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Comparison of ray tracing-guided LASIK versus SMILE Pro for myopic and astigmatic correction

Contralateral eye comparison of femto-second laser-assisted, ray tracing-guided LASIK vs small incision lenticule extraction (SMILE Pro) for myopic and astigmatic correction calculated by ray tracing rather than conventional manifest refraction in all eyes

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN15458241
Enrollment
60
Registered
2025-07-11
Start date
2025-01-01
Completion date
Unknown
Last updated
2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Refractive error correction Eye Diseases

Interventions

All participants are treated for correction of myopia with or without astigmatism. The intervention will be either raytracing optimised LASIK or Smile Pro, both laser-assisted lamellar procedures on t

Sponsors

Alcon Greece
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Age between 18 and 45 years 2. Stable myopia or myopic astigmatism for at least 12 months before surgery, within the following limits: Preoperative myopia from -1 to -8 D (minimum spherical equivalent -2D) and up to -3 D of astigmatism. Stable refraction (within ± 0.50 D) as determined by manifest refraction spherical equivalent for a minimum of 12 months before surgery, verified by consecutive subjective refractions or medical records or prescription history. 3. Preoperative corrected distance visual acuity (CDVA) of 20/20 or better in both eyes 4. Minimum central corneal thickness of 500µm 5. Absence of ocular surface disease or significant dry eye 6. Willingness to comply with the postoperative follow-up schedule

Exclusion criteria

Exclusion criteria: 1. Anisometropia >1D in sphere and >0.5D cylinder between the eyes 2. History of ocular surgery or trauma 3. History or clinical evidence of dry eye. 4. Evidence of corneal ectatic disorders such as keratoconus or pellucid marginal degeneration 5. Presence of corneal scars, opacity, or other structural abnormalities 6. Active ocular inflammation or infection 7. Systemic conditions affecting wound healing (e.g., uncontrolled diabetes, autoimmune disorders)

Design outcomes

Primary

MeasureTime frame
Lines of vision gained, comparing preoperative best corrected distance acuity, measured using data collected from patient records, measured at baseline and 3 months following each procedure

Secondary

MeasureTime frame
1. % of eyes with defocus equivalent within ±0.25D, ±0.50D, ±0.75 and ±1.0D measured using subjective manifest refraction at baseline and 3 months 2. % of eyes with absolute MRSE (manifest refraction spherical equivalent) within ±0.25D, ±0.5D, ±0.75 and ±1.0D measured using subjective manifest refraction again at baseline and 3 months 3. % of eyes with UCDVA and BCDVA of 20/10, 20/12.5, 20/16, 20/20, 20/25, 20/32, or better measured using subjective manifest refraction at baseline and 3 months 4. Lines of vision gained in LogMAR (defined as the change in pre-CDVA to post-op CDVA (1 week and 1 month) and pre-CDVA to post UDVA at all time points), measured using subjective manifest refraction at baseline and 3 months

Countries

Greece

Contacts

Public ContactAnastasios John Kanellopoulos
ajkmd@mac.com+30210 7472777

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026