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A total of 74 patients who underwent uneventful SMILE in one eye (Uneventful group) and immediate reapplication of SMILE without adjusting the surgical parameters after suction loss in the contralateral eye (Suction loss group) were included. Suction loss occurred during the posterior lenticule surface cut in 39 eyes (53%) and the cap cut in 35 eyes (47%). Surgical outcomes, including visual acuity, manifest refraction, keratometry, and corneal wavefront aberrations, were evaluated at 6\u00a0months postoperatively. The mean uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), and spherical equivalent were \u2212\u20090.02\u2009\u00b1\u20090.07, \u2212\u20090.04\u2009\u00b1\u20090.04, and \u2212\u20090.10\u2009\u00b1\u20090.46 diopters (D), respectively, in the Suction loss group and \u2212\u20090.02\u2009\u00b1\u20090.07, \u2212\u20090.04\u2009\u00b1\u20090.05, and \u2212\u20090.19\u2009\u00b1\u20090.53 D, respectively (<jats:italic>P<\/jats:italic>\u2009=\u20090.965, 0.519, and 0.265, respectively), in the Uneventful group. Changes between the preoperative and 6-month postoperative total corneal aberrations, spherical aberrations, and horizontal and vertical coma did not significantly differ between the Suction loss and Uneventful groups. Immediate reapplication of SMILE without adjusting the surgical parameters after suction loss resulted in good surgical outcomes that were comparable with those of uneventful SMILE.<\/jats:p>","DOI":"10.1038\/s41598-022-20403-4","type":"journal-article","created":{"date-parts":[[2022,9,24]],"date-time":"2022-09-24T17:02:53Z","timestamp":1664038973000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical outcomes of the immediate reapplication of small-incision lenticule extraction without adjusting the surgical parameters after suction loss"],"prefix":"10.1038","volume":"12","author":[{"given":"Byunghoon","family":"Chung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ik Hee","family":"Ryu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In Sik","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin Kuk","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae-im","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eung Kweon","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoung Yul","family":"Seo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ikhyun","family":"Jun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,9,24]]},"reference":[{"key":"20403_CR1","doi-asserted-by":"publisher","first-page":"1020","DOI":"10.1016\/j.ophtha.2020.01.010","volume":"127","author":"JG Dishler","year":"2020","unstructured":"Dishler, J. G., Slade, S., Seifert, S. & Schallhorn, S. C. Small-incision lenticule extraction (SMILE) for the correction of myopia with astigmatism: Outcomes of the United States Food and Drug Administration Premarket Approval Clinical Trial. Ophthalmology 127, 1020\u20131034 (2020).","journal-title":"Ophthalmology"},{"key":"20403_CR2","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.1097\/j.jcrs.0000000000000100","volume":"46","author":"I Jun","year":"2020","unstructured":"Jun, I. et al. Comparison of clinical outcomes between vector planning and manifest refraction planning in SMILE for myopic astigmatism. J. Cataract. Refract. Surg. 46, 1149\u20131158 (2020).","journal-title":"J. Cataract. Refract. Surg."},{"key":"20403_CR3","doi-asserted-by":"publisher","first-page":"92","DOI":"10.3928\/1081597X-20171218-01","volume":"34","author":"IB Damgaard","year":"2018","unstructured":"Damgaard, I. B., Ang, M., Farook, M., Htoon, H. M. & Mehta, J. S. Intraoperative patient experience and postoperative visual quality after SMILE and LASIK in a randomized, paired-eye, controlled study. J. Refract. Surg. 34, 92\u201399 (2018).","journal-title":"J. Refract. Surg."},{"key":"20403_CR4","doi-asserted-by":"publisher","first-page":"156","DOI":"10.3928\/1081597X-20180104-03","volume":"34","author":"I Jun","year":"2018","unstructured":"Jun, I. et al. Clinical outcomes of SMILE with a triple centration technique and corneal wavefront-guided transepithelial PRK in high astigmatism. J. Refract. Surg. 34, 156\u2013163 (2018).","journal-title":"J. Refract. Surg."},{"key":"20403_CR5","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1097\/ICO.0000000000000707","volume":"35","author":"M Liu","year":"2016","unstructured":"Liu, M. et al. Clinical outcomes after SMILE and femtosecond laser-assisted LASIK for myopia and myopic astigmatism: A prospective randomized comparative study. 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Ik Hee Ryu is a consultant and stockholder of Avellino Lab, USA, and a medical advisor of Avellino Lab Korea, Zeiss Meditec, and OCULUS Asia. The remaining authors have no proprietary or financial interest in the materials presented herein.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"15973"}}