Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with simple myopia or myopic astigmatism. 2. Ages : 21-40 years . 3. Manifest spherical equivalent between -6 and -10 D for SMILE correction and between -6 to -23 D for phakic IOL implantation with/without a manifest cylinder of -5 D or less for both groups. 4. Stable refraction ( 5. Corrected distant visual acuity (CDVA) of 6/6 or better in both eyes in SMILE correction and 6/9 or better in phakic IOL group. 6. No evidence of irregular astigmatism on corneal topography in both eyes . 7. Residual stromal bed thickness (RSBT) – 280 µm or more for SMILE correction. 8. Anterior chamber depth of 2.8 or more in the phakic IOL group. 9. Endothelial cell count of 2500 cells/mm3 or more in the phakic IOL group. 10. Ability to understand and willingness to sign inform consent to participate in follow-ups
Exclusion criteria
Exclusion criteria: 1. Kerato-ectatic conditions such as keratoconus, keratoconus suspects, pellucid marginal degeneration etc. 2. Patients having hypermetropia, mixed astigmatism with presbyopia. 3. Patients who have undergone any refractive procedure previously. 4. Anisometropia of 2D or more . 5. Amblyopia . 6. Progressive or unstable myopia and /or astigmatism. 7. History of ocular surgery, severe dry eye , corneal degeneration , corneal dystrophy, cataract , uveitis, retinal pathology . 8. Concurrent use of medication likely to affect interface healing. 9. Previous history of ocular trauma. 10. Immunocompromised state / pregnancy / nursing mothers/ cancer patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| b.Uncorrected Distance Visual Acuity(UDVA) c.Corrected Distance Visual Acuity(CDVA) d.Manifest Spherical Equivalent refraction ( SE) e.Undilated anterior segment clinical photograph in the phakic IOL group. f.Pentacam g.MS-39 & NIBUT h.Optical Quality (OQAS –HD ANALYZER ) for OSI i.i-Trace for total HOA, SA & coma at 4 mm scan size j.Treatment decentration if any in the SMILE group. Timepoint: Baseline, 1 day, 2 weeks and 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient satisfactionTimepoint: Baseline, 1 day, 2 weeks & 3 months | — |
Countries
India
Contacts
Nethradhama Super specialty Eye Hospital, Bengaluru