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Preoperative, 1\u2010month (P1m), 3\u2010months (P3m) and 6\u2010months (P6m) postoperative outcomes were analysed and compared between the two procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010six right eyes of 96 patients (<jats:styled-content style=\"fixed-case\">SMILE<\/jats:styled-content>:<jats:italic> n<\/jats:italic>\u00a0=\u00a051, <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LASIK<\/jats:styled-content>:<jats:italic> n<\/jats:italic>\u00a0=\u00a045) were included. Both the (Attempted \u2013 achieved) sphere and the (attempted \u2013 achieved) spherical equivalent (<jats:styled-content style=\"fixed-case\">SEQ<\/jats:styled-content>) were greater in the <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LASIK<\/jats:styled-content> group at all three postoperative time\u2010points (p\u00a0&lt;\u00a00.001). The postoperative vector means of astigmatism were smaller in the <jats:styled-content style=\"fixed-case\">SMILE<\/jats:styled-content> group than in the <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LASIK<\/jats:styled-content> group. The differences between the optical zone of tissue removal (<jats:styled-content style=\"fixed-case\">ROZ<\/jats:styled-content>) during surgery and the postoperative functional optical zone (<jats:styled-content style=\"fixed-case\">FOZ<\/jats:styled-content>;<jats:styled-content style=\"fixed-case\"> ROZ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FOZ<\/jats:styled-content>) were smaller in the <jats:styled-content style=\"fixed-case\">SMILE<\/jats:styled-content> group than in the <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LASIK<\/jats:styled-content> group. No significant difference was found between the two procedures in the delta\u2010root mean square (<jats:styled-content style=\"fixed-case\">RMS<\/jats:styled-content>) of aberrations, except for delta\u2010spherical aberration (<jats:styled-content style=\"fixed-case\">SA<\/jats:styled-content>) at P3m.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both <jats:styled-content style=\"fixed-case\">SMILE<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LASIK<\/jats:styled-content> are effective in correcting high myopia. <jats:styled-content style=\"fixed-case\">SMILE<\/jats:styled-content> resulted in less under\u2010correction, less regression, a smaller decrease in the <jats:styled-content style=\"fixed-case\">FOZ<\/jats:styled-content> and a smaller increase in <jats:styled-content style=\"fixed-case\">SA<\/jats:styled-content> when compared to <jats:styled-content style=\"fixed-case\">FS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LASIK<\/jats:styled-content>, resulting in better visual outcomes with <jats:styled-content style=\"fixed-case\">SMILE<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.14078","type":"journal-article","created":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T06:14:30Z","timestamp":1578464070000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Comparison of efficacy and visual outcomes after <scp>SMILE<\/scp> and <scp>FS<\/scp>\u2010<scp>LASIK<\/scp> for the correction of high myopia with the sum of myopia and astigmatism from \u221210.00 to \u221214.00 dioptres"],"prefix":"10.1111","volume":"98","author":[{"given":"Yishan","family":"Qian","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Eye and ENT Hospital of Fudan University Shanghai 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