Comparison of different platform  for refractive corneal lenticule extraction

doi:10.3760/cma.j.cn115500-20251014-26306

International Review of Ophthalmology ›› 2026, Vol. 50 ›› Issue (3): 196-201.doi: 10.3760/cma.j.cn115500-20251014-26306

Previous Articles Next Articles

Comparison of different platform for refractive corneal lenticule extraction

Wang Shen¹ , Jiang Yang², Li Ying²

¹ Beijing Chaoju Eye Care, Beijing 100022, China； ² Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China

Received:2025-10-14 Online:2026-06-22 Published:2026-06-22
Contact: Li Ying, Email: liyingpumch@126.com

Abstract

Abstract: Keratorefractive lenticule extraction/refractive corneal lenticule extraction (KLEx/RCLE) is a type of laser corneal refractive surgery. In recent years, it has evolved from being represented solely by small incision lenticule extraction (SMILE) using a single femtosecond laser platform to a multi-platform approach, including the KLEx systems—SMILE (VisuMax 500), SMILE Pro (VISUMAX 800), SmartSight (SCHWIND ATOS), CLEAR (FEMTO LDV Z8), and SILK (ELITA). This review compares the similarities and differences among these five systems in terms of device design, surgical procedures, correction range, clinical outcomes, and complications. It aims to provide a reference for clinicians when selecting a KLEx system, while also identifying current gaps in evidence and future research directions.

Key words: Refractive corneal lenticule extraction/ keratorefractive lenticule extraction, Myopia, Femtosecond laser

Wang Shen , Jiang Yang, Li Ying. Comparison of different platform for refractive corneal lenticule extraction[J]. International Review of Ophthalmology, 2026, 50(3): 196-201.

[1]	Zheng Xiaohui, Shi Huilin, Li Yingshan, Li Cairui. Application of functional defocused frame glasses in myopia prevention and control [J]. International Review of Ophthalmology, 2026, 50(3): 179-183.
[2]	Xing Xiaoying, Zhang Dan, Du Junhui. Application of diffusion optics technology based on contrast theory in myopia prevention and control [J]. International Review of Ophthalmology, 2026, 50(3): 184-190.
[3]	Lu Qiuye, Ou Shangkun. The application of medications in myopia prevention and control [J]. International Review of Ophthalmology, 2026, 50(3): 191-195.
[4]	Lin Fankai, Wu Zhenggen. Ocular risks associated with vaginal delivery in highly myopic pregnant women [J]. International Review of Ophthalmology, 2026, 50(3): 210-215.
[5]	Pang Zeyu, Yan Hong, Chen Yuanyuan. Association of biological parameters in anterior and posterior eye segments with axial length as core in high myopia [J]. International Review of Ophthalmology, 2026, 50(2): 99-105.
[6]	Zhang Qi, Wang Zhenyu, Song Xudong. Application of non-diffractive extended-depth-of-focus intraocular lenses in patients with high myopia combined with cataracts [J]. International Review of Ophthalmology, 2026, 50(2): 106-111.
[7]	Zhen Yi, Huang Yan. Comparison of myopia-control mechanisms of simultaneous competing defocus and diffusion optics technology lenses [J]. International Review of Ophthalmology, 2026, 50(1): 29-38.
[8]	Zheng Huicong, Wan Xiuhua. Astigmatism correction in cataract surgery [J]. International Review of Ophthalmology, 2025, 49(5): 371-377.
[9]	Zhang Qi, Wang Zhenyu, Song Xudong. Cataract surgery combined with curved corneal incision for correcting astigmatism [J]. International Review of Ophthalmology, 2025, 49(4): 259-264.
[10]	Yu Xingmeng, Liu Fang. Relationship between the size of optical zone of orthokeratology lens and myopia control [J]. International Review of Ophthalmology, 2025, 49(3): 177-181.
[11]	Pan Liduo, Deng Jian, Li Yonghao. Risk factors and clinical characteristics of rhegmatogenous retinal detachment after ICL implantation in high myopia [J]. International Review of Ophthalmology, 2025, 49(3): 213-217.
[12]	Liu Yan, Cao Guofan, Zhu Junya, Zhang Linyu. Anatomical characteristics and mechanisms of primary angle closure glaucoma in myopic eyes [J]. International Review of Ophthalmology, 2025, 49(2): 81-87.
[13]	Deng Jian, Pan Liduo, Li Yonghao. Macular buckle surgery for myopia traction maculopathy [J]. International Review of Ophthalmology, 2025, 49(2): 119-123.
[14]	Ye Hongli, Gao Yunan, Yu Shengbin. Pathogenesis and treatment of choroidal neovascularization secondary to pathological myopia [J]. International Review of Ophthalmology, 2025, 49(2): 129-134.
[15]	Ding Guoxin, Wang Jing, Wang Xian, Li Yingqi. Common pathophysiological mechanism and gene correlation between high myopia and diabetes retinopathy [J]. International Review of Ophthalmology, 2025, 49(2): 135-140.

Comparison of different platform for refractive corneal lenticule extraction

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments