title: Preliminary Evidence of Successful Enhancement After a Primary SMILE Procedure With the Sub-Cap-Lenticule-Extraction Technique.
abstract: OBJECTIVE
  To describe a modified small incision lenticule extraction (SMILE) procedure called sub-cap-lenticule-extraction (Sub-Cap-LE) for refractive enhancement after SMILE.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  A 53-year-old woman who underwent bilateral SMILE for moderate myopia complained of blurred vision at distance postoperatively. The manifest postoperative refraction in the eye targeted for distance was -1.0 -1.0 × 5°. She was scheduled for an enhancement applying a new technique that permits the surgeon to use the previously created interface as the new superior plane of the new lenticule. Postoperatively, uncorrected visual acuity improved from 20/63 to 20/16.
  
  
  CONCLUSIONS
  This first case report demonstrates the feasibility of an enhancement with the SubCap-LE procedure after a primary SMILE procedure. More cases are needed to develop a consistent surgical protocol.
authors.forename: David
authors.initials: D
authors.lastname: Donate
authors.forename: Rozenn
authors.initials: R
authors.lastname: Thaëron
mesh_terms: D003319:Corneal Stroma / Q000601:surgery*; D048988:Corneal Surgery, Laser; D019781:Corneal Topography; D005260:Female; D006801:Humans; D054018:Lasers, Excimer / Q000627:therapeutic use*; D008875:Middle Aged; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D012029:Refraction, Ocular / Q000502:physiology; D012086:Reoperation; D014792:Visual Acuity / Q000502:physiology