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The patients were followed up post-SMILE for six months before the SmartSurface procedure, and then they were followed up for one year after that. TPRK were performed using Amaris excimer laser at 500\u00a0kHz. The main outcomes included refractive predictability, stability, efficacy, safety and any reported complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>This study included 68 eyes of 40 patients out of 1920 total eyes (3.5%) with post-SMILE technique myopic residual refractive errors. The average duration between the SMILE surgery and TPRK was 6.7\u2009\u00b1\u20090.4\u00a0months (range 6 to 8\u00a0months). The mean refractive spherical equivalent (SE) was within\u2009\u00b1\u20090.50 D of plano correction in 100% of the eyes at 12\u00a0months post-TPRK. Astigmatism of\u2009&lt;\u20090.50 D was achieved in 100% of the eyes. The mean of the residual SE error showed statistically significant improvement from preoperative\u2009\u2212\u20091.42\u2009\u00b1\u20090.52 D to 0.23\u2009\u00b1\u20090.10 D (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Uncorrected distance visual acuity (UDVA) (measured by Snellen's chart and averaged in logMAR units) was improved significantly to 0.1\u2009\u00b1\u20090.07 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). UDVA was 0.2 logMAR or better in 100% of the eyes, 0.1 logMAR or better in 91.2% of the eyes, and 0.0 logMAR in 20.6% of the eyes. Corrected distance visual acuity (CDVA) remained unchanged in 79.4% of eyes. 14.7% of eyes gained one line of CDVA (Snellen). 5.9% of eyes gained two lines of CDVA (Snellen).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Transepithelial photorefractive keratectomy using smart pulse technology with mitomycin C enhancement after SMILE is a safe, predictable, stable, and effective technique.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40662-021-00254-2","type":"journal-article","created":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T09:02:22Z","timestamp":1640854942000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["SmartSurfACE transepithelial photorefractive keratectomy with mitomycin C enhancement after small incision lenticule extraction"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8005-8178","authenticated-orcid":false,"given":"Amr A.","family":"Gab-Alla","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,1]]},"reference":[{"issue":"2","key":"254_CR1","doi-asserted-by":"publisher","first-page":"94","DOI":"10.3928\/1081597X-20140120-04","volume":"30","author":"M Li","year":"2014","unstructured":"Li M, Zhou Z, Shen Y, Knorz MC, Gong L, Zhou X. 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The study was reviewed and approved by the Faculty of Medicine, Suez Canal University Research Ethics Committee (reference number 4282).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All patients provided written informed consent for the procedure and inclusion in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"28"}}