{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T04:44:33Z","timestamp":1789015473366,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,3,25]],"date-time":"2020-03-25T00:00:00Z","timestamp":1585094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To analyse in depth the associations between objectively measured corneal higher\u2010order aberrations (HOAs) and subjectively perceived visual quality after small incision lenticule extraction (SMILE) as quantified with the standardized and clinically validated quality of vision (QOV) questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study included patients after bilateral simultaneous SMILE for the treatment of myopia and\/or myopic astigmatism with plano target refraction. Scheimpflug imaging (Pentacam HR; Oculus Optikger\u00e4te GmbH, Wetzlar, Germany) was used to objectively quantify corneal HOAs. The standardized and validated QOV questionnaire was employed to gauge patients\u2019 subjectively perceived visual quality regarding frequency, severity and bothering effect of visual disturbances.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 394 eyes of 197 patients with a mean age of 32.4\u00a0\u00b1\u00a07.7\u00a0years and a mean postoperative follow\u2010up of 24.3\u00a0\u00b1\u00a014.1\u00a0months were included. SMILE induced a statistically significant (p\u00a0&lt;\u00a00.001) increase in spherical aberration (0.074\u00a0\u00b1\u00a00.131\u00a0\u00b5m), coma (0.142\u00a0\u00b1\u00a00.179\u00a0\u00b5m), trefoil (0.018\u00a0\u00b1\u00a00.067\u00a0\u00b5m) as well as in total HOAs (0.191\u00a0\u00b1\u00a00.176\u00a0\u00b5m). Surgically induced and postoperative levels of HOA showed no correlation with the three QOV scores representative of overall visual symptom frequency, severity and bothering effect (all <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> values\u00a0\u2264\u00a00.016). In addition, the associations between specific visual symptoms (e.g. starburst) and singular HOA terms (e.g. haloes) were very weak (all Rho values\u00a0\u2264\u00a00.164).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Small incision lenticule extraction induced significant amounts of corneal HOAs that, however, showed no clear relationships to patient\u2010reported QOV or specific long\u2010term visual symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.14420","type":"journal-article","created":{"date-parts":[[2020,3,25]],"date-time":"2020-03-25T19:24:31Z","timestamp":1585164271000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Corneal wavefront aberrations and subjective quality of vision after small incision lenticule extraction"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0279-4823","authenticated-orcid":false,"given":"Jakob","family":"Siedlecki","sequence":"first","affiliation":[{"name":"University Eye Hospital Ludwig\u2010Maximilians\u2010University Munich Germany"},{"name":"SMILE Eyes Clinic Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Schmelter","sequence":"additional","affiliation":[{"name":"University Eye Hospital Ludwig\u2010Maximilians\u2010University Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0753-2408","authenticated-orcid":false,"given":"Benedikt","family":"Schworm","sequence":"additional","affiliation":[{"name":"University Eye Hospital Ludwig\u2010Maximilians\u2010University Munich Germany"},{"name":"SMILE Eyes Clinic Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang J.","family":"Mayer","sequence":"additional","affiliation":[{"name":"University Eye Hospital Ludwig\u2010Maximilians\u2010University Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siegfried G.","family":"Priglinger","sequence":"additional","affiliation":[{"name":"University Eye Hospital Ludwig\u2010Maximilians\u2010University Munich Germany"},{"name":"SMILE Eyes Clinic Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Dirisamer","sequence":"additional","affiliation":[{"name":"University Eye Hospital Ludwig\u2010Maximilians\u2010University Munich Germany"},{"name":"SMILE Eyes Clinic Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7815-6289","authenticated-orcid":false,"given":"Nikolaus","family":"Luft","sequence":"additional","affiliation":[{"name":"University Eye Hospital Ludwig\u2010Maximilians\u2010University Munich Germany"},{"name":"SMILE Eyes 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