Posted on September 30, 2017
People who have certain visual problems such as myopia may benefit by undergoing laser eye surgeries, including Lasik or SMILE. Laser vision correction became possible after the discovery of the excimer laser, which was first used on animal cadavers before the first human use in 1988 following the request of a patient. Before Lasik, patients could undergo a procedure called photorefractive keratotomy. This procedure used tiny scalpels to peel off the upper layer of the outer transparent dome structure of eye (cornea) after which it was reshaped with a laser. While it helped to correct vision, it also carried the risk of irregular healing, spectacle number coming back, after procedure haze and other complications.
Two European doctors developed Lasik as an enhanced form of PRK in 1990. Doctors Ioannis Pillakaris of Greece and Lucio Burrato of Italy developed a technique through which they used to cut a flap of the corneal tissue so that they could then reshape the tissue underneath with laser, allowing the flap to serve as a natural bandage. This process allowed a faster recovery time and less discomfort for patients, and it became known as Lasik surgery. Thousands of patients in New Delhi have benefitted from Lasik surgery since it was first offered. Now, a new procedure called SMILE offers improvements over the Lasik procedure. SMILE surgery may help patients to enjoy much better vision, allowing them to forgo their eyeglasses and contact lenses.
SMILE vs. Lasik
Since the introduction and broad availability of Lasik surgery, advancements have continually been made. In 2012, a procedure called small incision lenticule extraction, or SMILE, was first introduced. This procedure is a type of refractive surgery that utilizes only one laser called as Femtosecond Laser. Instead of cutting a thin flap in the cornea as in Lasik, SMILE instead uses a tiny incision ranging from 2 to 4 millimeters in a minimally invasive procedure.
Eye surgeons are then able to use the small incision in order to work inside of the cornea to take out a slice or lenticule of tissue. SMILE is minimally invasive, and the lack of the use of a flap has been demonstrated to result in fewer complications of dry eye, infections, and other problems in patients receiving the procedure as compared to those who opt for Lasik.
What is SMILE used for?
Like Lasik, SMILE can be used to treat myopia with good results. It is currently performed by more than 750 surgeons around the world. There is increasing support for the efficacy of SMILE to treat other eye conditions, including hyperopia. The results of SMILE in the treatment of hyperopia have been mixed, however. The procedure is primarily only used for myopia while additional research is completed into its use for other visual problems.
Benefits of SMILE
Because SMILE only relies on a small incision in the eye rather than cutting a thin flap in the corneal surface, patients may experience a shorter recovery time. They may also be less susceptible to developing dry eye from the sensitization of their corneas during the Lasik procedure. In contrast to the 20-millimeter incisions that are required in Lasik, the incisions in SMILE are only 2 to 4 millimeters. The smaller incisions make it less likely that people will suffer from infections following their procedures.
SMILE may be used to treat short-sightedness alone or short-sightedness with the presence of astigmatism. While SMILE is the latest cutting-edge laser eye procedure that is offered, it can be difficult to find surgeons who offer it.
The machine that is used is very expensive, and some surgeons are unwilling to go to the expense of purchasing the equipment that is needed for it, however.
What happens during a SMILE procedure?
During a SMILE procedure, the doctor uses eye drops to anaesthetize the eye. A speculum is then carefully positioned on the lids to keep the eye open and to prevent blinking. Using advanced femtosecond technology, the surgeon then creates a precise lenticule, which is a thin, circular piece of tissue. Using a high degree of skill, the surgeon then removes the lenticule through the tiny incision that was created in the eye.
The entire procedure lasts between 10 and 15 minutes, but the laser is only used for a small fraction of that time. After using the laser, the patient will be allowed to recover for a few minutes before the eye doctor returns, checks the eye, and allows the patient to leave.
Recovery after SMILE eye surgery
Following a SMILE procedure, it is important that patients have arranged rides home. They will be given special eyewear to use to help with the healing process. The physical recovery of the tissue is much faster with SMILE as compared with Lasik. Since only a small incision is made instead of a flap, patients may resume most normal activities within a week, including swimming and outdoor recreational activities. By comparison, people who undergo Lasik are normally told to wait at least 15 days before resuming these types of activities. Patients may choose to take off time from work following the procedure, but they are free to return to their jobs within 7 days of receiving the SMILE procedure. When to return to work will depend on the requirements of a patient’s particular job.
How safe is the SMILE procedure?
SMILE is an extremely safe medical procedure. Since it is minimally invasive and relies on a small incision, patients do not have to worry about flap-related complications that may happen with Lasik procedures. People who choose SMILE may benefit from the flapless treatment as follows:
- Greatly reduced chance of dry eye
- Fewer to no complications
- Reduced weakening of the cornea
- Reduced accidental cuts to the nerves
The procedure is generally used for patients who range in age from 18 to 40. Patients will need to undergo a series of tests to determine if they are good candidates for the procedure. In general, people who are good candidates for Lasik will likely be good candidates for SMILE as well. Because of the specialized laser that is required for SMILE surgery and the training and skill that doctors must have, many eye surgeons do not offer it. In New Delhi, however, patients may go to the Eye7 Eye Hospitals for the best SMILE procedures. The hospitals offer this surgery at four different locations covering every part of Delhi.
SMILE Eye Surgery Cost
Some people wonder why SMILE eye surgery is expensive. The costs include the expense of the machine and the licensing fees that surgeons and eye hospitals must pay to the laser company. SMILE eye surgery in New Delhi costs an average of INR 1,00,000.
The specialised machine that is used in the procedure contributes to the expense because the machine itself costs INR 4 crore. Licensing fees must also be paid by the surgery centre for the use of the machine, and these fees range from INR 10,000 to 15,000.
While some centres may advertise laser eye surgery for as little as INR 7,000, these centres cut costs by doing such things as reusing blades, a practise which can be dangerous to patients. In order to make certain that they get the best care from a highly qualified and skilled surgeon, it is best to not try to cut corners and to expect to pay more for the procedure.
It is not wise for patients to risk their sight by trying to pay as little as possible for something like SMILE or Lasik eye surgery.
Best Hospital for SMILE Eye Surgery in Delhi
The best place for the SMILE Eye Surgery in New Delhi is one of the Eye7 Eye Hospitals. The Eye7 Hospitals are called the best-rated eye hospital in Delhi by the Times of India. The hospitals have been at the cutting edge of Ophthalmology for decades. Eye7 has more than 30 years of experience providing the highest-quality eye surgical procedures to patients in Delhi, and the hospitals are staffed by the best eye doctors in India. Eye7 Hospitals boasts four surgical centers in all of the areas of New Delhi and is proud to have successfully performed more than 200,000 eye procedures. Because of the expertise of the hospital and its surgeons, patients travel from around the world to undergo Smile and other eye surgery procedures at the Eye7 Hospitals in Delhi. The Eye7 hospitals boast a team of 40 highly-qualified eye surgeons that have won accolades for the excellence of their work. The Eye7 Hospitals is one of the only facilities offering the latest cutting-edge technology on-site for the benefit of its patients, including:
- LenSx Bladeless Femtosecond Laser for cataracts
- Contoura Vision for specs removal
- Femtosecond laser FS 200 and EX 500 for bladeless Lasik procedures
The Eye7 hospitals and their team of highly skilled surgeons are world-renowned and have attracted customers from across the world, including the U.S., Europe, and Asia. The patients travel to receive their procedures and then return home with perfect vision. The team is led by Dr. Sanjay Chaudhary, who has been at the forefront of laser eye surgery for more than three decades and who is the pioneer of many of the procedures in India.
International and in-country patients alike come to Eye7 Hospitals for treatment because of the depth of experience and skill of the doctors. The hospital offers super-specialty services in all of the various fields of opthalmology. The highly skilled surgical team is led by Dr. Sanjay Chaudhary, the founder and chairman of Eye7 Hospitals, who is recognized as an expert in the field around the world.
What after SMILE Eye Surgery?
The field of refractive eye surgery or more popularly known as specs removal eye surgery is an ever growing and advancing field. With SMILE eye surgery being the most advanced till now, it has been over taken by another technology now known as Contoura Vision.
Contoura Vision – Beyond LASIK, Beyond SMILE
Contoura Vision eye surgery is the the latest advancement in refractive eye surgery or specs removal surgery. While LASIK and SMILE just correct your vision, Contoura is able to correct corneal irregularities in addition to correcting your vision. This results is a much sharper quality of vision unmatched by any LASIK or SMILE procedure.
Contoura Vision through a special machine known as a Topolyser, is able to map 22,000 data points on your eye on which then the laser works to correct giving you a perfect optical contour resulting in an enhanced quality of vision.
US-FDA study results on Contoura Vison came out with some never seen outcomes where patients could read better than 6/6, which is considered as normal human vision. In other words, patients experienced super human vision beyond 6/6, which is not seen by any other procedure.
Such amazing results has led to adapting Contoura Vison as the best procedure for correcting the vision today.
With the technology costing over 6 crores, it has made to only some premium centres in India. In Delhi, the technology is available at Eye7 Hospitals and AIIMS.
Best Refractive Eye Surgeon in Delhi
Eye7 Hospitals is proud to be the home of Dr. Sanjay Chaudhary, a celebrated eye surgeon who is at the forefront of refractive eye surgical procedures. Dr. Chaudhary is the founder and director of the Eye7 Hospitals, and he has more than 30 years of experience in ophthalmology. In each of the years from 2014 to 2016, Dr. Chaudhary received awards for performing the highest number of implantable Collamer lens, or ICL, procedures in India. Dr. Chaudhary is counted among the pioneers of Lasik in India and was the first to offer femtosecond laser-assisted cataract surgery in Delhi. Dr. Chaudhary performed the first live femtosecond laser-assisted cataract surgery in Delhi in an event that was watched by more than 3,000 eye specialists from around the world. He was also the first to perform a live Contoura Vision for specs removal procedure in India and introduced the procedure to Delhi.
Dr. Chaudhary began his work in a solo practise. As the field of opthalmology expanded, it grew to include seven subspecialties. In order to accommodate the expanding field and the needs of patients, Dr. Chaudhary founded Eye7, bringing seven specialists on board in order to provide the highest quality of care to patients in Delhi.
Dr. Chaudhary has an M.S(Ophthalmology), which is the highest qualification needed for work in the field. He practices as both an eye surgeon and an eye specialist. Dr. Chaudhary is actively involved in his field and is a member of multiple professional organizations. His memberships include the Glaucoma Society of India, the All India Medical Association, the BOA, and the AIIOS. Dr. Chaudhary has dedicated his career to helping people with vision problems to enjoy corrected vision so that they can enjoy richer and more rewarding lives.
People who want to receive the refractive eye surgery will want to undergo surgery at the best hospital and by the best surgeon. When they come to the Eye7 Hospitals under the care and guidance of Dr. Chaudhary, they will be in highly-skilled hands. With refractive eye surgery, people may be able to enjoy the best vision that they have ever had in their lives with minimal complications.