SMILE: Minimal invasive Laser Surgery

"Third generation LASIK"

SMILE at a glance
  • The SMILE procedure is used to correct nearsightedness from -1 to -8 dpt with or without astigmatism.
  • SMILE is a minimally invasive laser procedure using solely a femtosecond laser.
  • Synonyms for SMILE are Small Incision Lenticule Extraction, ReLEx, Refractive Lenticule Extraction, Minimal invasive LASIK.
  • SMILE is especially suitable for patients with dry eyes or a rather thin cornea.
The SMILE Procedure

In a single step, the VisuMax creates a refractive lenticule and a small incision of less than 4 mm in the intact cornea - virtually regardless of the ambient conditions of corneal structure.


The lenticule is removed through the small incision. The disruption to the biomechanics of the cornea is minimal. No flap is cut.


The removal of the lenticule changes the form of the cornea, creating the required change to the refraction.

Advantages of SMILE compared to Femto-LASIK

With less than 4 mm, the incision for lenticule extraction is 80% shorter and and the cap incision area up to 30% smaller than for a Femto-LASIK flap. This implies a smaller impact on the biostability of the cornea, a lower incidence of dry eye syndrome and a decreased risk of infections, epithelial ingrowths and flap complications.

Disadvantage of SMILE

Der Nachteil des SMILE Verfahrens gegenüber der Femto-LASIK besteht in dem eingeschränkten Anwendungsbereich: SMILE eignet sich nur für die Korrektur der Kurzsichtigkeit (von -3 bis ca. -8 pdt) mit oder ohne begleitende Hornhautverkrümmung.

Eine Nachoperation kann nur als oberflächliches Augenlaserverfahren (LASEK oder PRK) durchgeführt werden.

Treatment costs

The treatment costs for vision correction surgery are generally not reimbursed by the statutory health insurance. This also applies to the initial (pre-op) consultation and follow up exams after the procedure. The treatment is billed according to the doctor's fee schedule (GOÄ).

Please feel free to request the costs for the intitial examination and the surgical procedures here.

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