{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T04:51:26Z","timestamp":1777179086641,"version":"3.51.4"},"reference-count":25,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2015,9,21]]},"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the 1\u2005year clinical outcomes of small incision lenticule extraction (SMILE) for the correction of myopia and myopic astigmatism using a 500\u2005kHz femtosecond laser system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective study evaluated 52 eyes of 39 consecutive patients (31.8\u00b16.9\u2005years, mean age\u00b1SD) with spherical equivalents of \u22124.11\u00b11.73\u2005D (range, \u22121.25 to \u22128.25\u2005D) who underwent SMILE for myopia and myopic astigmatism. Preoperatively, 1\u2005week, and 1, 3, 6 and 12\u2005months postoperatively, we assessed the safety, efficacy, predictability, stability, corneal endothelial cell loss and the adverse events of the surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The logarithm of the minimal angle of resolution (logMAR) uncorrected distance visual acuity and LogMAR corrected distance visual acuity were \u22120.16\u00b10.11 and \u22120.22\u00b10.07, respectively, 1\u2005year postoperatively. At 1\u2005year, all eyes were within\u00b10.5\u2005D of the targeted correction. Manifest refraction changes of \u22120.05\u00b10.32\u2005D occurred from 1\u2005week to 1\u2005year postoperatively (p=0.20, Wilcoxon signed-rank test). The endothelial cell density was not significantly changed from 2804\u00b1267 cells\/mm\n                      <jats:sup>2<\/jats:sup>\n                      preoperatively to 2743\u00b1308 cells\/mm\n                      <jats:sup>2<\/jats:sup>\n                      1\u2005year postoperatively (p=0.12). No vision-threatening complications occurred during the observation period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SMILE performed well in the correction of myopia and myopic astigmatism, and no significant change in endothelial cell density or any other serious complications occurred throughout the 1-year follow-up period, suggesting its viability as a surgical option for the treatment of such eyes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2015-008268","type":"journal-article","created":{"date-parts":[[2015,11,26]],"date-time":"2015-11-26T22:09:45Z","timestamp":1448575785000},"page":"e008268","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["Visual and refractive outcomes of small incision lenticule extraction for the correction of myopia: 1-year 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