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Unexpected outcome (positive or negative) including adverse drug reactions
Case report
Refractive surprise: twice the SMILE
  1. Garvit Bhutani1,2,
  2. Somasheila I Murthy1,2,
  3. Jagadesh C Reddy1,2 and
  4. Pravin K Vaddavalli1,2
  1. 1 Tej Kohli Cornea Institute, LV Prasad Eye Institute, Hyderabad, Telangana, India
  2. 2 Refractive & Cataract Surgery Service, LV Prasad Eye Institute, Hyderabad, Telangana, India
  1. Correspondence to Dr Pravin K Vaddavalli, pravin{at}lvpei.org

Abstract

A 35-year-old man presented with decreased vision in his left eye following small incision lenticule extraction (SMILE) surgery. The refractive error after surgery was nearly twice his preoperative refractive error in the left eye. The patient was diagnosed as having a retained lenticule after SMILE surgery, which was folded on itself and was successfully managed by conversion to a flap. Postoperatively, the patient maintained good uncorrected visual acuity and a low refractive error, with the best spectacle corrected acuity of 20/20.

  • Ophthalmology
  • Anterior Chamber

https://doi.org/10.1136/bcr-2019-231233

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    Footnotes

    • Contributors PKV is the main supervisor and contributed to the concept and design of the case report, data acquisition, data analysis, drafting the manuscript, critical revision and final approval of the manuscript. GB contributed to the concept and design of the case report, data acquisition, data interpretation, drafting the manuscript, critical revision and final approval of the manuscript. SIM contributed to the concept and design of the case report, critical revision and final approval of the manuscript. JCR contributed to the concept and design of the case report, critical revision and final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.