A new sign in the armamentarium helps to confirm correct dissection of the anterior and posterior planes in SMILE surgery.

In this column, I invite Tushya Om Parkash, MBBS, MS, and Rohit Om Parkash, MBBS, MS, to explain this sign that they have discovered.

Amar Agarwal

Amar Agarwal, MS, FRCS, FRCOphth

OSN Complications Consult Editor

Small incision lenticule extraction represents a significant advancement in refractive surgery, combining minimal invasiveness with consistently favorable visual outcomes.

Challenges in SMILE surgery

Rohit Om Parkash

Although SMILE offers several advantages, accurate identification of tissue planes remains a technical hurdle, especially for novice surgeons. Intraoperative misinterpretation of either the anterior (cap) or posterior lenticule interfa

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