Beyond 20/20: How Laser Eye Surgery Boosts Quality of Life (SMILE vs. FS‐LASIK).

Purpose: Uncorrected refractive errors are the main cause of visual impairment globally and can be corrected with refractive surgeries, such as femtosecond laser–assisted in situ keratomileusis (FS‐LASIK) and small‐incision lenticule extraction (SMILE). The success rate of the procedure is determine...

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Published in:Journal of Ophthalmology Vol. 2026; pp. 1 - 13
Main Authors: Juanarta, Pieter, Sirait, Susanti Natalya, Kartiwa, R. Angga, Karfiati, Feti, Virgana, Rova, Budiman, Sandner, Dirk
Format: research tables/charts Journal Article
Published: Wiley-Blackwell 6/8/2026
Online Access:View this record in EBSCOhost
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      dt: 6/8/2026
      vid: 2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/joph/7225757
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        atl: Beyond 20/20: How Laser Eye Surgery Boosts Quality of Life (SMILE vs. FS‐LASIK).
      aug:
        au:
          Juanarta, Pieter
          Sirait, Susanti Natalya
          Kartiwa, R. Angga
          Karfiati, Feti
          Virgana, Rova
          Budiman
          Sandner, Dirk
        affil: Universitas Padjadjaran Facultas Kedokteran,, Jawa Barat, Indonesia
      sug:
        subj:
          Visual Acuity
          Quality of Life Evaluation
          Small-Incision Lenticule Extraction
          Keratomileusis, Laser in Situ Methods
          Refractive Errors Surgery
          Treatment Outcomes
          Human
          Comparative Studies
          Analytic Research
          Nonexperimental Studies
          Prospective Studies
          Hospitals Indonesia
          Indonesia
          Purposive Sample
          Male
          Female
          Adult
          Sex Factors
          Educational Status
          Refractive Errors
          Questionnaires
          Funding Source
          Nonrandomized Trials
          Descriptive Statistics
          Data Analysis Software
          Unpaired T-Tests
          Mann-Whitney U Test
          Paired T-Tests
          Wilcoxon Rank Sum Test
          Chi Square Test
          Fisher's Exact Test
          One-Way Analysis of Variance
          Kruskal-Wallis Test
          Adult: 19-44 years
          Male
          Female
      ab: Purpose: Uncorrected refractive errors are the main cause of visual impairment globally and can be corrected with refractive surgeries, such as femtosecond laser–assisted in situ keratomileusis (FS‐LASIK) and small‐incision lenticule extraction (SMILE). The success rate of the procedure is determined by its efficacy, stability, predictability, and safety. Although these parameters are important, they should be accompanied by the patient's subjective report to assess the success of the surgery. Research has shown that SMILE patients have a better quality of life owing to lower rates of postoperative symptoms and dry eyes. This study aimed to compare improvement in patient quality of life after the SMILE and FS‐LASIK procedures. Methods: This was an analytical observational study with a prospective design conducted at the PMN Cicendo Eye Hospital. Fifty‐seven patients met the inclusion criteria: 33 and 24 patients underwent the FS‐LASIK and SMILE procedures, respectively. Samples were collected using a purposive method at a LASIK center. Patients were asked to complete the NEI‐RQL 42 questionnaire, and an IDRA ocular surface analyzer examination was carried out at the Aesthetic and Dry Eye Clinic. Results: Patient characteristics were dominated by male sex, secondary education levels, and students. Significant differences in characteristics were found with greater refractive error in the FS‐LASIK group. A comparison of questionnaire score improvements revealed higher scores in the SMILE group, especially in terms of symptoms and average questionnaire scores. Conclusion: There was a better improvement in quality of life in patients after the SMILE procedure than after the FS‐LASIK procedure.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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