[Hinews] GWANGJU, South Korea — At the HORIZON 2025 ZEISS Asia-Pacific Ophthalmology Symposium, held June 7-8 at the Grand InterContinental Seoul Parnas, Dr. Jin Woo Ro, director of Kangnam The Light Eye Center in Gwangju, introduced a novel approach to managing complications from SMILE (Small Incision Lenticule Extraction) refractive surgery. His presentation, delivered to an international audience of leading ophthalmologists, detailed clinical outcomes of secondary SMILE procedures to address intraoperative complications.

The symposium, organized by German optical systems manufacturer Carl Zeiss AG, convened top eye specialists from Asia and Europe to exchange insights on cutting-edge developments in ophthalmology, including advancements in refractive and cataract surgery.

Dr. Jin Woo Ro, director of Kangnam The Light Eye Center, presents clinical research at ZEISS 'HORIZON 2025' Asia-Pacific Symposium (Provided by Kangnam The Light Eye Center)
Dr. Jin Woo Ro, director of Kangnam The Light Eye Center, presents clinical research at ZEISS 'HORIZON 2025' Asia-Pacific Symposium (Provided by Kangnam The Light Eye Center)


Dr. Ro’s study, titled “Clinical Outcomes of Secondary Refractive Surgery Following Intraoperative SMILE Complications,” examined 45 eyes among 44,252 SMILE procedures that encountered issues such as suction loss, black spot formation, or laser delivery errors. His findings revealed that secondary SMILE procedures, performed with adjusted laser parameters, achieved visual acuity and astigmatism correction comparable to uncomplicated SMILE cases. Notably, these secondary interventions resulted in fewer higher-order aberrations and less corneal haze than photorefractive keratectomy (PRK), an alternative corrective procedure.

“Most centers resort to LASIK or LASEK for revisions when SMILE complications arise and a programmed restart is not feasible,” Dr. Ro said during his presentation. “At our institution, we have successfully implemented secondary SMILE with tailored laser settings, yielding clinical outcomes that are equivalent or superior. This method offers a safe and effective alternative for surgeons.”
Dr. Ro’s research marks a significant step forward in refractive surgery, providing ophthalmologists with a refined strategy for managing SMILE complications while preserving optimal visual outcomes for patients.

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