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Six months postoperative safety, efficacy and predictability were evaluated. Corneal Scheimpflug topography was measured preoperatively, 1\u00a0day, 3\u00a0months and 6\u00a0months postoperatively. Wavefront aberrations were measured preoperatively, 3\u00a0months and 6\u00a0months postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six months postoperatively, Log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> uncorrected and corrected distance visual acuity (<jats:styled-content style=\"fixed-case\">CDVA<\/jats:styled-content>) were \u22120.013\u00a0\u00b1\u00a00.086 and \u22120.073\u00a0\u00b1\u00a00.069, respectively. 73% (97%) of eyes were within 0.5 (1) D of target refraction. No eyes lost <jats:styled-content style=\"fixed-case\">CDVA<\/jats:styled-content>, 43% (13 eyes) gained one line and 7% (two eyes) gained two lines. Mean corneal back curvature (<jats:styled-content style=\"fixed-case\">KMB<\/jats:styled-content>) and posterior central elevation (<jats:styled-content style=\"fixed-case\">PCE<\/jats:styled-content>) did not change significantly comparing preoperative and 6\u00a0months postoperative data (p\u00a0=\u00a00.91 and 0.77, respectively). Comparing 1\u00a0day with 6\u00a0months postoperative data, central corneal thickness (<jats:styled-content style=\"fixed-case\">CCT<\/jats:styled-content>), mean corneal front curvature (<jats:styled-content style=\"fixed-case\">KMF<\/jats:styled-content>), <jats:styled-content style=\"fixed-case\">KMB<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PCE<\/jats:styled-content> did not change significantly (p\u00a0=\u00a00.27, 0.07, 0.52, 0.71, respectively). Total higher\u2010order aberration (HOA), spherical aberration and coma increased significantly (p\u00a0&lt;\u00a00.01) but trefoil remained stable (p\u00a0=\u00a00.49).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results indicate that <jats:styled-content style=\"fixed-case\">SMILE<\/jats:styled-content> can correct myopia and myopic astigmatism of over \u221210\u00a0D predictably. No early ectasia was observed. Long\u2010term changes in visual quality and corneal stability require further investigation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13609","type":"journal-article","created":{"date-parts":[[2017,12,18]],"date-time":"2017-12-18T15:26:43Z","timestamp":1513610803000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Early visual outcomes and optical quality after femtosecond laser small\u2010incision lenticule extraction for myopia and myopic astigmatism correction of over \u221210 dioptres"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9040-5866","authenticated-orcid":false,"given":"Bing","family":"Qin","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Myopia Key Laboratory of the Health Ministry Eye and ENT Hospital of Fudan University Shanghai 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