanical changes after SMILE and LASIK. J Refract Surg 30(10):702\u2013707. https:\/\/doi.org\/10.3928\/1081597X-20140903-09","journal-title":"J Refract Surg"},{"issue":"2","key":"4194_CR15","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1111\/aos.13906","volume":"97","author":"P Raevdal","year":"2019","unstructured":"Raevdal P, Grauslund J, Vestergaard AH (2019) Comparison of corneal biomechanical changes after refractive surgery by noncontact tonometry: small-incision lenticule extraction versus flap-based refractive surgery\u2014a systematic review. Acta Ophthalmol 97(2):127\u2013136. https:\/\/doi.org\/10.1111\/aos.13906","journal-title":"Acta Ophthalmol"},{"issue":"4","key":"4194_CR16","doi-asserted-by":"publisher","first-page":"1762","DOI":"10.1177\/1120672120945664","volume":"31","author":"EA Abd El-Fattah","year":"2021","unstructured":"Abd El-Fattah EA, El Dorghamy AA, Ghoneim AM, Saad HA (2021) Comparison of corneal biomechanical changes after LASIK and F-SMILE with CorVis ST. Eur J Ophthalmol 31(4):1762\u20131770. https:\/\/doi.org\/10.1177\/1120672120945664","journal-title":"Eur J Ophthalmol"},{"issue":"3","key":"4194_CR17","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1007\/s10103-019-02854-w","volume":"35","author":"K Cao","year":"2020","unstructured":"Cao K, Liu L, Yu T, Chen F, Bai J, Liu T (2020) Changes in corneal biomechanics during small-incision lenticule extraction (SMILE) and femtosecond-assisted laser in situ keratomileusis (FS-LASIK). Lasers Med Sci 35(3):599\u2013609. https:\/\/doi.org\/10.1007\/s10103-019-02854-w","journal-title":"Lasers Med Sci"},{"issue":"5","key":"4194_CR18","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1016\/j.jcrs.2018.01.023","volume":"44","author":"KJ Chen","year":"2018","unstructured":"Chen KJ, Joda A, Vinciguerra R, Eliasy A, Sefat SMM, Kook D et al (2018) Clinical evaluation of a new correction algorithm for dynamic Scheimpflug analyzer tonometry before and after laser in situ keratomileusis and small-incision lenticule extraction. J Cataract Refract Surg 44(5):581\u2013588. https:\/\/doi.org\/10.1016\/j.jcrs.2018.01.023","journal-title":"J Cataract Refract Surg"},{"issue":"11","key":"4194_CR19","doi-asserted-by":"publisher","first-page":"1441","DOI":"10.1097\/ICO.0000000000000556","volume":"34","author":"R Dou","year":"2015","unstructured":"Dou R, Wang Y, Xu L, Wu D, Wu W, Li X (2015) Comparison of corneal biomechanical characteristics after surface ablation refractive surgery and novel lamellar refractive surgery. Cornea 34(11):1441\u20131446. https:\/\/doi.org\/10.1097\/ICO.0000000000000556","journal-title":"Cornea"},{"issue":"6","key":"4194_CR20","doi-asserted-by":"publisher","first-page":"803","DOI":"10.1016\/j.jcrs.2017.03.035","volume":"43","author":"J Fernandez","year":"2017","unstructured":"Fernandez J, Rodriguez-Vallejo M, Martinez J, Tauste A, Salvestrini P, Pinero DP (2017) New parameters for evaluating corneal biomechanics and intraocular pressure after small-incision lenticule extraction by Scheimpflug-based dynamic tonometry. J Cataract Refract Surg 43(6):803\u2013811. https:\/\/doi.org\/10.1016\/j.jcrs.2017.03.035","journal-title":"J Cataract Refract Surg"},{"issue":"2","key":"4194_CR21","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1080\/02713683.2020.1792507","volume":"46","author":"D Fu","year":"2021","unstructured":"Fu D, Zhao Y, Zhou X (2021) Corneal biomechanical properties after small incision lenticule extraction surgery on thin cornea. Curr Eye Res 46(2):168\u2013173. https:\/\/doi.org\/10.1080\/02713683.2020.1792507","journal-title":"Curr Eye Res"},{"key":"4194_CR22","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2023.1034961","volume":"11","author":"W Gao","year":"2023","unstructured":"Gao W, Zhao X, Wang Y (2023) Change in the corneal material mechanical property for small incision lenticule extraction surgery. Front Bioeng Biotechnol 11:1034961. https:\/\/doi.org\/10.3389\/fbioe.2023.1034961","journal-title":"Front Bioeng Biotechnol"},{"key":"4194_CR23","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2022.1030458","volume":"10","author":"T Han","year":"2022","unstructured":"Han T, Shi W, Chen Y, Shen Y, Xu Y, Zhou X (2022) Predictive models for IOPs measured with NCT, GAT, and ORA among patients undergoing SMILE. Front Bioeng Biotechnol 10:1030458. https:\/\/doi.org\/10.3389\/fbioe.2022.1030458","journal-title":"Front Bioeng Biotechnol"},{"issue":"1","key":"4194_CR24","doi-asserted-by":"publisher","first-page":"128","DOI":"10.4103\/IJO.IJO_1250_24","volume":"73","author":"S Joshi","year":"2025","unstructured":"Joshi S, Bari A, Shakkarwal C, Agarwal T, Dada T, Sinha R et al (2025) The visual outcomes and corneal biomechanical properties after PRK and SMILE in low to moderate myopia. Indian J Ophthalmol 73(1):128\u2013133. https:\/\/doi.org\/10.4103\/IJO.IJO_1250_24","journal-title":"Indian J Ophthalmol"},{"key":"4194_CR25","doi-asserted-by":"publisher","first-page":"185","DOI":"10.3980\/j.issn.1672-5123.2018.1.48","volume":"18","author":"FS Li","year":"2018","unstructured":"Li FS, Tao Y, Yin HZ, Wang L, Zhou YH (2018) Comparison of IOP and corneal biomechanical changes after SMILE and FS-LASIK. International Eye Science 18:185\u2013187. https:\/\/doi.org\/10.3980\/j.issn.1672-5123.2018.1.48","journal-title":"International Eye Science"},{"key":"4194_CR26","doi-asserted-by":"publisher","first-page":"6040873","DOI":"10.1155\/2018\/6040873","volume":"2018","author":"T Liu","year":"2018","unstructured":"Liu T, Yu T, Liu L, Chen K, Bai J (2018) Corneal cap thickness and its effect on visual acuity and corneal biomechanics in eyes undergoing small incision lenticule extraction. J Ophthalmol 2018:6040873. https:\/\/doi.org\/10.1155\/2018\/6040873","journal-title":"J Ophthalmol"},{"key":"4194_CR27","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-016-0304-3","volume":"16","author":"IM Osman","year":"2016","unstructured":"Osman IM, Helaly HA, Abdalla M, Shousha MA (2016) Corneal biomechanical changes in eyes with small incision lenticule extraction and laser assisted in situ keratomileusis. BMC Ophthalmol 16:123. https:\/\/doi.org\/10.1186\/s12886-016-0304-3","journal-title":"BMC Ophthalmol"},{"issue":"7","key":"4194_CR28","doi-asserted-by":"publisher","first-page":"917","DOI":"10.3109\/02713683.2015.1082185","volume":"41","author":"SM Sefat","year":"2016","unstructured":"Sefat SM, Wiltfang R, Bechmann M, Mayer WJ, Kampik A, Kook D (2016) Evaluation of changes in human corneas after femtosecond laser-assisted LASIK and small-incision lenticule extraction (SMILE) using non-contact tonometry and ultra-high-speed camera (Corvis ST). Curr Eye Res 41(7):917\u2013922. https:\/\/doi.org\/10.3109\/02713683.2015.1082185","journal-title":"Curr Eye Res"},{"issue":"3","key":"4194_CR29","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1007\/s00417-018-04227-5","volume":"257","author":"M Yu","year":"2019","unstructured":"Yu M, Chen M, Dai J (2019) Comparison of the posterior corneal elevation and biomechanics after SMILE and LASEK for myopia: a short-and long-term observation. Graefes Arch Clin Exp Ophthalmol 257(3):601\u2013606. https:\/\/doi.org\/10.1007\/s00417-018-04227-5","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"issue":"5","key":"4194_CR30","doi-asserted-by":"publisher","first-page":"650","DOI":"10.1136\/bjophthalmol-2016-308636","volume":"101","author":"Z Wu","year":"2017","unstructured":"Wu Z, Wang Y, Zhang J, Chan TCY, Ng ALK, Cheng GPM et al (2017) Comparison of corneal biomechanics after microincision lenticule extraction and small incision lenticule extraction. Br J Ophthalmol 101(5):650\u2013654. https:\/\/doi.org\/10.1136\/bjophthalmol-2016-308636","journal-title":"Br J Ophthalmol"},{"issue":"12","key":"4194_CR31","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0337545","volume":"20","author":"Y Gong","year":"2025","unstructured":"Gong Y, Wang X, Yu M, Zu P (2025) A 6-month longitudinal and comparative study of corneal biomechanical properties after SMILE with two different optical zone sizes. PLoS ONE 20(12):e0337545. https:\/\/doi.org\/10.1371\/journal.pone.0337545","journal-title":"PLoS ONE"},{"key":"4194_CR32","doi-asserted-by":"publisher","DOI":"10.1186\/s40662-020-0174-x","volume":"7","author":"LPG Esporcatte","year":"2020","unstructured":"Esporcatte LPG, Salomao MQ, Lopes BT, Vinciguerra P, Vinciguerra R, Roberts C et al (2020) Biomechanical diagnostics of the cornea. Eye Vis 7:9. https:\/\/doi.org\/10.1186\/s40662-020-0174-x","journal-title":"Eye Vis"},{"issue":"3","key":"4194_CR33","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1097\/ICU.0000000000000842","volume":"33","author":"AA Jammal","year":"2022","unstructured":"Jammal AA, Medeiros FA (2022) Corneal hysteresis: ready for prime time? Curr Opin Ophthalmol 33(3):243\u2013249. https:\/\/doi.org\/10.1097\/ICU.0000000000000842","journal-title":"Curr Opin Ophthalmol"},{"issue":"9","key":"4194_CR34","doi-asserted-by":"publisher","first-page":"1316","DOI":"10.1016\/j.jcrs.2019.04.004","volume":"45","author":"KJ Chen","year":"2019","unstructured":"Chen KJ, Eliasy A, Vinciguerra R, Abass A, Lopes BT, Vinciguerra P et al (2019) Development and validation of a new intraocular pressure estimate for patients with soft corneas. J Cataract Refract Surg 45(9):1316\u20131323. https:\/\/doi.org\/10.1016\/j.jcrs.2019.04.004","journal-title":"J Cataract Refract Surg"},{"issue":"1","key":"4194_CR35","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1016\/j.jcrs.2004.10.044","volume":"31","author":"DA Luce","year":"2005","unstructured":"Luce DA (2005) Determining in vivo biomechanical properties of the cornea with an ocular response analyzer. J Cataract Refract Surg 31(1):156\u2013162. https:\/\/doi.org\/10.1016\/j.jcrs.2004.10.044","journal-title":"J Cataract Refract Surg"},{"key":"4194_CR36","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/290619","volume":"2014","author":"L Mastropasqua","year":"2014","unstructured":"Mastropasqua L, Calienno R, Lanzini M, Colasante M, Mastropasqua A, Mattei PA et al (2014) Evaluation of corneal biomechanical properties modification after small incision lenticule extraction using Scheimpflug-based noncontact tonometer. Biomed Res Int 2014:290619. https:\/\/doi.org\/10.1155\/2014\/290619","journal-title":"Biomed Res Int"},{"key":"4194_CR37","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2022.861924","volume":"10","author":"D Zhang","year":"2022","unstructured":"Zhang D, Tian L, Zhang H, Zheng Y, Fu C, Zhai C et al (2022) Differences of corneal biomechanics among thin normal cornea, forme-fruste keratoconus, and cornea after SMILE. Front Bioeng Biotechnol 10:861924. https:\/\/doi.org\/10.3389\/fbioe.2022.861924","journal-title":"Front Bioeng Biotechnol"},{"issue":"4","key":"4194_CR38","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1080\/02713683.2022.2162087","volume":"48","author":"A Eliasy","year":"2023","unstructured":"Eliasy A, Lopes BT, Wang J, Abass A, Vinciguerra R, Vinciguerra P et al (2023) Introduction and clinical validation of an updated biomechanically corrected intraocular pressure bIOP (v2). Curr Eye Res 48(4):382\u2013391. https:\/\/doi.org\/10.1080\/02713683.2022.2162087","journal-title":"Curr Eye Res"},{"issue":"4","key":"4194_CR39","doi-asserted-by":"publisher","first-page":"P1","DOI":"10.1016\/j.ophtha.2025.12.029","volume":"133","author":"SJ Gedde","year":"2026","unstructured":"Gedde SJ, Bowden EC, Challa P, Vinod K, Kolomeyer NN, Chopra V et al (2026) Primary open-angle glaucoma preferred practice pattern(R). Ophthalmology 133(4):P1\u2013P103. https:\/\/doi.org\/10.1016\/j.ophtha.2025.12.029","journal-title":"Ophthalmology"},{"issue":"1","key":"4194_CR40","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1001\/archopht.121.1.48","volume":"121","author":"MC Leske","year":"2003","unstructured":"Leske MC, Heijl A, Hussein M, Bengtsson B, Hyman L, Komaroff E et al (2003) Factors for glaucoma progression and the effect of treatment: the early manifest glaucoma trial. Arch Ophthalmol 121(1):48\u201356. https:\/\/doi.org\/10.1001\/archopht.121.1.48","journal-title":"Arch Ophthalmol"}],"container-title":["International Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10792-026-04194-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10792-026-04194-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10792-026-04194-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T16:32:22Z","timestamp":1787589142000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10792-026-04194-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,24]]},"references-count":40,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4194"],"URL":"https:\/\/doi.org\/10.1007\/s10792-026-04194-5","relation":{},"ISSN":["1573-2630"],"issn-type":[{"value":"1573-2630","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,24]]},"assertion":[{"value":"12 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria, educational grants, or other equity interest), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study does not involve any human subjects or animal and does not require disclosure to the rights.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"342"}}