Refractive surgery · SMILE

SMILE surgery in Santo Domingo

SMILE corrects myopia without creating a flap. I am a national pioneer of the technique, but that does not make it the answer for everyone.

ReLEx SMILE surgery with a femtosecond laser

ReLEx SMILE is the most advanced and least invasive laser vision correction technique I have available for myopia. Unlike LASIK, it does not create a flap in the cornea. Instead, the femtosecond laser carves a small tissue disc within the thickness of the cornea, which is extracted through a micro-incision of a few millimeters. By not lifting a flap, the biomechanical integrity of the eye is better preserved and dry eye symptoms in the first months after surgery are reduced.

I am a national pioneer and instructor of this technique in the Dominican Republic. I mention it for context, not as a sales pitch: mastering SMILE gives me the judgment to know when to use it and, above all, when not to.

When it makes sense and when it does not

SMILE shines in myopia with or without astigmatism, within defined ranges, in a healthy cornea with enough thickness. When the prescription falls outside those ranges, when the cornea is thin, or when the topography shows something worth watching, the best answer may be a PRK, an ICL lens, or simply waiting. Preferring the newest technique over the patient’s eye is a mistake I do not make.

This page is for informational purposes and does not replace an ophthalmological evaluation. The indication for SMILE depends on each case and must be individualized in consultation.

How I treat it

Myopia correction with SMILE

A small tissue disc (lenticule) is extracted with a femtosecond laser through a micro-incision of a few millimeters, without lifting a flap.

Astigmatism correction

SMILE corrects myopia accompanied by astigmatism within the ranges approved for the technique.

Case images
ReLEx SMILE refractive surgery procedure
In SMILE, the femtosecond laser carves a tissue disc that is extracted through a micro-incision, without a corneal flap.

When SMILE is the right technique, and when it is not

SMILE has real advantages, but it is not a universal solution. The fact that it is the technique I master most does not make it the one that suits you. This is what defines whether you are a candidate.

Technology I use
Frequently asked questions
What sets SMILE apart from LASIK?

SMILE does not require creating a flap, which better preserves the biomechanical integrity of the eye and reduces dry eye symptoms in the first months after surgery. LASIK is still an excellent option in many cases; the choice depends on your cornea.

What does SMILE correct?

It corrects myopia and myopic astigmatism within the ranges approved for the technique. It does not correct hyperopia or presbyopia.

Is recovery fast?

Most patients recover good functional vision in a short time. The exact period varies by eye, so postoperative instructions are individualized in consultation.

Consultation

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