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CIRCLE Software for Management of Epithelial Ingrowth After SMILE.
Journal of Refractive Surgery ( IF 2.4 ) Pub Date : 2021-11-01 , DOI: 10.3928/1081597x-20210730-01
Vardhaman P. Kankariya , Pratik Y. Gogri , Ankita B. Dube , Syed Maaz Mohiuddin , Tanvi Madia , Pravin K. Vaddavalli

PURPOSE To report a novel therapeutic use of CIRCLE software (Carl Zeiss Meditec) to manage visually significant epithelial ingrowth following small incision lenticule extraction surgery (SMILE). METHODS Case series. RESULTS In this case series, the authors describe three eyes with progressive and visually significant epithelial ingrowth following an uneventful SMILE procedure. The management of epithelial ingrowth following SMILE is challenging, given the small access incision to the interface and the risk of incomplete removal. All cases were successfully managed by converting the SMILE cap into a flap using the CIRCLE software, which provided the necessary access to the original SMILE interface. Once the flap was lifted, the epithelial in-growth was completely debrided from the underlying stroma and undersurface of the flap, followed by a thorough interface wash. Postoperative recovery was uneventful, with no recurrence noted in any of the eyes. CONCLUSIONS Use of CIRCLE software provides a novel and unique approach to successfully treating vision-threatening epithelial ingrowth after SMILE. [J Refract Surg. 2021;37(11):776-780.].

中文翻译:

用于管理 SMILE 后上皮向内生长的 CIRCLE 软件。

目的报告 CIRCLE 软件 (Carl Zeiss Meditec) 的新治疗用途,用于管理小切口微透镜提取手术 (SMILE) 后视觉上显着的上皮向内生长。方法案例系列。结果 在这个病例系列中,作者描述了三只眼睛在平安无事的 SMILE 手术后出现渐进性和视觉上显着的上皮向内生长。鉴于进入界面的小切口和不完全去除的风险,SMILE 后上皮向内生长的管理具有挑战性。通过使用 CIRCLE 软件将 SMILE 帽转换为襟翼,所有案例都得到了成功管理,该软件提供了对原始 SMILE 界面的必要访问。一旦皮瓣被提起,上皮生长就从皮瓣下面的基质和下表面完全清创,然后是彻底的界面清洗。术后恢复顺利,任何一只眼睛均未见复发。结论 CIRCLE 软件的使用为成功治疗 SMILE 后威胁视力的上皮向内生长提供了一种新颖独特的方法。[J 屈光手术。2021;37(11):776-780.]。
更新日期:2021-11-01
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