Lens replacement surgery can be suitable after SMILE, especially later in life when presbyopia or cataract develops, but it needs specialised measurements.
Impact of previous SMILE
SMILE changes corneal shape through a small incision, which affects how lens power is calculated. As with other laser procedures, standard formulas are adjusted to account for this history.
- Advanced biometry and corneal imaging are used to choose lens strength
- Corneal stability and thickness are checked carefully
- Most people achieve good clarity, but minor prescription differences may remain
- Dryness or transient visual fluctuations can occur early on
- Suitability for multifocal lenses depends on corneal quality and pupil size
Key points for patients
Sharing your SMILE records helps your surgeon plan accurately. A balanced conversation explores your goals and any previous issues with glare or halos.
- Bring pre- and post-SMILE prescriptions if you have them
- Discuss how you currently see at night and with screens
- Understand that thin glasses may still be helpful for some tasks
- Regular follow-up checks both corneal shape and lens position
- Your surgeon will guide which lens design best matches your lifestyle
