1-Minute Video
    Corneal Refractive Surgery, Femtosecond Laser Surgery, Refractive Mgmt/Intervention

    This 1-Minute Video explains the process of creating and implanting a presbyopic allogenic refractive lenticule (PEARL). First, a SMILE lenticule of -2.0 to -2.5 DS is extracted, its anterior side is marked, and it is put into storage media for later use. Prior to implantation, the tissue is stretched out, dried, and cut to 1-mm diameter. A femtosecond laser then creates a corneal flap at a depth of 120 microns. The PEARL is inserted into the pocket and placed over the center of the pupil. Dr. Jacob discusses her technique in this interview from AAO 2017.

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